The Association between Socioeconomic Status and Adherence to Health Check-up in Korean Adults, Based on the 2010–2012 Korean National Health and Nutrition Examination Survey.
10.4082/kjfm.2018.39.2.114
- Author:
Hyun Young SHIN
1
;
Hee Taik KANG
;
Jae Woo LEE
;
Hyoung Ji LIM
Author Information
1. Department of Family Medicine, Myongji Hospital, Goyang, Korea.
- Publication Type:Original Article
- Keywords:
Education;
Health;
Income;
Health Promotion;
Public Health
- MeSH:
Adult*;
Cross-Sectional Studies;
Education;
Female;
Health Promotion;
Humans;
Male;
Nutrition Surveys*;
Occupations;
Odds Ratio;
Public Health;
Social Class*
- From:Korean Journal of Family Medicine
2018;39(2):114-121
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: We investigated the association between socioeconomic status and adherence to health check-ups in a Korean population aged 40 years or older. METHODS: This cross-sectional study included 12,311 participants who participated in the 2010–2012 Korean National Health and Nutrition Examination Survey. Self-reported questionnaires were used to assess each participant's socioeconomic status (household income, occupation, and education) and adherence to health check-ups. RESULTS: Men with a higher income (highest vs. lowest: odds ratio [OR], 1.799; 95% confidence interval [CI], 1.296–2.497) and men with a higher education level (≥12 vs. < 6 years: OR, 1.488; 95% CI, 1.078–2.054) and office workers compared with manual workers (men: OR, 1.431; 95% CI, 1.077–1.902; women: OR, 1.783; 95% CI, 1.256–2.532) appeared to undergo more health check-ups. In particular, men and women with a higher income and education appeared more likely to undergo opportunistic health check-ups (men: highest vs. lowest income: OR, 2.380; 95% CI, 1.218–4.653; ≥12 vs. < 6 years education: OR, 2.121; 95% CI, 1.142–3.936; women: highest vs. lowest income: OR, 4.042; 95% CI, 2.239–7.297; ≥12 vs. < 6 years education: OR, 2.475; 95% CI, 1.283–4.775). CONCLUSION: A higher socioeconomic status was associated with a higher rate of participation in health check-ups. More efforts are needed to identify the factors associated with disparity in adherence to health check-ups.