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.
背景：遵循癌症筛查指南对于癌症的早期诊断和预防至关重要。本研究探讨了自杀意念与参与癌症筛查项目之间的关联。方法：这项横断面分析纳入了全国范围内22,554名韩国成年人（9,667名男性和12,887名女性）的样本。过去一年的自杀意念为自我报告（是或否）。评估了过去两年内参与胃癌、结直肠癌、宫颈癌和乳腺癌筛查的情况。采用逻辑回归模型来确定自杀意念与参与各项癌症筛查测试之间的关联，并估计了比值比（OR）和95%置信区间（CI）。结果：在男性中，胃癌和结直肠癌筛查的参与率分别为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，自杀意念与胃癌筛查参与率降低相关（OR: 0.83, 95% CI: 0.69–0.99），也与结直肠癌筛查参与率降低相关（OR: 0.82, 95% CI: 0.67–1.00）。同样，在女性样本中，自杀意念与胃癌（OR: 0.74, 95% CI: 0.67–0.82）、结直肠癌（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）的参与率呈负相关。结论：本研究表明，有自杀意念的个体参与癌症筛查测试的比例降低。本研究强调，需要有针对性的支持来改善有心理健康问题的个体获得癌症筛查项目的机会。
肿瘤(癌症)患者之家