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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Interest in health screening as a predictor of long-term overall mortality: multilevel analysis of a Japanese national cohort study.
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Interest in health screening as a predictor of long-term overall mortality: multilevel analysis of a Japanese national cohort study.

机译：对健康筛查作为长期总体死亡率的预测指标的兴趣：日本国家队列研究的多层次分析。

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BACKGROUND: In Japan, screening programmes have been widely implemented as a public health practice. We investigated the effect of the area-level interest in health screening on mortality using data from a large cohort in Japan. METHODS: A baseline survey was conducted between 1988 and 1990 among 110,792 residents of 45 areas, aged 40-79 years. Area-level interest in health screening was defined as the proportion of people with high and moderate interest in health screening in an area. Multilevel Poisson regression was employed in a two-level structure of individuals nested within the areas. During 15 years of follow-up (1,035,617 person-years), 13,184 deaths were observed. RESULTS: The reduction in mortality rate was (a) 2% in both men (p=0.009) and women (p=0.038) for each percent increase in area-level interest in screening, and (b) 10% in men (p=0.001) and 9% in women (p=0.001) for individual attendance to screening in the year before follow-up. There was no interaction between area-level interest in screening, individual-level attendance at screening and overall mortality. CONCLUSION: Area-level and individual interest for health screening appear to be independent predictor of 15-year mortality in this national Japanese study. The present findings may support public health practices to promote knowledge and participation in screening programmes.
机译：背景：在日本，筛查程序已被广泛实施为公共卫生实践。我们使用了来自日本一大群人的数据，调查了对健康筛查的地区层面兴趣对死亡率的影响。方法：在1988年至1990年之间对45个地区的110792名居民进行了基线调查，年龄在40-79岁之间。区域级别对健康筛查的兴趣被定义为对该地区的健康筛查具有高度和中等兴趣的人们的比例。多层Poisson回归用于嵌套在区域内的个人的两级结构中。在15年的随访期间（1,035,617人年），观察到13,184例死亡。结果：每增加一级筛查兴趣，死亡率降低为（a）男性（p = 0.009）和女性（p = 0.038）均为2％，（b）男性为10％（p随访前一年，女性接受筛查的比例为= 0.001）和女性的9％（p = 0.001）。区域一级的筛查兴趣，个人一级的筛查出席率和总死亡率之间没有相互作用。结论：在这项全国性的日本研究中，地区和个人对健康筛查的兴趣似乎是15年死亡率的独立预测因子。本研究结果可能支持公共卫生实践，以增进知识和参与筛查计划。

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