Factors affecting participation in health checkups: Evidence from Japanese survey data

Noguchi, Riko; Shen, Junyi

doi:10.1016/j.healthpol.2018.10.013

Cited by 23 publications

(32 citation statements)

References 12 publications

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“…Although we showed no difference between gender in their intention to undergo CVD health checks, the factors influencing their intentions differed, with a strong influence of internal factors. Many studies that measured the impact of gender and factors on undergoing health checks focused mainly on sociodemographic factors [30,35,36] rather than a comprehensive evaluation of internal and external factors. Previous study had demonstrated a small but significant relationship between age, gender, social factors and health checks intention and behaviour, with variance explained by only less than 4% [37].…”

Section: Plos Onementioning

confidence: 99%

Gender differences in factors influencing intention to undergo cardiovascular disease health checks: A cross-sectional survey

et al. 2020

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Background Undergo a health check for cardiovascular disease (CVD) is an important strategy to improve cardiovascular (CV) health. Men are reported to be less likely to undergo cardiovascular disease (CVD) health check than women. Gender difference could be one of the factors influencing health seeking behaviour of men and women. We aimed to identify gender differences in factors influencing the intention to undergo CVD health checks. Methods This was a cross-sectional survey using mall intercept interviews. Malaysians aged �30 years without known CVD were recruited. They were asked for their intention to undergo CVD health checks and associated factors. The factors included seven internal factors that were related to individuals' attitude, perception and preparedness for CVD health checks and two external factors that were related to external resources. Hierarchical ordinal regression analysis was used to evaluate the importance of the factors on intention to undergo CVD health checks, for men and women separately. Results 397 participants were recruited, 60% were women. For men, internal factors explained 31.6% of the variances in likeliness and 9.6% of the timeline to undergo CVD health checks, with 1.2% and 1.8% added respectively when external factors were sequentially included. For women, internal factors explained 18.9% and 22.1% of the variances, with 3.1% and 4.2% added with inclusion of the external factors. In men, perceived drawbacks of health checks was a significant negative factor associated with likeliness to undergo CVD health checks (coefficient =-1.093; 95%CI:-1.592 to-0.594), and timeline for checks (coefficient =-0.533; 95%CI:-0.975 to-0.091). In women, readiness to handle outcomes following health

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Section: Plos Onementioning

confidence: 99%

Gender differences in factors influencing intention to undergo cardiovascular disease health checks: A cross-sectional survey

et al. 2020

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“…Because a Japanese study suggested that CKD screening using dipstick urinalysis and/or serum creatinine measurement was a cost-effective approach to prevent progression to ESKD 13 , the MHLW has encouraged adults aged ≥ 40 years to undergo CKD screening through the annual health checkup program, which includes dipstick urinalysis as a mandatory item and serum creatinine measurement as an optional item 14 . However, the proportion of the population undergoing health checkups is low at about 50% and 30% in adults aged 40–74 and ≥ 75 years, respectively 15 , 16 .…”

Section: Introductionmentioning

confidence: 99%

Associations of kidney tests at medical facilities and health checkups with incidence of end-stage kidney disease: a retrospective cohort study

Yoshimura

Yamamoto

Shinzawa

et al. 2021

Sci Rep

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No study has assessed the association between no health checkup and end-stage kidney disease (ESKD). This retrospective cohort study, including 69,147 adults aged ≥ 40 years in Japan who were insured by the National Health Insurance and the Late-Stage Medical Care System for the Elderly, assessed the associations of kidney tests at medical facilities and health checkups with incident ESKD. The main exposure was the histories of kidney tests using dipstick urinalysis and/or serum creatinine measurement at medical facilities and checkups in the past year: “checkups,” “no kidney test (without checkup),” and “kidney tests (without checkup)” groups. During the median observational period of 5.0 years, ESKD was observed in 246 (0.8%) men and 124 (0.3%) women. The “no kidney test” group was associated with ESKD in men (adjusted subhazard ratio of “no kidney test” vs. “checkups”: 1.66 [95% confidence interval, 1.04–2.65], but not in women. Age-specific subgroup analyses identified the “no kidney test” group as a high-risk population of ESKD in elderly men (1.30 [0.70–2.41] and 2.72 [1.39–5.33] in men aged 40–74 and ≥ 75 years, respectively). Elderly men with no kidney test at medical facilities and no health checkup were at higher risk of ESKD.

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“…Health checkups is a demand for health and lead to further demand for preventive or medical care when necessary [ 27 – 29 ]. Use of health check-up services depends on user’s characters and various other factors [ 27 ], that includes demographic, socioeconomic, personal health conditions, and the health care resources accessibility factors [ 18 , 30 , 31 ]. We also included the health behavior variable (life style) as an explanatory variable because it was demonstrated to be associated with health check-ups utilization [ 31 ].…”

Section: Methodsmentioning

confidence: 99%

“…Use of health check-up services depends on user’s characters and various other factors [ 27 ], that includes demographic, socioeconomic, personal health conditions, and the health care resources accessibility factors [ 18 , 30 , 31 ]. We also included the health behavior variable (life style) as an explanatory variable because it was demonstrated to be associated with health check-ups utilization [ 31 ]. This study selected the following explanatory variables for assessment: self-rated health, chronic disease status, and mobility difficulties (individual’s health factors), age, marital status, and educational level (proxies for demographic factors), the log of predicted income (income variable), and the number of physicians per 10,000 persons (as a proxy of health care resources accessibility factor).…”

Section: Methodsmentioning

confidence: 99%

Decomposition of income-related inequality in health check-ups services participation among elderly individuals across the 2008 financial crisis in Taiwan

Chu

Lawana

2021

PLoS ONE

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Encouraging citizens to use health checkup services is a health promotion strategy. In nations with aging populations, ensuring equitable use of health check-ups by senior citizens is a public health concern. The objective of this research was to quantify income-related inequality and its effect on the use of health checkup services in Taiwan during the 2007–2008 global financial crisis. We used the 2005 and 2009 datasets of the Taiwan National Health Interview Surveys to assess how income-related inequality influenced health check-up use among older adults in Taiwan during the 2007–2008 financial crisis. Corrected concentration indices (CCIs) were calculated and decomposed to determine the influences of explanatory variables. The dependent variable was whether participants had used free senior health check-ups in the past year, and the determinant factors were health behavior, health situation, socioeconomic and demographic factors, and area health care resources accessibility factors. The study assessed 2,460 older adults from the 2005 dataset and 2,514 such individuals from the 2009 dataset. The utilization of health check-ups increased from 21.6% in 2005 to 34.0% in 2009. Income-related inequality in the use of health check-up services was generally tilted toward the higher income individuals among both women and men in 2005 and 2009, and income-related inequality decreased among women group and increased among men group with non significantly from 2005 to 2009 (women: CCI decreased from.0738 in 2005 to.0658 in 2009; men: CCI increased from.1068 in 2005 to.1256 in 2009). We analyzed the effect of explanatory factors on men’s and women’s intention to use health check-ups by using a probit model. After controlling for other factors, we determined that income significantly influenced women’s health check-up service use in 2005 and men’s in 2005 and 2009. Positive health behavior significantly increased health check-up services use among men and women group after the financial crisis, and negative health behavior significantly reduced health check-ups use among men across financial crisis. The 2008 global financial crisis strengthened the effect on health check-ups use of income-related inequality of elderly men, especially in older adults with negative health behaviors. Elderly men with negative health behaviors tended to contribute more income-related inequality in use health check-up services after the financial crisis. Health promotion initiatives should focus their efforts on elderly men with negative health behaviors.

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Factors affecting participation in health checkups: Evidence from Japanese survey data

Cited by 23 publications

References 12 publications

Gender differences in factors influencing intention to undergo cardiovascular disease health checks: A cross-sectional survey

Gender differences in factors influencing intention to undergo cardiovascular disease health checks: A cross-sectional survey

Associations of kidney tests at medical facilities and health checkups with incidence of end-stage kidney disease: a retrospective cohort study

Decomposition of income-related inequality in health check-ups services participation among elderly individuals across the 2008 financial crisis in Taiwan

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