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Int. J. Environ. Res. Public Health 2016, 13(7), 628; doi:10.3390/ijerph13070628

Associations of Undergoing a Routine Medical Examination or Not with Prevalence Rates of Hypertension and Diabetes Mellitus: A Cross-Sectional Study

Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, 110 Xiangya Road, Changsha 410078, China
Department of Public Health Sciences, Clemson University, Clemson, SC 29634, USA
Author to whom correspondence should be addressed.
Academic Editor: Omorogieva Ojo
Received: 20 April 2016 / Revised: 13 June 2016 / Accepted: 20 June 2016 / Published: 23 June 2016
(This article belongs to the Collection Health Care and Diabetes)
View Full-Text   |   Download PDF [273 KB, uploaded 23 June 2016]


Background: Undergoing a routine medical examination may be associated with the prevalence rate of chronic diseases from a population-based household interview survey. However, this important issue has not been examined so far. Methods: Data came from the first health service household interview of Hunan province, China, in 2013. A Rao–Scott chi-square test was performed to examine the difference in prevalence rates between subgroups. Adjusted odds ratio (OR) was calculated using the PROC SURVEYLOGISTIC procedure of SAS9.1 statistical software. Results: In total, 24,282 residents of 8400 households were surveyed. A higher proportion of elderly adults had undergone a medical examination within the prior 12 months compared with young adults (≥65 years, 60%; 45–64 years, 46%; 18–44 years, 37%). After controlling for location, sex, and household income per capita, undergoing a medical examination was significantly associated with high prevalence rates of hypertension (adjusted OR: 2.0, 95% CI: 1.1–3.5) and of diabetes mellitus (adjusted OR: 3.3, 95% CI: 1.7–6.5) for young adults aged 18–44 years. The associations were not statistically significant for age groups 45–64 years and 65 years or older. Conclusion: The prevalence rates of hypertension and diabetes mellitus may be seriously underestimated for young adults not undergoing a routine medical examination in a health household interview survey. View Full-Text
Keywords: prevalence; hypertension; diabetes mellitus; household interview survey; China prevalence; hypertension; diabetes mellitus; household interview survey; China
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Zhang, L.; Zhang, W.; Zhang, L.; Tian, D.; Li, L.; Deng, X.; Deng, J.; Ning, P.; Hu, G. Associations of Undergoing a Routine Medical Examination or Not with Prevalence Rates of Hypertension and Diabetes Mellitus: A Cross-Sectional Study. Int. J. Environ. Res. Public Health 2016, 13, 628.

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