Unterschiede zwischen Teilnehmern und Nichtteilnehmern an der Gesundheitsuntersuchung

Sönnichsen, Andreas; Sperling, T.; Donner-Banzhoff, Norbert; Baum, Erica

doi:10.1055/s-2007-985371

Cited by 9 publications

(12 citation statements)

References 4 publications

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“…The findings of the GEDA study are in line with previous studies from Germany and other countries showing that younger people are less likely to participate in health checks than older people [1, 29, 30, 44]. However, some studies did not find any relationship between age and participation [24, 45].…”

Section: Discussionsupporting

confidence: 88%

“…This relationship has also been found in other countries and different health care systems [1, 15, 16, 20, 21, 24, 46]. However, the above-mentioned reviews [17, 19] also showed that the pertinent evidence from Germany is more consistent for cancer screening programmes, check-ups for children, or primary prevention measures than for the statutory health check for adults [18, 26, 28–30]. This finding could be explained by methodological issues, such as the use of different indicators of socioeconomic status, or the fact that, in some studies on health check attendance in Germany, people with private health insurance had not been excluded from the analysis [26, 29].…”

Section: Discussionmentioning

confidence: 55%

“…Previous studies have suggested that approximately one in two eligible men and women in Germany attend this health check within 2 years [4, 26, 27]. Existing evidence on socioeconomic differences in attendance behaviour is inconsistent because some studies have indicated socioeconomic disparities and others have not [4, 26, 28–30]. To the best of our knowledge, associations between behavioural risk factors for cardiovascular disease or diabetes and attendance at the statutory health check in the German general population have not been investigated yet.…”

Section: Introductionmentioning

confidence: 99%

“…To the best of our knowledge, associations between behavioural risk factors for cardiovascular disease or diabetes and attendance at the statutory health check in the German general population have not been investigated yet. A survey of primary care patients in a southern region of Germany showed that health-check participants were less likely to be smokers than non-participants [30]. Evidence from other countries also suggests that people with an unhealthy lifestyle, such as smoking or unhealthy diets, are less likely to present for a health check than those with a healthier lifestyle [1].…”

Section: Introductionmentioning

confidence: 99%

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Determinants of health check attendance in adults: findings from the cross-sectional German Health Update (GEDA) study

et al. 2014

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BackgroundIn Germany, adult health checks are carried out in the primary care setting for early detection of chronic conditions, such as cardiovascular diseases, diabetes, and kidney disease. This study aims to examine the social, behavioural, and health-related determinants of health check attendance among eligible adults in Germany.MethodsData were derived from the cross-sectional German Health Update (GEDA) study, a national health survey among adults in Germany carried out by the Robert Koch Institute. Analyses were restricted to respondents with statutory health insurance aged 35 years or older (n = 26,555). Logistic regression models were fitted to estimate associations between health check attendance and factors selected on the basis of Andersen’s Behavioral Model of Health Services Use.ResultsAfter mutual adjustment, higher health check attendance was associated with a higher age, higher socioeconomic status, being married, stronger social support, physical activity, non-smoking, greater fruit and vegetable consumption, and higher use of outpatient care in both sexes. In women, higher attendance was related to alcohol consumption and having company health insurance (BKK) after multiple adjustment. In men, higher attendance was associated with better self-rated health after adjusting for all other factors.ConclusionsThe findings of this study suggest that people with an unfavourable risk factor profile, such as socioeconomically disadvantaged groups, smokers, physically inactive people, and persons with a low fruit and vegetable intake, are less likely to have health checks than those with a more favourable risk profile. Health checks carried out in the primary care setting should be evaluated for their effects on population health and health inequality.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 55%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Determinants of health check attendance in adults: findings from the cross-sectional German Health Update (GEDA) study

et al. 2014

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“…These studies, however, were mainly concerned with early cancer detection. A few reports have already appeared on the subject of patients' participation in health check-ups in Germany (20)(21)(22)(23), but these do not yield any consistent picture of the association (if any) between check-up participation and social characteristics. We studied this issue with the aid of current representative data for Germany.…”

mentioning

confidence: 99%