Hae-Nam Lee

Factors associated with participation in cervical cancer screening among young Koreans: a nationwide cross-sectional study

Objectives Despite the possibility of early detection of cervical cancer, participation in screening programmes among young Koreans is low. We sought to identify associations between risk factors and participation in screening for cervical cancer among young Koreans. Design Nationwide cross-sectional study. Setting Republic of Korea. Participants 3734. Main outcome measures The Korea National Health and Nutrition Examination Survey (KNHANES V: 2010–2012) was used to evaluate factors associated with attendance for cervical cancer screening among women aged 15–39. After excluding those who were previously diagnosed with cervical cancer and those with incomplete responses to questionnaires, a total of 3734 subjects were eligible. Multi-dimensional covariates as potential predictors of cervical cancer screening were adjusted in multiple logistic regression analysis. Results The participation rate for cervical cancer screening was 46% among women aged 40 or younger. The logistic analyses showed that age, education, total household income, smoking and job status among women aged 15–39 were associated with participation in cervical cancer screening (p<0.05). After age stratification, the associated factors differed by age groups. Moreover, a dose–response between participation in cervical cancer screening and high total household income in the 30–39 age group was seen. Conclusions Predictive factors differed among young women (aged 15–29 vs 30–39). Thus, age-specific tailored interventions and policies are needed to increase the participation rate in screening for cervical cancer.

BONE METASTASIS WITH PARAPLESIA OF KRUKENBERG TUMOR IN PREGNANCY

Krukenberg tumor is not easy to detect during pregnancy. One reason is its rare incidence because of the chronological gap between the reproductive age and the high risk age for gastric cancer. Another reason is the similarity between the typical symptoms of normal pregnancy and the Krukenberg tumor: epigastric discomfort, early satiety, nausea, etc. We report a case of a pregnant woman in her third trimester who presented with chronic back pain and sudden paraplegia.