Unseen Threats of Chronic Diseases among the Middle-Aged: Examining the Feasibility of Well-Defined Healthcare Vouchers in Encouraging Uptake of General Checkups
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Data Collection
2.3. Sample Size
2.4. Questionnaire Design
2.5. Data Analysis
3. Results
3.1. Participant Characteristics
3.2. Likelihood of Respondents Attending Health Checkups with Vouchers
3.3. Factors Associated with the Decision to Attend Health Checkups
4. Discussion
4.1. Strengths and Limitations
4.2. Recommendations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Hong Kong Population a (%) | Study Sample N = 278, n (%) | p | |
---|---|---|---|
| 0.972 | ||
45–49 | (30.9) | 84 (30.2) | |
50–54 | (35.1) | 101 (36.3) | |
55–59 | (34.0) | 93 (33.5) | |
| 0.007 ** | ||
Male | (45.8) | 84 (30.2) | |
Female | (54.2) | 194 (69.8) | |
| <0.001 ** | ||
Primary or below | (24.2) | 7 (2.5) | |
Secondary | (53.0) | 118 (42.4) | |
Post-Secondary | (22.8) | 153 (55.0) | |
| <0.001 ** | ||
No Income | (49.0) | 83 (29.9) | |
Less than HKD20,000 | (33.0) | 67 (24.1) | |
HKD20,000 or more | (17.0) | 128 (46.0) | |
| |||
Yes | (32.1) | 97 (34.9) | 0.45 |
Hypertension | (12.2) | 52 (18.7) | 0.171 |
Hyperlipidemia | (6.1) | 53 (19.1) | 0.005 ** |
Diabetes | (4.2) | 26 (9.4) | 0.268 |
| 1.00 | ||
Yes | (5.1) | 14 (5.0) | |
No | (94.9) | 264 (95.0) |
Factors | n | Likelihood % | COR | 95% CI | p | |
---|---|---|---|---|---|---|
Socio-demographics | ||||||
Age | ||||||
45–49 | 84 | 90.5 | Reference | |||
50–54 | 101 | 94.1 | 1.667 | 0.554 | 5.010 | 0.363 |
55–59 | 93 | 87.1 | 0.711 | 0.275 | 1.833 | 0.480 |
Gender | ||||||
Male | 84 | 88.1 | Reference | |||
Female | 194 | 91.8 | 1.503 | 0.652 | 3.466 | 0.339 |
Monthly Individual Income | ||||||
No Income | 109 | 91.7 | Reference | |||
Less than HKD20,000 | 41 | 87.8 | 0.922 | 0.304 | 2.801 | 0.886 |
HKD20,000 or more | 128 | 90.6 | 0.985 | 0.615 | 1.576 | 0.949 |
Receiving Government Aids | ||||||
No | 264 | 90.1 | Reference | |||
Yes | 14 | 85.7 | 0.600 | 0.127 | 2.840 | 0.520 |
Education Level | ||||||
Primary | 7 | 57.1 | Reference | |||
Secondary | 118 | 90 | 6.058 | 1.218 | 30.125 | 0.028 ** |
Post-Secondary | 153 | 93.5 | 10.725 | 2.105 | 54.654 | 0.004 ** |
Health Conditions and Behaviours | ||||||
Self-reported Longstanding Health Conditions 1 | ||||||
Yes | 97 | 92.8 | 1.508 | 0.611 | 3.724 | 0.373 |
Hypertension | 52 | 94.2 | 1.851 | 0.534 | 6.414 | 0.332 |
Hyperlipidemia | 53 | 94.3 | 1.898 | 0.548 | 6.573 | 0.312 |
Diabetes | 26 | 88.5 | 0.770 | 0.215 | 2.762 | 0.688 |
Habit of Attending Health Checkups | ||||||
No | 104 | 91.3 | Reference | |||
Yes | 174 | 90.2 | 0.875 | 0.375 | 2.041 | 0.757 |
Health Belief Model | ||||||
Perceived Susceptibility | ||||||
Overall susceptibility | 0.799 | 0.491 | 1.300 | 0.365 | ||
Perceived Severity | ||||||
Severe consequences | 1.205 | 0.752 | 1.932 | 0.438 | ||
Health and financial burden | 1.217 | 0.710 | 2.087 | 0.475 | ||
Perceived Benefits | ||||||
Detect chronic diseases early | 1.578 | 0.844 | 2.953 | 0.153 * | ||
Lower severity of diseases | 1.425 | 0.745 | 2.726 | 0.285 | ||
Perceived Barriers | ||||||
Costly | 0.517 | 0.254 | 1.051 | 0.068 * | ||
Takes time | 0.696 | 0.431 | 1.124 | 0.138 * | ||
Does not match their schedule | 0.716 | 0.446 | 1.150 | 0.167 * | ||
Geographically inconvenient | 0.647 | 0.411 | 1.018 | 0.060 * | ||
Side effects | 0.841 | 0.539 | 1.314 | 0.447 | ||
Cues to Action | ||||||
Government’s recommendation | 1.708 | 1.098 | 2.658 | 0.018 ** | ||
Family and friends’ recommendation | 1.725 | 1.024 | 2.905 | 0.040 ** | ||
Doctor’s recommendation | 0.807 | 0.39 | 1.672 | 0.564 | ||
Having chronic conditions | 1.060 | 0.468 | 2.402 | 0.889 | ||
Close relatives suffering from chronic conditions | 1.648 | 0.979 | 2.774 | 0.060 * | ||
Fully covered by private insurance | 1.659 | 0.858 | 3.207 | 0.133 * | ||
Fully covered by insurance purchased by employers | 2.100 | 1.082 | 4.075 | 0.028 ** |
Factors | AOR | 95% CI | p | |
---|---|---|---|---|
HBM | ||||
Perceived Barriers | ||||
Regular checkups are costly | 0.367 | 0.162 | 0.832 | 0.016 ** |
Cues to Action | ||||
Government’s recommendation | 1.685 | 1.052 | 2.698 | 0.030 ** |
Fully covered by insurance purchased by employers | 2.395 | 1.036 | 5.523 | 0.041 ** |
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Leung, J.K.-F.; Wong, M.C.-S.; Wong, E.L.-Y. Unseen Threats of Chronic Diseases among the Middle-Aged: Examining the Feasibility of Well-Defined Healthcare Vouchers in Encouraging Uptake of General Checkups. Int. J. Environ. Res. Public Health 2022, 19, 11751. https://doi.org/10.3390/ijerph191811751
Leung JK-F, Wong MC-S, Wong EL-Y. Unseen Threats of Chronic Diseases among the Middle-Aged: Examining the Feasibility of Well-Defined Healthcare Vouchers in Encouraging Uptake of General Checkups. International Journal of Environmental Research and Public Health. 2022; 19(18):11751. https://doi.org/10.3390/ijerph191811751
Chicago/Turabian StyleLeung, Jasen Kin-Fung, Martin Chi-Sang Wong, and Eliza Lai-Yi Wong. 2022. "Unseen Threats of Chronic Diseases among the Middle-Aged: Examining the Feasibility of Well-Defined Healthcare Vouchers in Encouraging Uptake of General Checkups" International Journal of Environmental Research and Public Health 19, no. 18: 11751. https://doi.org/10.3390/ijerph191811751