Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Disparities in Participation in Health Examination by Socio-economic Position among Adult Seoul Residents

사회경제적 위치에 따른 건강검진 수진율의 차이: 서울시 성인 거주자를 대상으로

  • Chun, Eun-Jeong (School of Public Health, Seoul National University) ;
  • Cho, Sung-Il (School of Public Health, Seoul National University) ;
  • Cho, Young-Tae (School of Public Health, Seoul National University) ;
  • Moon, Ok-Ryun (School of Public Health, Seoul National University) ;
  • Jang, Soong-Nang (Institute of Health and Environment, Seoul National University)
  • 전은정 (서울대학교 보건대학원) ;
  • 조성일 (서울대학교 보건대학원) ;
  • 조영태 (서울대학교 보건대학원) ;
  • 문옥륜 (서울대학교 보건대학원) ;
  • 장숙랑 (서울대학교 보건환경연구소)
  • Published : 2007.09.30
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Abstract

Objectives: To determine the disparity in the rate people undergo health examinations according to socioeconomic position (SEP) and the changes in this disparity with time. Methods: Seoul citizens' health profile data from 1997 to 2005 were analyzed. The study subjects were 40 years old and over, and the total number of subjects was 6,601 in 1997, 8,994 in 2001, and 8,819 in 2005. Those aged 60 years and over were eliminated from the analysis of subjects' occupation. We used education, family income and occupation as indicators of SEP. The age-standardized health examination attendance rate for each year was calculated according to the education, family income and occupation. The odds ratios (ORs) from multiple logistic regressions were adjusted for age. Results: The disparity in the rate of attendance according to the SEP decreased from 1997 to 2005 but still existed. Even though the disparities among the subgroups according to education, family income and occupation were not that high, the disparity between the group with the highest SEP and the other groups was considerable. Conclusions: Our findings suggest that unequal access to health examination services according to socioeconomic position still exists. This disparity has decreased recently but the disparity according to level of education was the greatest.

Keywords

References

  1. Kim HR, Khang YH, Yun KJ, Kim CS. Socioeconomic Health Inequalities and Counter Policies in Korea. Korea Institute for Health and Social Affairs; 2004, p. 20-22 (Korean)
  2. Shin YJ, Kim CY, Editors. New groping of Health Reform. Hanul co.; 2006, p. 319-322 (Korean)
  3. Berkman L, Kawachi I, Editors. Shin YJ, Kim MH, Jun HJ, Kim SH, Trans. Social Epidemiology. Hanul co.; 2003, p. 303-328 (Korean)
  4. Park JH, Lee JS, Lee JY, Hong JY, Kim SY, Kim SO, Cho BH, Kim YI, Shin YS, Kim Y. Factors affecting National Health Insurance Mass screening participation in the disabled. J Prev Med Public Health 2006; 39(6): 511-519 (Korean)
  5. Lee AK, Lee SM, Park IS. Analysis of the nonexaminees' characteristics for the effective health screening managemant. Korean J Health Policy Admin 2006; 16(1): 54-72 (Korean) https://doi.org/10.4332/KJHPA.2006.16.1.054
  6. National Health Insurance Corporation. Analysis of Health Screening Result in 2005. National Health Insurance Corporation.; 2007. p. 24-28,63-69 (Korean)
  7. Clio BL. Behavioral changes to avoid health risk health risk factors after periodic health examination. J Korean Acad Fam Med 1998; 19(2): 191-204 (Korean)
  8. Yoon TH, Moon OR, Lee SY, Jeong BG, Lee SJ, Kim NS, Jhang WK. Differences in health behaviors among the social strata in Korea. Korean J Prev Med 2000; 33(4): 469-476 (Korean)
  9. Kim YB, Lee WC, Ro WN, Jo SJ, Baik HC, Son HH, Lee SY, Meng KH. The factors associated with health and cancer screening using preventive programs from health insurance among women of a community. J Korean Soc Health Edu Promot 2003; 20(1): 41-60 (Korean)
  10. Yang Y, Land KC. A mixed models approach to the age-period-cohort analysis of repeated cross-section surveys, with an application to data on trends in verbal test scores. Social Method 2006; 36(1): 75-97 https://doi.org/10.1111/j.1467-9531.2006.00175.x
  11. Lee SW, Cho BH, Kim H, Rhee SJ, Park AK. Park SY. Seoul Citizen's 3rd Health Profile Research. Seoul National University, Graduate School of Public Health; 2006, p. 19-51 (Korean)
  12. Kim CY, Editor. Poverty and Health. Hanul co.;2003,p.62-64, 144-146,260-261 (Korean)
  13. Greiver M. Applying behaviour theory to the periodic health exam. CMAJ 1998; 159(1): 17
  14. Hofer TP, Katz SJ. Healthy behaviors among women in the United States and Ontario: The effect on use of preventive care. Am J Public Health 1996; 86(12): 1755-1759 https://doi.org/10.2105/AJPH.86.12.1755
  15. Mackenbach JP, Stronks K. The development of a strategy for tackling health inequalities in the Netherlands. Int J Equity Health 2004; 3(1): 11 https://doi.org/10.1186/1475-9276-3-11
  16. Mackenbach JP, Stronks K. A strategy for tackling health inequalities in the Netherlands. BMJ2002; 325(7371): 1029-1032 https://doi.org/10.1136/bmj.325.7371.1029
  17. Parry J, Judge K. Tackling the wider determinants of health disparities in England: A model for evaluating the New Deal for communities regeneration initiative. Am J Public Health 2005; 95(4): 626-628 https://doi.org/10.2105/AJPH.2004.047464
  18. Whitehead M, Judge K, Hunter DJ, Maxwell R, Scheuer MA. Tackling inequalities in health: The Australian experience. BMJ 1993; 306(6880): 783-787 https://doi.org/10.1136/bmj.306.6880.783
  19. Lee DC, Suh I, Lee HR, Kim DK. Factors affecting on the compliance of health screening program: A study for the insured in a district medical insurance association. J Korean Acad Fam Med 1997; 18(7): 739-751 (Korean)
  20. Zhu J, Davis J, Taira DA, Yamashita M. Screening rates and characteristics of health plan members who respond to screening reminders. Prev Chronic Dis 2006; 3(2): A56
  21. NHIC's health screening participants satisfaction investigation of 2003. National Health Insurance Corporation; 2004. 11. 23. [cited 2006.9. 13]. Available from: URL: http://www.nhic.or.kr/cms/board/board/SelectBoardForm.jsp?commnnityKey= B0005&boardId=3929 (Korean)
  22. Ku Es, Kim HY, Suh YS, Shin DH, Cho HY, Kang MK, Bae HG. An investigation of the use of a General Health Examination Center. J Korean ACM Fam Med 1991; 12(7): 52-62 (Korean)
  23. Bae SS. A Study on the Expansion of National Cancer Screening Programme. Ministry of Health and Welfare; 2004, p. 31-57 (Korean)
  24. Harper S, Lynch J. Measuring health inequalities. In: Oakes JM, Kaufman JS, Editors. Methods in Social Epidemiology. San Francisco: John Wiley & Sons, Inc.; 2006. p. 134-168