Factors Associated with Non-Participation in a Health Screening Programme and its Barriers: Findings from the Community Empowers the Nation Programme (KOSPEN), Malaysia 2016
- Author:
Kuay Lim Kuang
1
Author Information
1. Institute for Public Health, Ministry of Health, Malaysia
- Collective Name:Hasimah Ismail; Nur Liana Ab Majid; Thamil Arasu Saminathan; Rosnah Ramly; Chan Ying Ying; Tahir Aris
- Publication Type:Journal Article
- Keywords:
Non-communicable diseases;
KOSPEN;
health screening;
Malaysia.
- From:International Journal of Public Health Research
2020;10(1):1166-1173
- CountryMalaysia
- Language:English
-
Abstract:
The Ministry of Health, Malaysia had introduced the community based action
programme (KOSPEN) to improve the early detection of non-communicable
diseases (NCDs) in the population. This study aims to identify factors
associated with non-participation in screening activities and its barriers.
Methods This cross sectional study was conducted from May to June 2016 in KOSPEN
localities. A total of 2354 adults aged 18 years and above were selected using
a two-stage stratified cluster sampling design. The data were obtained through
face-to-face interviews using validated questionnaires. Multiple logistic
regression analysis was used to determine the sociodemographic factors
associated with non-participation in health screening.
Results Out of 2156 respondents interviewed (response rate of 91.6%), approximately
75% (n=1624) of the respondents did not participate in the KOSPEN health
screening programme. Multivariable logistic regression analyses revealed that,
males (aOR: 2.35, 95% CI 1.21, 4.55) and those working in private sector
(aOR: 2.11, 95% CI 1.21, 3.67) were more likely to not participate in health
screening. While, age, ethnicity, level of education, marital status and
household income were not significantly associated with non-participation in
health screening. The barrier for not participated were “did not know health
screening was conducted in their localities” (39.3%) and had no time to attend
the programme (18.2%).
Conclusions The study findings are of public health concern as about three quarters of the
respondents failed to participate in this programme because they didn’t know
that there were health screening activities conducted in their localities beside
the time constraint problems. Thus, KOSPEN health screening activities
should be made known to the community especially males who are mostly
working in the private sector.
- Full text:21.2020my0234.pdf
