Higher breast cancer prevalence associated with higher socioeconomic status in the South Korean population; Has it resulted from overdiagnosis?
Recently, breast cancer prevalence has increased in South Korea. In this study, we investigated the correlation between breast cancer prevalence and socioeconomic status. This study enrolled 27,331 people who participated in the Korean National Health and Nutrition Examination Survey (KNHANES) IV-VI...
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2018-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC6042748?pdf=render |
| _version_ | 1811235428928323584 |
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| author | Seong-Woo Choi So-Yeon Ryu Mi-Ah Han Jong Park |
| author_facet | Seong-Woo Choi So-Yeon Ryu Mi-Ah Han Jong Park |
| author_sort | Seong-Woo Choi |
| collection | DOAJ |
| description | Recently, breast cancer prevalence has increased in South Korea. In this study, we investigated the correlation between breast cancer prevalence and socioeconomic status. This study enrolled 27,331 people who participated in the Korean National Health and Nutrition Examination Survey (KNHANES) IV-VI (2007-2015). In addition, we obtained data from the Korean Statistical Information Service (KSIS) on the breast cancer age-standardized incidence rate (AIR), the age-standardized mortality rate (AMR), the number of women screened, and the number of newly diagnosed patients. The KHANES data showed that breast cancer prevalence was significantly associated with educational level (odds ratio [OR], 2.02; 95% confidence interval [CI], 1.08-3.77 for 10-12 vs. ≤ 6 years of education, and OR, 2.36; 95% CI, 1.10-5.06 for ≥ 13 vs. ≤ 6 years of education). However, there was no significant association of breast cancer prevalence with monthly household income. In a separate analysis of the AIR, AMR, and number of women screened for breast cancer, the AIR increased with the number of women screened, whereas the AMR did not. Furthermore, the number of newly diagnosed patients in all age groups increased over time. The present results demonstrate that the recently increased breast cancer prevalence documented in South Korea may be attributable to earlier detection rather than to a real increase in prevalence, and that breast cancer may be overdiagnosed. |
| first_indexed | 2024-04-12T11:51:51Z |
| format | Article |
| id | doaj.art-bc99ec08a61b4bc49415c28b4e373e7d |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-12T11:51:51Z |
| publishDate | 2018-01-01 |
| publisher | Public Library of Science (PLoS) |
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| spelling | doaj.art-bc99ec08a61b4bc49415c28b4e373e7d2022-12-22T03:34:10ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01137e020048410.1371/journal.pone.0200484Higher breast cancer prevalence associated with higher socioeconomic status in the South Korean population; Has it resulted from overdiagnosis?Seong-Woo ChoiSo-Yeon RyuMi-Ah HanJong ParkRecently, breast cancer prevalence has increased in South Korea. In this study, we investigated the correlation between breast cancer prevalence and socioeconomic status. This study enrolled 27,331 people who participated in the Korean National Health and Nutrition Examination Survey (KNHANES) IV-VI (2007-2015). In addition, we obtained data from the Korean Statistical Information Service (KSIS) on the breast cancer age-standardized incidence rate (AIR), the age-standardized mortality rate (AMR), the number of women screened, and the number of newly diagnosed patients. The KHANES data showed that breast cancer prevalence was significantly associated with educational level (odds ratio [OR], 2.02; 95% confidence interval [CI], 1.08-3.77 for 10-12 vs. ≤ 6 years of education, and OR, 2.36; 95% CI, 1.10-5.06 for ≥ 13 vs. ≤ 6 years of education). However, there was no significant association of breast cancer prevalence with monthly household income. In a separate analysis of the AIR, AMR, and number of women screened for breast cancer, the AIR increased with the number of women screened, whereas the AMR did not. Furthermore, the number of newly diagnosed patients in all age groups increased over time. The present results demonstrate that the recently increased breast cancer prevalence documented in South Korea may be attributable to earlier detection rather than to a real increase in prevalence, and that breast cancer may be overdiagnosed.http://europepmc.org/articles/PMC6042748?pdf=render |
| spellingShingle | Seong-Woo Choi So-Yeon Ryu Mi-Ah Han Jong Park Higher breast cancer prevalence associated with higher socioeconomic status in the South Korean population; Has it resulted from overdiagnosis? PLoS ONE |
| title | Higher breast cancer prevalence associated with higher socioeconomic status in the South Korean population; Has it resulted from overdiagnosis? |
| title_full | Higher breast cancer prevalence associated with higher socioeconomic status in the South Korean population; Has it resulted from overdiagnosis? |
| title_fullStr | Higher breast cancer prevalence associated with higher socioeconomic status in the South Korean population; Has it resulted from overdiagnosis? |
| title_full_unstemmed | Higher breast cancer prevalence associated with higher socioeconomic status in the South Korean population; Has it resulted from overdiagnosis? |
| title_short | Higher breast cancer prevalence associated with higher socioeconomic status in the South Korean population; Has it resulted from overdiagnosis? |
| title_sort | higher breast cancer prevalence associated with higher socioeconomic status in the south korean population has it resulted from overdiagnosis |
| url | http://europepmc.org/articles/PMC6042748?pdf=render |
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