Korean J Fam Med.
2018 Mar;39(2):114-121. 10.4082/kjfm.2018.39.2.114.
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
- Affiliations
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- 1Department of Family Medicine, Myongji Hospital, Goyang, Korea.
- 2Department of Epidemiology and Health Promotion and Institute for Health Promotion, Yonsei University Graduate School of Public Health, Seoul, Korea.
- 3Department of Family Medicine, Chungbuk National University College of Medicine, Cheongju, Korea. kanght@chungbuk.ac.kr
- 4Department of Family Medicine, Chungbuk National University Hospital, Cheongju, Korea. shrimp0611@gmail.com
- KMID: 2411633
- DOI: http://doi.org/10.4082/kjfm.2018.39.2.114
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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