Validity of Self-reported Participation in Cancer Screenings and Health Checkups in Japan
Background: The participation rate for screening is regarded as a useful indicator for preventing cancer and cardio-metabolic disease. However, the validity of self-reported screening participation has not yet been thoroughly evaluated in Japan. We aimed to examine its validity using the municipal s...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Japan Epidemiological Association
2025-01-01
|
| Series: | Journal of Epidemiology |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/jea/35/1/35_JE20240090/_pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841558871650336768 |
|---|---|
| author | Isao Muraki Tomotaka Sobue Kazumasa Yamagishi Shoichiro Tsugane Norie Sawada Hiroyasu Iso |
| author_facet | Isao Muraki Tomotaka Sobue Kazumasa Yamagishi Shoichiro Tsugane Norie Sawada Hiroyasu Iso |
| author_sort | Isao Muraki |
| collection | DOAJ |
| description | Background: The participation rate for screening is regarded as a useful indicator for preventing cancer and cardio-metabolic disease. However, the validity of self-reported screening participation has not yet been thoroughly evaluated in Japan. We aimed to examine its validity using the municipal screening records among the Japanese population. Methods: We included 3,060 men and 3,860 women insured by the National Health Insurance for residents aged <75 years or the Medical Care System for the Elderly aged ≥75 years in the Chikusei area of the Japan Public Health Center-based Prospective Study for the Next Generation. They were asked about their participation in cancer screenings and health checkups during the previous year. We compared their responses to the municipal records and calculated the sensitivity and specificity of self-reported screening participation. Results: The sensitivity and specificity of self-reported participation were 0.49 and 0.86 for lung cancer screening, 0.67 and 0.85 for colorectal cancer screening, 0.77 and 0.79 for stomach cancer screening, and 0.86 and 0.65 for health checkup, respectively. Among women, the sensitivity and specificity were 0.83 and 0.81 for breast cancer and 0.85 and 0.90 for cervical cancer, respectively. Conclusion: Self-reported cancer screening participation for colorectal, stomach, breast, and cervical cancers had moderate-to-high sensitivity and specificity. Self-reported participation, especially for lung cancer screening and health checkups, should be carefully interpreted when assessing the performance of preventive measures. |
| format | Article |
| id | doaj-art-d1507258e98c403ca9fe5272168768b8 |
| institution | Kabale University |
| issn | 0917-5040 1349-9092 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Japan Epidemiological Association |
| record_format | Article |
| series | Journal of Epidemiology |
| spelling | doaj-art-d1507258e98c403ca9fe5272168768b82025-01-06T03:54:46ZengJapan Epidemiological AssociationJournal of Epidemiology0917-50401349-90922025-01-01351475210.2188/jea.JE20240090Validity of Self-reported Participation in Cancer Screenings and Health Checkups in JapanIsao Muraki0Tomotaka Sobue1Kazumasa Yamagishi2Shoichiro Tsugane3Norie Sawada4Hiroyasu Iso5Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, JapanEnvironmental Medicine, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, JapanDepartment of Public Health, Graduate School of Medicine, Juntendo University, Tokyo, JapanInternational University of Health and Welfare Graduate School of Public Health, Tokyo, JapanDivision of Cohort Research, National Cancer Center Institute for Cancer Control, Tokyo, JapanInstitute for Global Health Policy Research Center, Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, JapanBackground: The participation rate for screening is regarded as a useful indicator for preventing cancer and cardio-metabolic disease. However, the validity of self-reported screening participation has not yet been thoroughly evaluated in Japan. We aimed to examine its validity using the municipal screening records among the Japanese population. Methods: We included 3,060 men and 3,860 women insured by the National Health Insurance for residents aged <75 years or the Medical Care System for the Elderly aged ≥75 years in the Chikusei area of the Japan Public Health Center-based Prospective Study for the Next Generation. They were asked about their participation in cancer screenings and health checkups during the previous year. We compared their responses to the municipal records and calculated the sensitivity and specificity of self-reported screening participation. Results: The sensitivity and specificity of self-reported participation were 0.49 and 0.86 for lung cancer screening, 0.67 and 0.85 for colorectal cancer screening, 0.77 and 0.79 for stomach cancer screening, and 0.86 and 0.65 for health checkup, respectively. Among women, the sensitivity and specificity were 0.83 and 0.81 for breast cancer and 0.85 and 0.90 for cervical cancer, respectively. Conclusion: Self-reported cancer screening participation for colorectal, stomach, breast, and cervical cancers had moderate-to-high sensitivity and specificity. Self-reported participation, especially for lung cancer screening and health checkups, should be carefully interpreted when assessing the performance of preventive measures.https://www.jstage.jst.go.jp/article/jea/35/1/35_JE20240090/_pdfself-reported participationcancer screeninghealth checkupsvalidation study |
| spellingShingle | Isao Muraki Tomotaka Sobue Kazumasa Yamagishi Shoichiro Tsugane Norie Sawada Hiroyasu Iso Validity of Self-reported Participation in Cancer Screenings and Health Checkups in Japan Journal of Epidemiology self-reported participation cancer screening health checkups validation study |
| title | Validity of Self-reported Participation in Cancer Screenings and Health Checkups in Japan |
| title_full | Validity of Self-reported Participation in Cancer Screenings and Health Checkups in Japan |
| title_fullStr | Validity of Self-reported Participation in Cancer Screenings and Health Checkups in Japan |
| title_full_unstemmed | Validity of Self-reported Participation in Cancer Screenings and Health Checkups in Japan |
| title_short | Validity of Self-reported Participation in Cancer Screenings and Health Checkups in Japan |
| title_sort | validity of self reported participation in cancer screenings and health checkups in japan |
| topic | self-reported participation cancer screening health checkups validation study |
| url | https://www.jstage.jst.go.jp/article/jea/35/1/35_JE20240090/_pdf |
| work_keys_str_mv | AT isaomuraki validityofselfreportedparticipationincancerscreeningsandhealthcheckupsinjapan AT tomotakasobue validityofselfreportedparticipationincancerscreeningsandhealthcheckupsinjapan AT kazumasayamagishi validityofselfreportedparticipationincancerscreeningsandhealthcheckupsinjapan AT shoichirotsugane validityofselfreportedparticipationincancerscreeningsandhealthcheckupsinjapan AT noriesawada validityofselfreportedparticipationincancerscreeningsandhealthcheckupsinjapan AT hiroyasuiso validityofselfreportedparticipationincancerscreeningsandhealthcheckupsinjapan |