Cancer Screening Rate and Related Factors in the Japanese Child-Rearing Generation

In Japan, although the incidence of cancer is increasing, the cancer screening rate is low compared to that in other countries. This study aimed to evaluate the factors associated with cancer screening behavior in Japanese men and women of child-rearing age. The survey was conducted among 2410 child-rearing adults from a countrywide database in August 2018. Among the respondents, there were 1381 (57.3%) who had been screened for cancer and 1029 (42.7%) who had not been screened. When stratified by sex, 503 (40.9%) men and 878 (74.3%) women had been screened for cancer, and education, income, and family history were associated with cancer screening. Among the men, where they lived, age, and family history were associated with cancer screening. In women, annual income was associated with stomach, colon, breast, and uterine cancer screening. In addition, uterine cancer screening was related to the women's educational level. Our results suggest a need to improve the cancer screening rate among the child-rearing generation, especially for those with limited education and low income.