The change of health-related behavior after health examination.
- Author:
Kyeong Soo CHEON
1
;
Mi Kyeong OH
;
Yeong Jeon SHIN
;
Bo Youl CHOI
Author Information
1. Department of Family Medicine, Asan Kangnung Hospital, Korea.
- Publication Type:Original Article
- Keywords:
health examination;
satisfaction;
health-related behavior;
health education;
compliance
- MeSH:
Antihypertensive Agents;
Blood Glucose;
Blood Pressure;
Chronic Disease;
Compliance;
Diet;
Drinking;
Dyslipidemias;
Early Diagnosis;
Education;
Health Education;
Health Promotion;
Hospitals, General;
Humans;
Hypertension;
Hypolipidemic Agents;
Male;
Overweight;
Pamphlets;
Personal Satisfaction;
Prospective Studies;
Smoke;
Smoking;
Telephone;
Surveys and Questionnaires
- From:Journal of the Korean Academy of Family Medicine
1999;20(8):1012-1026
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: In a health examination program, advice from physician for change of health-related behavior and distribution of health educational pamphlets is routine. This study was done prospectively to analyze factors such as personal general characteristics, results of health examination, health examination satisfaction that relate to change of health promotion attitudes and compliance towards overweight, smoking, heavy drinking, elevated blood pressure, dyslipidemia, chronic diseases such as diabetes, hypertension. METHODS: The subject population was 689 cases from May 1997 to June 1997 in a general hospital health examination center. After health examination, 60.2%(415 cases) showed personal satisfaction by questionnaire. Three to four months later 78.4%(540 cases) responded to the telephone survey on change of health beliefs, health-related attitudes and compliance. RESULTS: In the telephone survey, 239 cases(46.0%) comprised high compliance group that had positive attitudes toward abnormal health examination results, 145 cases(27.9%) were mid compliance group, and 135cases(26.0%) were low compliance group. In males there was higher frequency of high compliance group than females(p<0.05). According to age, the older, the higher frequencies of high compliance group(p<0.05). In educational level group, the higher the educational level, the lower the frequencies of high compliance group(p<0.01). There was no difference in frequency of each compliance group between symptom motive and non-symptom motive group with each satisfaction group(p>0.05). In positive responders to the correspond advice of physician or health educational pamphlets, the frequencies for quit smoking, reduction of drinking amount, regular exercise, Compliance with taking antihypertensives, blood sugar control, diet control for dyslipidemia, taking antihyperlipidemics were higher(p<0.01). CONCLUSIONS: Health examination service includirg advice of physician and education changed health belief and influenced positively to health promotion attitudes. Health examination is not only important for early detection of disease but also to promote positive change of health-related behavior. Further studies are needed to understand the changing process of management of health and disease.
