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.
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Acknowledgments
This work was supported by National Cancer Center Grant No. 04101502 and National Cancer Center Grant No. 07104221.
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Sang Min Park and Chong Taik Park contributed equally to this work as first authors.
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Park, S.M., Park, C.T., Park, S.Y. et al. Factors related to second cancer screening practice in disease-free cervical cancer survivors. Cancer Causes Control 20, 1697–1703 (2009). https://doi.org/10.1007/s10552-009-9421-0
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DOI: https://doi.org/10.1007/s10552-009-9421-0