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

BMC Public Health

Thomas Lampert¹  Matthias Richter²  Susanne Jordan¹  Anne Starker¹  Jens Hoebel¹ 

[1] Department of Epidemiology and Health Monitoring, Robert Koch Institute, General-Pape-Straße 62-66, 12101 Berlin, Germany;Institute of Medical Sociology, Martin Luther University Halle-Wittenberg, Magdeburger Straße 8, 06112 Halle (Saale), Germany

关键词: Screening;    Secondary prevention;    Socioeconomic status;    Early diagnosis;    Cardiovascular diseases;    Health check;   

Others  :  1128032
DOI  :  10.1186/1471-2458-14-913

 received in 2014-04-14, accepted in 2014-08-29,  发布年份 2014

【 摘 要 】

Background

In 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.

Methods

Data 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.

Results

After 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.

Conclusions

The 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.

【 授权许可】

   
2014 Hoebel et al.; licensee BioMed Central Ltd.

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