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2014-09-04Zeitschriftenartikel DOI: 10.1186/1471-2458-14-913
Determinants of health check attendance in adults: findings from the cross-sectional German Health Update (GEDA) study
dc.contributor.authorHoebel, Jens
dc.contributor.authorStarker, Anne
dc.contributor.authorJordan, Susanne
dc.contributor.authorRichter, Matthias
dc.contributor.authorLampert, Thomas
dc.date.accessioned2018-05-07T17:54:16Z
dc.date.available2018-05-07T17:54:16Z
dc.date.created2014-09-15
dc.date.issued2014-09-04none
dc.identifier.otherhttp://edoc.rki.de/oa/articles/reKaHGMMIFaZc/PDF/24pKfwSjORaj2.pdf
dc.identifier.urihttp://edoc.rki.de/176904/1952
dc.description.abstractBackground: 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.eng
dc.language.isoeng
dc.publisherRobert Koch-Institut, Epidemiologie und Gesundheitsberichterstattung
dc.subjectCardiovascular diseaseseng
dc.subjectHealth checkeng
dc.subjectEarly diagnosiseng
dc.subjectSocioeconomic statuseng
dc.subjectSecondary preventioneng
dc.subjectScreeningeng
dc.subject.ddc610 Medizin
dc.titleDeterminants of health check attendance in adults: findings from the cross-sectional German Health Update (GEDA) study
dc.typeperiodicalPart
dc.identifier.urnurn:nbn:de:0257-10037469
dc.identifier.doi10.1186/1471-2458-14-913
dc.identifier.doihttp://dx.doi.org/10.25646/1877
local.edoc.container-titleBMC Public Health
local.edoc.fp-subtypeArtikel
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttp://www.biomedcentral.com/1471-2458/14/913
local.edoc.container-publisher-nameBioMedCentral
local.edoc.container-volume14
local.edoc.container-issue913
local.edoc.container-year2014

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