OBJECTIVE To assess the frequency of regular uptake of national cervical cancer screening (CCS) program and identify associated factors among Korean women. METHODS This study is a fundamental investigation that employs openly accessible public data of Korea through secondary data analysis. A cohort of 4,663 women from the 2007-2012 Korean National Health and Nutrition Examination Survey, was followed up for up to 12 years (2007-2018) to obtain the frequency of national CCS. Compliance level with CCS was categorized, and an ordinal logistic regression model was employed to investigate the contributing factors. RESULTS The regular uptake of CCS in South Korea was low at 18.9%. The trend of regular screening showed significant association with various factors, including age (40-59 years), household income (100%-150% bracket), occupation (service workers), place of residence (small to medium sized cities), education level (middle school graduates), marital status (married), and possession of private insurance. Moreover, individuals with a history of non-cervical cancer or carcinoma in situ of the cervix, a family history of cervical cancer, or a higher frequency of general check-ups demonstrated a stronger adherence to regular CCS uptake. CONCLUSION Our findings revealed that regular participation in CCS in Korea was lower than anticipated, with factors such as socioeconomic status, personal history of gynecologic issue, and frequency of general health check-ups playing influential roles. However, further research, including an exploration of unexamined psychological barriers to screening, is necessary to gain a better understanding the reasons behind the reduced rates of regular CCS among Korean women.

中文翻译：

---

韩国宫颈癌筛查的规律性：利用12年国家公开数据进行分析。

目的 评估韩国女性定期参加国家宫颈癌筛查 (CCS) 计划的频率并确定相关因素。方法本研究是一项基础调查，通过二次数据分析，利用韩国公开的公共数据。对 2007-2012 年韩国国家健康和营养检查调查中的 4,663 名女性进行了长达 12 年（2007-2018 年）的随访，以获得国家 CCS 频率。对 CCS 的合规水平进行了分类，并采用序数逻辑回归模型来研究影响因素。结果 韩国 CCS 的常规采用率较低，仅为 18.9%。定期筛查的趋势与多种因素显着相关，包括年龄（40-59岁）、家庭收入（100%-150%区间）、职业（服务业人员）、居住地（中小城市）、教育程度水平（初中毕业生）、婚姻状况（已婚）以及拥有私人保险。此外，有非宫颈癌或宫颈原位癌病史、宫颈癌家族史或常规检查频率较高的个体表现出对定期 CCS 摄取的更强依从性。结论 我们的研究结果显示，韩国定期参加 CCS 的比例低于预期，其中社会经济地位、个人妇科问题史和一般健康检查频率等因素发挥了重要作用。然而，有必要进行进一步的研究，包括探索未经检查的筛查心理障碍，以更好地了解韩国女性定期 CCS 率降低背后的原因。