Participation in preventive health check-ups among 19,351 women in Germany

In Germany, a biennial preventive health check-up has been available for individuals aged 35 and older since 1989. The check-up includes identification of cardiovascular disease risk factors and examinations for diabetes mellitus type 2 and kidney disease. Participation in preventive health check-up...

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Main Authors: Stefanie Schülein, Katherine J. Taylor, Dirk Schriefer, Maria Blettner, Stefanie J. Klug
Format: Article
Language:English
Published: Elsevier 2017-06-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211335517300104
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spelling doaj-338c55db67964b4990346f53f44342a52020-11-25T00:09:21ZengElsevierPreventive Medicine Reports2211-33552017-06-016C232610.1016/j.pmedr.2017.01.011Participation in preventive health check-ups among 19,351 women in GermanyStefanie Schülein0Katherine J. Taylor1Dirk Schriefer2Maria Blettner3Stefanie J. Klug4Epidemiology, Department of Sport and Health Sciences, Technical University of Munich, Georg-Brauchle-Ring 56, 80992 Munich, GermanyInstitute of Medical Biostatistics, Epidemiology and Informatics, University Medical Center of the University of Mainz, Obere Zahlbacher Str. 69. 55131 Mainz, GermanyEpidemiology, Department of Sport and Health Sciences, Technical University of Munich, Georg-Brauchle-Ring 56, 80992 Munich, GermanyInstitute of Medical Biostatistics, Epidemiology and Informatics, University Medical Center of the University of Mainz, Obere Zahlbacher Str. 69. 55131 Mainz, GermanyEpidemiology, Department of Sport and Health Sciences, Technical University of Munich, Georg-Brauchle-Ring 56, 80992 Munich, GermanyIn Germany, a biennial preventive health check-up has been available for individuals aged 35 and older since 1989. The check-up includes identification of cardiovascular disease risk factors and examinations for diabetes mellitus type 2 and kidney disease. Participation in preventive health check-ups among 19,351 women aged 35 to 74 in Germany in 2004 was investigated. Logistic regression was performed to examine associations between participation and age, marital status, education, socio-economic status (SES) and region of residence. In total, 53.4% of women attended at least every two years, 23.4% attended irregularly and 23.2% never attended. In adjusted models, single, divorced, separated or widowed women were less likely to have a preventive health check-up at least every two years compared to married women (OR 0.63, 95% CI 0.57–0.71), while women in eastern Germany were less likely to participate (OR 0.80, 95% CI 0.75–0.86) than women in western Germany. Education showed no association with having a preventive health check-up at least every two years; however, women with low SES were less likely to participate compared to those with high SES (OR 0.82, 95% CI 0.74–0.92). About half of eligible women reported participating in health check-ups at least every two years, with participation varying according to socio-demographic characteristics. Women who are less likely to participate may benefit from receiving invitation letters within the framework of an organised programme. The benefits of general health checks, however, need to be evaluated.http://www.sciencedirect.com/science/article/pii/S2211335517300104Preventive health check-upSurveySocio-economic statusEducationGermany
collection DOAJ
language English
format Article
sources DOAJ
author Stefanie Schülein
Katherine J. Taylor
Dirk Schriefer
Maria Blettner
Stefanie J. Klug
spellingShingle Stefanie Schülein
Katherine J. Taylor
Dirk Schriefer
Maria Blettner
Stefanie J. Klug
Participation in preventive health check-ups among 19,351 women in Germany
Preventive Medicine Reports
Preventive health check-up
Survey
Socio-economic status
Education
Germany
author_facet Stefanie Schülein
Katherine J. Taylor
Dirk Schriefer
Maria Blettner
Stefanie J. Klug
author_sort Stefanie Schülein
title Participation in preventive health check-ups among 19,351 women in Germany
title_short Participation in preventive health check-ups among 19,351 women in Germany
title_full Participation in preventive health check-ups among 19,351 women in Germany
title_fullStr Participation in preventive health check-ups among 19,351 women in Germany
title_full_unstemmed Participation in preventive health check-ups among 19,351 women in Germany
title_sort participation in preventive health check-ups among 19,351 women in germany
publisher Elsevier
series Preventive Medicine Reports
issn 2211-3355
publishDate 2017-06-01
description In Germany, a biennial preventive health check-up has been available for individuals aged 35 and older since 1989. The check-up includes identification of cardiovascular disease risk factors and examinations for diabetes mellitus type 2 and kidney disease. Participation in preventive health check-ups among 19,351 women aged 35 to 74 in Germany in 2004 was investigated. Logistic regression was performed to examine associations between participation and age, marital status, education, socio-economic status (SES) and region of residence. In total, 53.4% of women attended at least every two years, 23.4% attended irregularly and 23.2% never attended. In adjusted models, single, divorced, separated or widowed women were less likely to have a preventive health check-up at least every two years compared to married women (OR 0.63, 95% CI 0.57–0.71), while women in eastern Germany were less likely to participate (OR 0.80, 95% CI 0.75–0.86) than women in western Germany. Education showed no association with having a preventive health check-up at least every two years; however, women with low SES were less likely to participate compared to those with high SES (OR 0.82, 95% CI 0.74–0.92). About half of eligible women reported participating in health check-ups at least every two years, with participation varying according to socio-demographic characteristics. Women who are less likely to participate may benefit from receiving invitation letters within the framework of an organised programme. The benefits of general health checks, however, need to be evaluated.
topic Preventive health check-up
Survey
Socio-economic status
Education
Germany
url http://www.sciencedirect.com/science/article/pii/S2211335517300104
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