Original paper

Cancer Causes & Control

, 20:1697

First online:

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

  • Sang Min ParkAffiliated withDivision of Cancer Control, National Cancer CenterDepartment of Family Medicine, Seoul National University Hospital, Seoul National University College of Medicine
  • , Chong Taik ParkAffiliated withDepartment of Obstetrics and Gynecology, Kangnam Cha Hospital, College of Medicine, Pochon CHA University
  • , Sang Yoon ParkAffiliated withCenter for Uterine Cancer, National Cancer Center
  • , Duk-Soo BaeAffiliated withDepartment of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine
  • , Joo Hyun NamAffiliated withDepartment of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine
  • , Chi-Heum ChoAffiliated withDepartment of Obstetrics and Gynecology, School of Medicine, Keimyung University
  • , Jong Min LeeAffiliated withDepartment of Obstetrics and Gynecology, East-West Neo Medical Center, Kyung Hee University
  • , Craig C. EarleAffiliated withDivision of Population Sciences, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School
  • , Young Ho YunAffiliated withDivision of Cancer Control, National Cancer Center Email author 

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Abstract

Background

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.

Methods

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.

Results

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.

Conclusion

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.

Keywords

Cancer screening Cervical cancer survivor Second cancer