Factors associated with adherence to recommendations for medical visits following annual health checkups among Japanese employees: A prospective cohort study

There are growing concerns in Japanese workplaces that many employees do not follow recommendations to visit medical institutions for further examinations following annual health checkups. Although previous studies have shown that job- and health-related factors affect adherence to such recommendati...

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Main Authors: Eiko Goto, Hirono Ishikawa, Tsuyoshi Okuhara, Hiroko Okada, Aiko Tsunezumi, Yumi Kagawa, Takahiro Kiuchi
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211335523004564
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author Eiko Goto
Hirono Ishikawa
Tsuyoshi Okuhara
Hiroko Okada
Aiko Tsunezumi
Yumi Kagawa
Takahiro Kiuchi
author_facet Eiko Goto
Hirono Ishikawa
Tsuyoshi Okuhara
Hiroko Okada
Aiko Tsunezumi
Yumi Kagawa
Takahiro Kiuchi
author_sort Eiko Goto
collection DOAJ
description There are growing concerns in Japanese workplaces that many employees do not follow recommendations to visit medical institutions for further examinations following annual health checkups. Although previous studies have shown that job- and health-related factors affect adherence to such recommendations, these longitudinal associations are unknown. We examined the longitudinal associations between job- and health-related factors and visiting medical institutions after annual health checkups among Japanese employees. We conducted a prospective cohort study in a food-related company in fiscal year 2019. Participants completed a self-administered questionnaire to assess job- and health-related factors. Of 2914 employees who completed the questionnaire, 615 received recommendations to visit medical institutions following annual health checkups in fiscal year 2020; these employees comprised our sample. We used logistic regression analysis to examine the associations between each factor and medical institution visits. Of participants, 474 (77.1 %) were men, 432 (70.2 %) were aged over 40 years, and 293 (47.6 %) visited a medical institution. Logistic regression analysis showed that participants with a primary doctor and those with obesity were more likely to visit medical institutions. In Japanese workplaces, having a primary doctor may be important in increasing adherence to medical visit recommendations following annual health checkups. However, more focus is also needed on employees without obesity who may be more confident about their health and so less likely to follow recommendations. Further intervention studies focusing on these factors are needed to identify effective interventions to improve adherence to medical recommendations.
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spelling doaj.art-f3863b2935a84ad69bef571d786cfa8e2023-12-24T04:45:25ZengElsevierPreventive Medicine Reports2211-33552024-01-0137102565Factors associated with adherence to recommendations for medical visits following annual health checkups among Japanese employees: A prospective cohort studyEiko Goto0Hirono Ishikawa1Tsuyoshi Okuhara2Hiroko Okada3Aiko Tsunezumi4Yumi Kagawa5Takahiro Kiuchi6Department of Health Communication, School of Public Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan; Corresponding author.Graduate School of Public Health, Teikyo University, 2-11-1 Kaga, Itabashi-ku, Tokyo 173-8605, JapanDepartment of Health Communication, School of Public Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, JapanDepartment of Health Communication, School of Public Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, JapanDepartment of Health Communication, School of Public Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, JapanDepartment of Health Communication, School of Public Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, JapanDepartment of Health Communication, School of Public Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, JapanThere are growing concerns in Japanese workplaces that many employees do not follow recommendations to visit medical institutions for further examinations following annual health checkups. Although previous studies have shown that job- and health-related factors affect adherence to such recommendations, these longitudinal associations are unknown. We examined the longitudinal associations between job- and health-related factors and visiting medical institutions after annual health checkups among Japanese employees. We conducted a prospective cohort study in a food-related company in fiscal year 2019. Participants completed a self-administered questionnaire to assess job- and health-related factors. Of 2914 employees who completed the questionnaire, 615 received recommendations to visit medical institutions following annual health checkups in fiscal year 2020; these employees comprised our sample. We used logistic regression analysis to examine the associations between each factor and medical institution visits. Of participants, 474 (77.1 %) were men, 432 (70.2 %) were aged over 40 years, and 293 (47.6 %) visited a medical institution. Logistic regression analysis showed that participants with a primary doctor and those with obesity were more likely to visit medical institutions. In Japanese workplaces, having a primary doctor may be important in increasing adherence to medical visit recommendations following annual health checkups. However, more focus is also needed on employees without obesity who may be more confident about their health and so less likely to follow recommendations. Further intervention studies focusing on these factors are needed to identify effective interventions to improve adherence to medical recommendations.http://www.sciencedirect.com/science/article/pii/S2211335523004564Annual health checkupAdherence to medical visitsJapanese employeesJob-related factorsHealth-related factorsWorkplace
spellingShingle Eiko Goto
Hirono Ishikawa
Tsuyoshi Okuhara
Hiroko Okada
Aiko Tsunezumi
Yumi Kagawa
Takahiro Kiuchi
Factors associated with adherence to recommendations for medical visits following annual health checkups among Japanese employees: A prospective cohort study
Preventive Medicine Reports
Annual health checkup
Adherence to medical visits
Japanese employees
Job-related factors
Health-related factors
Workplace
title Factors associated with adherence to recommendations for medical visits following annual health checkups among Japanese employees: A prospective cohort study
title_full Factors associated with adherence to recommendations for medical visits following annual health checkups among Japanese employees: A prospective cohort study
title_fullStr Factors associated with adherence to recommendations for medical visits following annual health checkups among Japanese employees: A prospective cohort study
title_full_unstemmed Factors associated with adherence to recommendations for medical visits following annual health checkups among Japanese employees: A prospective cohort study
title_short Factors associated with adherence to recommendations for medical visits following annual health checkups among Japanese employees: A prospective cohort study
title_sort factors associated with adherence to recommendations for medical visits following annual health checkups among japanese employees a prospective cohort study
topic Annual health checkup
Adherence to medical visits
Japanese employees
Job-related factors
Health-related factors
Workplace
url http://www.sciencedirect.com/science/article/pii/S2211335523004564
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