Cancer Causes & Control

, 20:1697

Factors related to second cancer screening practice in disease-free cervical cancer survivors


  • Sang Min Park
    • Division of Cancer ControlNational Cancer Center
    • Department of Family Medicine, Seoul National University HospitalSeoul National University College of Medicine
  • Chong Taik Park
    • Department of Obstetrics and Gynecology, Kangnam Cha Hospital, College of MedicinePochon CHA University
  • Sang Yoon Park
    • Center for Uterine CancerNational Cancer Center
  • Duk-Soo Bae
    • Department of Obstetrics and Gynecology, Samsung Medical CenterSungkyunkwan University School of Medicine
  • Joo Hyun Nam
    • Department of Obstetrics and Gynecology, Asan Medical CenterUniversity of Ulsan College of Medicine
  • Chi-Heum Cho
    • Department of Obstetrics and Gynecology, School of MedicineKeimyung University
  • Jong Min Lee
    • Department of Obstetrics and Gynecology, East-West Neo Medical CenterKyung Hee University
  • Craig C. Earle
    • Division of Population Sciences, Department of Medical Oncology, Dana-Farber Cancer InstituteHarvard Medical School
    • Division of Cancer ControlNational Cancer Center
Original paper

DOI: 10.1007/s10552-009-9421-0

Cite this article as:
Park, S.M., Park, C.T., Park, S.Y. et al. Cancer Causes Control (2009) 20: 1697. doi:10.1007/s10552-009-9421-0



Although cancer survivors are at increased risk for developing cancers at other sites, little is known about the current status of second cancer (cancers other than the index cancer) screening practices and related factors in cervical cancer survivors.


We enrolled 809 cervical cancer survivors aged ≥40 years who had been treated at six hospitals from 1983 to 2004. Subjects filled out a questionnaire that included the practices of second cancer screening (breast, stomach, and colorectum) and other sociodemographic variables.


Among subjects, 38.9% had been recommended to receive screening for other cancers from health care providers, and 27.4% reported that they thought they had lower risk of other cancer than general population. Older (age ≥65 years) and poor (family income <1,000$/month) subjects were less likely to have second cancer screening. Those to whom health care providers had recommended screening for other cancers (aOR = 2.14; 95% CI, 1.54–2.98), and those who had an appropriate perception of second cancer risk (aOR = 1.64; 95% CI, 1.11–2.43) were more likely to undergo breast cancer screening.


Lack of a recommendation for second cancer screening from health care providers and the misperception of second cancer risk might have negative impacts on the breast cancer screening behaviors in cervical cancer survivors.


Cancer screeningCervical cancer survivorSecond cancer

Copyright information

© Springer Science+Business Media B.V. 2009