Influencing factors of participation in and satisfaction with elderly health checkups: a cross-sectional study

BackgroundAttending health checkups as a primary prevention strategy benefits older adults in facilitating the identification of health issues and risk factors for disease. Little is known about factors influencing participation in and satisfaction with a free annual elderly health checkup program (...

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Main Authors: Ying-Jen Chen, Chiou-Fen Lin, Jie Feng, Huei-Ling Chiu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1104438/full
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author Ying-Jen Chen
Ying-Jen Chen
Chiou-Fen Lin
Jie Feng
Huei-Ling Chiu
Huei-Ling Chiu
author_facet Ying-Jen Chen
Ying-Jen Chen
Chiou-Fen Lin
Jie Feng
Huei-Ling Chiu
Huei-Ling Chiu
author_sort Ying-Jen Chen
collection DOAJ
description BackgroundAttending health checkups as a primary prevention strategy benefits older adults in facilitating the identification of health issues and risk factors for disease. Little is known about factors influencing participation in and satisfaction with a free annual elderly health checkup program (EHCP) in Taiwan. This study aimed to extend current knowledge related to the uptake of this service and individuals' views of the service.MethodsThis was a cross-sectional study using a telephone interview survey method to compare influencing factors and satisfaction between participants and non-participants of an EHCP. The individuals involved were older adults in Taipei, Taiwan. The random sampling method included 1,100 people, 550 older adults who had participated in the EHCP within the last 3 years, and 550 older adults who had not. A questionnaire containing personal characteristics and satisfaction with the EHCP was used. Independent t-test and Pearson's Chi-squared test were used to evaluate differences between the two groups. Associations between individual characteristics and health checkup attendance were estimated using log-binomial models.ResultsResults showed that 51.64% of participants reported being satisfied with the checkups; however, only 41.09% of non-participants were satisfied. In the association analysis, age, educational level, chronic diseases, and subjective satisfaction were related to older persons' participation. Furthermore, having a stroke was associated with a higher attendance rate [prevalence ratio: 1.49; 95% confidence interval: (1.13, 1.96)].ConclusionsThe EHCP had a high proportion of satisfaction among participants, but the proportion was low among non-participants. Several factors were associated with participation and might lead to unequal healthcare service uptake. Health checkups need to increase among people at a young age, those with low educational backgrounds, and those without chronic diseases.
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spelling doaj.art-230eac0ecf4d4644875d9e2cf3a95fa32023-04-28T13:27:03ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-04-011110.3389/fpubh.2023.11044381104438Influencing factors of participation in and satisfaction with elderly health checkups: a cross-sectional studyYing-Jen Chen0Ying-Jen Chen1Chiou-Fen Lin2Jie Feng3Huei-Ling Chiu4Huei-Ling Chiu5Division of Geriatrics and General Internal Medicine, Department of Internal Medicine, Chang Gung Memorial Hospital, Taoyuan, TaiwanSchool of Medicine, College of Medicine, Chang Gung University, Taoyuan, TaiwanSchool of Gerontology and Long-Term Care, College of Nursing, Taipei Medical University, Taipei, TaiwanDepartment of Global Public Health, Karolinska Institutet, Stockholm, SwedenSchool of Gerontology and Long-Term Care, College of Nursing, Taipei Medical University, Taipei, TaiwanInternational Ph.D. Program in Gerontology and Long-Term Care, College of Nursing, Taipei Medical University, Taipei, TaiwanBackgroundAttending health checkups as a primary prevention strategy benefits older adults in facilitating the identification of health issues and risk factors for disease. Little is known about factors influencing participation in and satisfaction with a free annual elderly health checkup program (EHCP) in Taiwan. This study aimed to extend current knowledge related to the uptake of this service and individuals' views of the service.MethodsThis was a cross-sectional study using a telephone interview survey method to compare influencing factors and satisfaction between participants and non-participants of an EHCP. The individuals involved were older adults in Taipei, Taiwan. The random sampling method included 1,100 people, 550 older adults who had participated in the EHCP within the last 3 years, and 550 older adults who had not. A questionnaire containing personal characteristics and satisfaction with the EHCP was used. Independent t-test and Pearson's Chi-squared test were used to evaluate differences between the two groups. Associations between individual characteristics and health checkup attendance were estimated using log-binomial models.ResultsResults showed that 51.64% of participants reported being satisfied with the checkups; however, only 41.09% of non-participants were satisfied. In the association analysis, age, educational level, chronic diseases, and subjective satisfaction were related to older persons' participation. Furthermore, having a stroke was associated with a higher attendance rate [prevalence ratio: 1.49; 95% confidence interval: (1.13, 1.96)].ConclusionsThe EHCP had a high proportion of satisfaction among participants, but the proportion was low among non-participants. Several factors were associated with participation and might lead to unequal healthcare service uptake. Health checkups need to increase among people at a young age, those with low educational backgrounds, and those without chronic diseases.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1104438/fullpreventive health servicesociodemographicchronic diseasesubjective satisfactionparticipation rate
spellingShingle Ying-Jen Chen
Ying-Jen Chen
Chiou-Fen Lin
Jie Feng
Huei-Ling Chiu
Huei-Ling Chiu
Influencing factors of participation in and satisfaction with elderly health checkups: a cross-sectional study
Frontiers in Public Health
preventive health service
sociodemographic
chronic disease
subjective satisfaction
participation rate
title Influencing factors of participation in and satisfaction with elderly health checkups: a cross-sectional study
title_full Influencing factors of participation in and satisfaction with elderly health checkups: a cross-sectional study
title_fullStr Influencing factors of participation in and satisfaction with elderly health checkups: a cross-sectional study
title_full_unstemmed Influencing factors of participation in and satisfaction with elderly health checkups: a cross-sectional study
title_short Influencing factors of participation in and satisfaction with elderly health checkups: a cross-sectional study
title_sort influencing factors of participation in and satisfaction with elderly health checkups a cross sectional study
topic preventive health service
sociodemographic
chronic disease
subjective satisfaction
participation rate
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1104438/full
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