The Association Between Socioeconomic Status and Adherence to Health Check-up in Korean Adults, Based on the 2010-2012 Korean National Health and Nutrition Examination Survey

Overview

Journal Korean J Fam Med

Specialty Public Health

Date 2018 Apr 10

PMID 29629044

Citations 15

Authors

Hyun-Young Shin

Hee-Taik Kang

Jae Woo Lee

Hyoung-Ji Lim

Affiliations

Soon will be listed here.

Abstract

Background: We investigated the association between socioeconomic status and adherence to health check-ups in a Korean population aged 40 years or older.

Methods: This cross-sectional study included 12,311 participants who participated in the 2010-2012 Korean National Health and Nutrition Examination Survey. Self-reported questionnaires were used to assess each participant's socioeconomic status (household income, occupation, and education) and adherence to health check-ups.

Results: Men with a higher income (highest vs. lowest: odds ratio [OR], 1.799; 95% confidence interval [CI], 1.296-2.497) and men with a higher education level (≥12 vs. <6 years: OR, 1.488; 95% CI, 1.078-2.054) and office workers compared with manual workers (men: OR, 1.431; 95% CI, 1.077-1.902; women: OR, 1.783; 95% CI, 1.256-2.532) appeared to undergo more health check-ups. In particular, men and women with a higher income and education appeared more likely to undergo opportunistic health check-ups (men: highest vs. lowest income: OR, 2.380; 95% CI, 1.218-4.653; ≥12 vs. <6 years education: OR, 2.121; 95% CI, 1.142-3.936; women: highest vs. lowest income: OR, 4.042; 95% CI, 2.239-7.297; ≥12 vs. <6 years education: OR, 2.475; 95% CI, 1.283-4.775).

Conclusion: A higher socioeconomic status was associated with a higher rate of participation in health check-ups. More efforts are needed to identify the factors associated with disparity in adherence to health check-ups.

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References

Lee S, Joh H, Kim S, Oh S, Lee C, Kwon H . Income Disparities in the Use of Health Screening Services Among University Students in Korea: A Cross-Sectional Study of 2479 Participants in a University. Medicine (Baltimore). 2016; 95(20):e3681. PMC: 4902417. DOI: 10.1097/MD.0000000000003681. View

Yach D, Hawkes C, Gould C, Hofman K . The global burden of chronic diseases: overcoming impediments to prevention and control. JAMA. 2004; 291(21):2616-22. DOI: 10.1001/jama.291.21.2616. View

Kontis V, Mathers C, Rehm J, Stevens G, Shield K, Bonita R . Contribution of six risk factors to achieving the 25×25 non-communicable disease mortality reduction target: a modelling study. Lancet. 2014; 384(9941):427-37. DOI: 10.1016/S0140-6736(14)60616-4. View

Mackenbach J, Bakker M . Tackling socioeconomic inequalities in health: analysis of European experiences. Lancet. 2003; 362(9393):1409-14. DOI: 10.1016/S0140-6736(03)14639-9. View

Kim Y, Kim M . [Health inequalities in Korea: current conditions and implications]. J Prev Med Public Health. 2007; 40(6):431-8. DOI: 10.3961/jpmph.2007.40.6.431. View

Abdalrahman B, Soljak M . NHS health checks: an update on the debate and program implementation in England. J Ambul Care Manage. 2014; 38(1):5-9. PMC: 4272224. DOI: 10.1097/JAC.0000000000000070. View

Yoon Y, Oh S, Park H . Socioeconomic status in relation to obesity and abdominal obesity in Korean adults: a focus on sex differences. Obesity (Silver Spring). 2006; 14(5):909-19. DOI: 10.1038/oby.2006.105. View

Shin H, Kang H . Recent trends in the prevalence of chronic kidney disease in Korean adults: Korean National Health and Nutrition Examination Survey from 1998 to 2013. J Nephrol. 2016; 29(6):799-807. DOI: 10.1007/s40620-016-0280-y. View

Khang Y, Lynch J, Kaplan G . Health inequalities in Korea: age- and sex-specific educational differences in the 10 leading causes of death. Int J Epidemiol. 2004; 33(2):299-308. DOI: 10.1093/ije/dyg244. View

10.

Brunner-Ziegler S, Rieder A, Stein K, Koppensteiner R, Hoffmann K, Dorner T . Predictors of participation in preventive health examinations in Austria. BMC Public Health. 2013; 13:1138. PMC: 3866300. DOI: 10.1186/1471-2458-13-1138. View

11.

Nahhas G, Daguise V, Ortaglia A, Merchant A . Determinants of major cardiovascular risk factors among participants of the South Carolina WISEWOMAN program, 2009-2012. Prev Chronic Dis. 2014; 11:E153. PMC: 4157556. DOI: 10.5888/pcd11.140044. View

12.

. Closing the gap in a generation: Health equity through action on the social determinants of health. Proceedings of an international conference based on the work of the Commission on Social Determinants of Health, 6-7 November 2008, London, UK. Glob Health Promot. 2010; Suppl 1:1-118. View

13.

Park M, Park E, Choi K, Jun J, Lee H . Sociodemographic gradients in breast and cervical cancer screening in Korea: the Korean National Cancer Screening Survey (KNCSS) 2005-2009. BMC Cancer. 2011; 11:257. PMC: 3144456. DOI: 10.1186/1471-2407-11-257. View

14.

Dunlop S, Coyte P, McIsaac W . Socio-economic status and the utilisation of physicians' services: results from the Canadian National Population Health Survey. Soc Sci Med. 2000; 51(1):123-33. DOI: 10.1016/s0277-9536(99)00424-4. View

15.

Khang Y, Kim H . Relationship of education, occupation, and income with mortality in a representative longitudinal study of South Korea. Eur J Epidemiol. 2005; 20(3):217-20. DOI: 10.1007/s10654-005-0370-y. View

16.

Lee Y, Jun J, Suh M, Park B, Kim Y, Choi K . Barriers to cancer screening among medical aid program recipients in the Republic of Korea: a qualitative study. Asian Pac J Cancer Prev. 2014; 15(2):589-94. DOI: 10.7314/apjcp.2014.15.2.589. View

17.

Park H, Jung S, Lee K, Bae W, Lee K, Han J . Prevalence of chronic obstructive lung disease in Korea using data from the fifth Korea national health and nutrition examination survey. Korean J Fam Med. 2015; 36(3):128-34. PMC: 4445052. DOI: 10.4082/kjfm.2015.36.3.128. View

18.

Palencia L, Espelt A, Rodriguez-Sanz M, Puigpinos R, Pons-Vigues M, Pasarin M . Socio-economic inequalities in breast and cervical cancer screening practices in Europe: influence of the type of screening program. Int J Epidemiol. 2010; 39(3):757-65. DOI: 10.1093/ije/dyq003. View

19.

Khang Y, Kim H . Explaining socioeconomic inequality in mortality among South Koreans: an examination of multiple pathways in a nationally representative longitudinal study. Int J Epidemiol. 2005; 34(3):630-7. DOI: 10.1093/ije/dyi043. View

20.

Khang Y, Lee S . Health inequalities policy in Korea: current status and future challenges. J Korean Med Sci. 2012; 27 Suppl:S33-40. PMC: 3360172. DOI: 10.3346/jkms.2012.27.S.S33. View