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KMID : 1100920180390020114
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Korean Journal of Family Medicine
2018 Volume.39 No. 2 p.114 ~ p.121
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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
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Shin Hyun-Young
Kang Hee-Taik
Lee Jae-Woo
Lim Hyoung-Ji
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Abstract
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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.
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KEYWORD
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Education, Health, Income, Health Promotion, Public Health
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