Variations of health check attendance in later life: results from a British birth cohort study.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
      Patient Acceptance of Health Care/*statistics & numerical data ; Physical Examination/*statistics & numerical data; Adolescent ; Adult ; Age Factors ; Aged ; Child ; Cohort Studies ; Female ; Humans ; Male ; Middle Aged ; Socioeconomic Factors ; United Kingdom
    • Abstract:
      Background: Older adults are advised to attend a number of preventive health checks to preserve health and identify risk factors for disease. Previous research has identified a number of health and social factors, labelled as predisposing, enabling and need factors, using Andersen's Behavioural Model of Health Service Use, that are associated with health care utilisation. We aimed to assess associations between factors from childhood and adulthood, and health check attendance in later life in a British birth cohort study.
      Methods: For 2370 study members from the MRC National Survey of Health and Development (NSHD), health check attendance was assessed at age 68. Study members were asked if they: attended blood pressure and cholesterol checks, had their eyes tested, received the influenza vaccine, attended colon cancer screening and dental checks. Health and social factors from childhood and adulthood were used in binomial regression models to test associations with health check attendance in men and women.
      Results: Health check attendance was high; 41% reported attending all six health checks within the recommended time frame. In multivariable models, being a non-smoker and having more health conditions in adulthood were associated with greater health check attendance in men and women. In women, childhood socioeconomic advantage, being more physically active in midlife and previously attending screening procedures, and in men, greater self-organisation in adolescence and being married were associated with attending more health checks in later life, following adjustments for childhood and adulthood factors.
      Conclusions: A number of predisposing, enabling and need factors from childhood and adulthood were found to be associated with health check attendance at age 68, demonstrating the relevance of applying a life course perspective to Andersen's model in investigating health check attendance in later life. Health related factors were found to be stronger correlates of health check attendance than socioeconomic factors.
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    • Grant Information:
      MC_U123092720 United Kingdom MRC_ Medical Research Council; MC_UU_00019/1 United Kingdom MRC_ Medical Research Council; MC_UU_12019/1 United Kingdom MRC_ Medical Research Council; MC_UU_12019/5 United Kingdom MRC_ Medical Research Council
    • Contributed Indexing:
      Keywords: British cohort study; Health checks; Longitudinal study; Preventive health care; Screening
    • Publication Date:
      Date Created: 20191129 Date Completed: 20200214 Latest Revision: 20240313
    • Publication Date:
      20240313
    • Accession Number:
      PMC6882019
    • Accession Number:
      10.1186/s12889-019-7875-x
    • Accession Number:
      31775702