期刊论文详细信息
BMC Public Health
Predictors of participation in preventive health examinations in Austria
Thomas Ernst Dorner2  Kathryn Hoffmann1  Renate Koppensteiner3  Katharina Viktoria Stein2  Anita Rieder2  Sophie Brunner-Ziegler3 
[1] Department of General Practice and Family Medicine, Center for Public Health, Medical University of Vienna, Kinderspitalgasse 15/I, Vienna, Austria;Institute of Social Medicine, Center for Public Health, Medical University of Vienna, Kinderspitalgasse 15/I, Vienna, Austria;Department for Internal Medicine, Division of Angiology, Medical University of Vienna, Währinger Gürtel 18-20, Vienna, Austria
关键词: Subjective health status;    Chronic diseases;    Socio-economic status;    Preventive health services;   
Others  :  1161494
DOI  :  10.1186/1471-2458-13-1138
 received in 2013-06-11, accepted in 2013-11-27,  发布年份 2013
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【 摘 要 】

Background

Preventive health check-ups in Austria are offered free of charge to all insured adults (98% of the population) and focus on early detection of chronic diseases, primary prevention, and health counseling. The study aims to explore predictors of compliance with the recommended interval of preventive health check-up performance.

Methods

Source of data was the Austrian Health Interview Survey 2006/07 (15,474 subjects). Participation in a preventive health examination during the last three years was used as dependent variable. Socio-demographic and health-related characteristics were used as independent variables in a multivariate logistic regression analysis.

Results

Results show that 41.6% of men and 41.8% of women had attended a preventive health check-up within the last three years. In multivariate analysis, subjects ≥40 years, with higher education, higher income or born in Austria were significantly more likely to attend a preventive health check-up. Furthermore, a chronic disease was associated with a higher attendance rate (OR: 1.21; CI: 1.07-1.36 in men; OR: 1.19; CI: 1.06-1.33 in women).

Conclusions

Attendance rates for health check-ups in the general Austrian population are comparatively high but not equally distributed among subgroups. Health check-ups must increase among people at a young age, with a lower socio-economic status, migration background and in good health.

【 授权许可】

   
2013 Brunner-Ziegler et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Shippee ND, Mullan RJ, Nabhan M, Kermott CA, Hagen PT, Rhodes DJ, Montori VM, Murad MH: Adherence to preventive recommendations: experience of a cohort presenting for executive health care. Popul Health Manag 2012, 15(2):65-70.
  • [2]Deutekom M, Vansenne F, McCaffery K, Essink-Bot ML, Stronks K, Bossuyt PM: The effects of screening on health behaviour: a summary of the results of randomized controlled trials. J Public Health (Oxf) 2011, 33(1):71-79.
  • [3]Holstein BE, Currie C, Boyce W, Damsgaard MT, Gobina I, Kökönyei G, Hetland J, de Looze M, Richter M, Due P: HBSC social inequalities focus group: socio-economic inequality in multiple health complaints among adolescents: international comparative study in 37 countries. Int J Public Health 2009, 54(Suppl 2):260-270.
  • [4]Weinbrenner S, Wörz M, Busse R: Gesundheitsförderung in Europa. E in Ländervergleich. GGW 2007, 2:19-30.
  • [5]Klimont J, Kytir J, Leitner B: Österreichische Gesundheitsabefragung 2006/2007. Hauptergebnisse und methodische Dokumentation. Austria, Vienna: Statistik; 2007.
  • [6]Prochazka AV, Caverly T: General health checks in adults for reducing morbidity and mortality from disease summary review of primary findings and conclusions. JAMA Intern Med 2013, 173(5):371-372.
  • [7]Wee CC, McCarthy EP, Phillips RS: Factors associated with colon cancer screening: the role of patient factors and physician counseling. Prev Med 2005, 41(1):23-29.
  • [8]Hsia J, Kemper E, Kiefe C, Zapka J, Sofaer S, Pettinger M, Bowen D, Limacher M, Lillington L, Mason E: The importance of health insurance as a determinant of cancer screening: evidence from the Women’s health initiative. Prev Med 2000, 31(3):261-270.
  • [9]Aromaa A, Koponen P, Tafforeau J, Vermeire C, HIS/HES core group: Evaluation of health interview surveys and health examination surveys in the European Union. Eur J Public Health 2003, 13(3 Suppl):67-72.
  • [10]Oboler SK, Prochazka AV, Gonzales R, Xu S, Anderson RJ: Public expectations and attitudes for annual physical examinations and testing. Ann Intern Med 2002, 136(9):652-659.
  • [11]Mehrotra A, Zaslavsky AM, Ayanian JZ: Preventive health examinations and preventive gynecological examinations in the United States. Arch Intern Med 2007, 167(17):1876-1883.
  • [12]Woolf SH: The accuracy and effectiveness of routine population screening with mammography, prostate-specific antigen, and prenatal ultrasound: a review of published scientific evidence. Int J Technol Assess Health Care 2001, 17(3):275-304.
  • [13]Simmons RK, Echouffo-Tcheugui JB, Sharp SJ, Sargeant LA, Williams KM, Prevost AT, Kinmonth AL, Wareham NJ, Griffin SJ: Screening for type 2 diabetes and population mortality over 10 years (ADDITION-Cambridge): a cluster-randomised controlled trial. Lancet 2012, 380(9855):1741-1748.
  • [14]Bachinger E: Wiener Gesundheitsbericht 2002 (Vienna Health Report 2002). Magistrat der Stadt Wien: Bereichsleitung für Gesundheitsplanung und Finanzmanagement; 2002.
  • [15]Alexandraki I: Utilisation of preventive care services: does gender matter? J Womens Health (Larchmt) 2012, 21(2):118-120.
  • [16]Barata R, de Almeida M, Montero C, da Silva Z: Gender and health inequalities among adolescents and adults in Brazil, 1998. Rev Panam Salud Publica 2007, 21(5):320-327.
  • [17]Beydoun HA, Beydoun MA: Predictors of colorectal cancer screening behaviors among average-risk older adults in the United States. Cancer Causes Control 2008, 19(4):339-359.
  • [18]Wilf-Miron R, Peled R, Yaari E, Vainer A, Porath A, Kokia E: The association between socio-demographic characteristics and adherence to breast and colorectal cancer screening: analysis of large sub populations. BMC Cancer 2011, 11:376. BioMed Central Full Text
  • [19]Fontana M, Bischoff A: Uptake of breast cancer screening measures among immigrant and Swiss women in Switzerland. Swiss Med Wkly 2008, 138(49–50):752-758.
  • [20]Mayer JA, Slymen DJ, Drew JA, Wright BL, Elder JP, Williams SJ: Breast and cervical cancer screening in older women: the San Diego Medicare preventive health project. Prev Med 1992, 21(4):395-404.
  • [21]Stein KV, Rieder A, Dorner TE: East–west gradient in cardio-vascular mortality in Austria: how much can we explain by following the pattern of risk factors? Int J Health Geogr 2011, 10:59. BioMed Central Full Text
  • [22]Dorner TE, Stronegger WJ, Hoffmann K, Stein KV, Niederkrotenthaler T: Socio- economic determinants of health behaviours across age groups: results of a cross-sectional survey. Wien Klin Wochenschr 2013, 125(9–10):261-269.
  • [23]Dionne CE: Psychological distress confirmed as predictor of long-term back-related functional limitations in primary care settings. J Clin Epidemiol 2005, 58(7):714-718.
  • [24]Wolff R, Clar C, Lerch C, Kleijnen J: Epidemiology of chronic non-malignant pain in Germany. Schmerz 2011, 25(1):26-44.
  • [25]Balagué F, Mannion AF, Pellisé F, Cedraschi C: Non-specific low back pain. Lancet 2012, 379(9814):482-491.
  • [26]Juniper M, Le TK, Mladsi D: The epidemiology, economic burden, and pharmacological treatment of chronic low back pain in France, Germany, Italy, Spain and the UK: a literature-based review. Expert Opin Pharmacother 2009, 10(16):2581-2592.
  • [27]Becker S: Der Einfluss der Gesundheitszufriedenheit auf die Sportaktivität. SOEPpapers (Berlin) 2011., 400ISSN: 1964-6689 (online)
  • [28]Eichberg S, Rott C: Sportverhalten im mittleren und höheren erwachsenenalter -bedingungsfaktoren für kontinuität und diskontinuität. Public Health 2004, 12:93-104.
  • [29]Zimmer Z, Hickey T, Searle MS: The pattern of change in leisure activity behavior among older adults with arthritis. Gerontologist 1997, 37(3):384-392.
  • [30]Camfield L, Skevington SM: On subjective well-being and quality of life. J Health Psychol 2008, 3(6):764-775.
  • [31]Mielck A: Soziale Schicht und Krankheit: Forschungsstand in der BRD (Alte Länder). In Argument Sonderband AS 1983, Jahrbuch für kritische Medizin, Nr. 16. Hamburg: Argument Verlag; 1991:S.35.
  • [32]Hoffmann K, Stein KV, Maier M, Rieder A, Dorner TE: Access points to the different levels of health care and demographic predictors in a country without a gatekeeping system. Results of a cross-sectional study from Austria. Eur J Public Health 2013. epub, ahead of print
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