Associations of perceived benefits, cost burden, and sociodemographic factors with cervical cancer screening by regular physician status among Korean women
- 1Digital Contents School, Hallym University
- 2Department of Medical Information, School of Nursing and Health, Kongju National University
- 3National Cancer Control Institute, National Cancer Center
Abstract
It remains unclear whether the associations of perceived benefits, cost burden, and sociodemographic factors are consistent across Pap smear and HPV DNA testing, two complementary approaches to cervical cancer prevention. This study therefore aims to examine whether the associations of perceived benefits and cost burden differ across two screening methods (Pap smear and HPV DNA testing), and whether the associations between key factors (perceived benefits, cost burden, and socioeconomic status) and cervical cancer screening vary by regular physician status. Data were collected from the 2023 Korean National Cancer Screening Survey (N = 2716). Higher perceived benefits were significantly associated with higher odds of Pap smear uptake (aOR = 1.90, 95% CI 1.55–2.33), whereas the association with HPV DNA testing was not significant after adjusting for covariates. Cost burden was not significantly associated with either Pap smear or HPV DNA testing. Associations between perceived benefits and Pap smear use were robust across unweighted and weighted models, regardless of regular physician status. Age, marital status, and private health insurance were associated with higher odds of Pap smear uptake among women without a regular physician, whereas these associations were weaker or non-significant among those with a regular physician. The findings suggest that having a regular physician may play an important role in mitigating sociodemographic inequalities in cervical cancer screening among Korean women.
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BibTeX
@article{lee2026associations,
title = {{Associations of perceived benefits, cost burden, and sociodemographic factors with cervical cancer screening by regular physician status among Korean women}},
author = {Hye-Sun Lee and Gyeong-U Hong and Hyeon Ji Lee and Eun Kyo Kang and Mina Suh and Kui Son Choi and Jae Kwan Jun},
journal = {Scientific Reports},
year = {2026},
month = jul,
doi = {10.1038/s41598-026-61502-w},
url = {https://doi.org/10.1038/s41598-026-61502-w},
note = {CC BY},
}
RIS
TY - JOUR
TI - Associations of perceived benefits, cost burden, and sociodemographic factors with cervical cancer screening by regular physician status among Korean women
AU - Hye-Sun Lee
AU - Gyeong-U Hong
AU - Hyeon Ji Lee
AU - Eun Kyo Kang
AU - Mina Suh
AU - Kui Son Choi
AU - Jae Kwan Jun
PY - 2026
DA - 2026/07/01
JO - Scientific Reports
DO - 10.1038/s41598-026-61502-w
UR - https://doi.org/10.1038/s41598-026-61502-w
AB - It remains unclear whether the associations of perceived benefits, cost burden, and sociodemographic factors are consistent across Pap smear and HPV DNA testing, two complementary approaches to cervical cancer prevention. This study therefore aims to examine whether the associations of perceived benefits and cost burden differ across two screening methods (Pap smear and HPV DNA testing), and whether the associations between key factors (perceived benefits, cost burden, and socioeconomic status) and cervical cancer screening vary by regular physician status. Data were collected from the 2023 Korean National Cancer Screening Survey (N = 2716). Higher perceived benefits were significantly associated with higher odds of Pap smear uptake (aOR = 1.90, 95% CI 1.55–2.33), whereas the association with HPV DNA testing was not significant after adjusting for covariates. Cost burden was not significantly associated with either Pap smear or HPV DNA testing. Associations between perceived benefits and Pap smear use were robust across unweighted and weighted models, regardless of regular physician status. Age, marital status, and private health insurance were associated with higher odds of Pap smear uptake among women without a regular physician, whereas these associations were weaker or non-significant among those with a regular physician. The findings suggest that having a regular physician may play an important role in mitigating sociodemographic inequalities in cervical cancer screening among Korean women.
SN - 2045-2322
ER -