title: Need to pay more attention to attendance at follow-up consultation after cancer screening in smokers and drinkers.
abstract: BACKGROUND
  Follow-up clinical consultations could improve overall health status as well provide knowledge and education for cancer prevention.
  
  
  METHODS
  This is the cross-sectional study using the Korean Community Health Survey (KCHS) 6th edition for 2012, with 115,083 respondents who underwent cancer checkups selected as subjects. Associations between the presence of consultation and the socioeconomic status were determined using statistical methods with the SAS 9.3 statistical package (Cary, NC, USA).
  
  
  RESULTS
  Among the recipients, 32,179 (28.0%) received clinical consultations after cancer screenings. Those in rural areas (odds ratio, OR=0.71, 95% confidence interval (CI), 0.69-0.73) visited follow-up clinics less frequently than did those in urban areas. Starting at the elementary school level, as the education level increased to middle school (OR=1.26, 95% CI: 1.19-1.34), high school (OR=1.29, 95% CI: 1.23-1.36) or college (OR=1.76, 95% CI: 1.65-1.89), the participation rates also increased. When compared with the lowest quartile group, the quartile income level showed a statistical trend and difference as follows: second lowest quartile (OR=1.11, 95% CI: 1.07-1.16), third lowest (OR=1.12, 95% CI: 1.07-1.17) and highest quartile income (OR=1.29, 95% CI: 1.23-1.35). In addition, the people with economic activities (OR=0.87, 95% CI: 0.84-0.90) visited follow-up clinics less frequently than did the others. Current smokers (OR=0.93, 95% CI: 0.89-0.98) and inveterate drinkers (OR=0.88, 95% CI: 0.85-0.94) had a tendency to visit less often than did non-smokers and other drinkers with all cancers combined.
  
  
  CONCLUSIONS
  We suggest primary prevention through lifestyle modifications including smoking and drinking, and environmental interventions may offer the most cost-effective approach to reduce the cancer burden.
authors: Department of Public Health, Graduate School, Yonsei University, Seoul, Korea E-mail : leevan@yuhs.ac.
authors: Jaeyong
authors: J
authors: Shin
authors: Eun-Cheol
authors: EC
authors: Park
authors: Hong-Chul
authors: HC
authors: Bae
authors: Seri
authors: S
authors: Hong
authors: Suk-Yong
authors: SY
authors: Jang
authors: Jae-Hyun
authors: JH
authors: Kim
authors: Jee Suk
authors: JS
authors: Chang
authors: Sang Gyu
authors: SG
authors: Lee
mesh_terms: D000328:Adult; D000368:Aged; D000428:Alcohol Drinking / Q000517:prevention & control*; D000437:Alcoholism; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer; D005260:Female; D006301:Health Services Needs and Demand; D006304:Health Status; D006306:Health Surveys / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000517:prevention & control; D010349:Patient Compliance / Q000523:psychology* / Q000706:statistics & numerical data; D010353:Patient Education as Topic; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D056910:Republic of Korea; D040242:Risk Reduction Behavior; D000074606:Smoking Prevention; D012923:Social Class; D011795:Surveys and Questionnaires; D055815:Young Adult