Association Between Suicidal Ideation and Cancer Screening Uptake: Results from Middle-Aged and Older Adults in Korea.

IF 4.5 2区医学 Q1 ONCOLOGY

Cancers Pub Date : 2025-03-12 DOI:10.3390/cancers17060956

Seong-Uk Baek, Jin-Ha Yoon

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引用次数: 0

Abstract

Background: Compliance with cancer screening guidelines is crucial for the early diagnosis and prevention of cancer. We explored the association of suicidal ideation with participation in cancer screening programs.

Methods: This cross-sectional analysis included a nationwide sample consisting of 22,554 Korean adults (9667 men and 12,887 women). Suicidal ideation in the past year was self-reported (yes or no). Participation in gastric, colorectal, cervical, and breast cancer screening within the past 2 years was assessed. Logistic regression models were employed to determine the association of suicidal ideation with participation in each cancer screening test. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated.

Results: Among men, the participation rates in gastric and colorectal cancer screening were 47.6% and 39.7%, respectively. Among women, the participation rates in gastric, colorectal, cervical, and breast cancer screening were 47.1%, 34.8%, 44.3%, and 50.8%, respectively. In the male sample, suicidal ideation was associated with reduced participation in gastric cancer screening (OR: 0.83, 95% CI: 0.69-0.99) and colorectal cancer screening (OR: 0.82, 95% CI: 0.67-1.00). Similarly, in the female sample, suicidal ideation was inversely associated with participation in gastric (OR: 0.74, 95% CI: 0.67-0.82), colorectal (OR: 0.71, 95% CI: 0.62-0.81), cervical (OR: 0.75, 95% CI: 0.68-0.84), and breast cancer screening (OR: 0.76, 95% CI: 0.68-0.84).

Conclusions: This study suggests that individuals with suicidal ideation demonstrated reduced participation in cancer screening tests. This study highlights the need for targeted support to improve access to cancer screening programs for individuals with mental health problems.

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自杀意念与癌症筛查之间的关系：来自韩国中老年成年人的结果

背景：遵守癌症筛查指南对于癌症的早期诊断和预防至关重要。我们探讨了自杀意念与参与癌症筛查项目的关系。方法：横断面分析包括全国22554名韩国成年人（9667名男性和12887名女性）。过去一年的自杀意念是自我报告的（是或否）。评估过去2年内参与胃癌、结直肠癌、宫颈癌和乳腺癌筛查的情况。采用Logistic回归模型来确定自杀意念与参加每项癌症筛查试验的关系。估计优势比（ORs）和95%置信区间（ci）。结果：男性胃癌和结直肠癌筛查参与率分别为47.6%和39.7%。在女性中，胃癌、结直肠癌、宫颈癌和乳腺癌筛查的参与率分别为47.1%、34.8%、44.3%和50.8%。在男性样本中，自杀意念与参与胃癌筛查（OR: 0.83, 95% CI: 0.69-0.99）和结直肠癌筛查（OR: 0.82, 95% CI: 0.67-1.00）的减少有关。同样，在女性样本中，自杀意念与参加胃癌（OR: 0.74, 95% CI: 0.67-0.82）、结肠直肠癌（OR: 0.71, 95% CI: 0.62-0.81）、宫颈癌（OR: 0.75, 95% CI: 0.68-0.84）和乳腺癌筛查（OR: 0.76, 95% CI: 0.68-0.84）呈负相关。结论：本研究表明，有自杀意念的个体在癌症筛查试验中的参与率较低。这项研究强调需要有针对性的支持，以改善有心理健康问题的个人获得癌症筛查项目的机会。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cancers Medicine-Oncology

CiteScore

8.00

自引率

9.60%

发文量

5371

审稿时长

18.07 days

期刊介绍： Cancers (ISSN 2072-6694) is an international, peer-reviewed open access journal on oncology. It publishes reviews, regular research papers and short communications. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced.