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首页> 外文期刊>Journal of Korean medical science >Regional factors associated with participation in the national health screening program: A multilevel analysis using national data
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Regional factors associated with participation in the national health screening program: A multilevel analysis using national data

机译:与参与国家健康筛查计划有关的区域因素:使用国家数据的多层次分析

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摘要

High participation rates are important for maximizing the effects of a health screening program. Previous studies have suggested that individual or regional characteristics have effects on health behaviors. In this study, we investigated the determinants of participation in the National Screening Program for Transitional Ages by simultaneously analyzing individual and area-level factors by multilevel analysis. A total of 1,081,216 subjects, aged 40 and 66 yr and nested in 254 areas, were included. There was a signifcant variation in participation rates across the areas even after adjusting for individual and area-level variables. Among the individual-level variables, increasing age, sex, higher income, and mild disability grade were associated with a higher participation rate. In urban areas, the 40-yr-old group had higher participation rates than the 66-yr-old group. Deprived areas had signifcantly high participation rates for both age groups. The number of screening centers per 1,000 inhabitants had no signifcant effect on participation in the screening program. In conclusion, regional characteristics are associated with participation rates independent of personal features and regional factors have differential effects with respect to age. A multi-dimensional approach is recommended to promote participation in health screening programs.
机译:高参与率对于最大限度地提高健康检查计划的效果很重要。先前的研究表明,个人或区域特征会对健康行为产生影响。在这项研究中,我们通过多层次分析同时分析个人和地区层面的因素,调查了参与国家过渡时期年龄筛查计划的决定因素。纳入了1,081,216名受试者,年龄分别为40岁和66岁,分布在254个地区。即使在调整了个人和地区层面的变量之后,整个地区的参与率仍存在显着差异。在个人变量中,年龄,性别,较高的收入和轻度残疾等级的增加与参与率较高相关。在城市地区,40岁组的参与率高于66岁组。贫困地区的两个年龄组的参与率都很高。每千名居民筛查中心的数量对参与筛查计划没有显着影响。总之,区域特征与参与率相关,而与个人特征无关,并且区域因素对年龄具有不同的影响。建议采用多维方法来促进健康检查计划的参与。

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