Regional differences in health screening participation between before and during COVID-19 pandemic.

IF 4 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Environmental Health and Preventive Medicine Pub Date : 2023-01-01 DOI:10.1265/ehpm.22-00239

Yeaeun Kim, Jongho Park, Jae-Hyun Park

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引用次数: 0

Abstract

Background: Health screening is a preventive and cost-effective public health strategy for early detection of diseases. However, the COVID-19 pandemic has decreased health screening participation. The aim of this study was to examine regional differences in health screening participation between before and during COVID-19 pandemic and vulnerabilities of health screening participation in the regional context.

Methods: Administrative data from 229 districts consisting of 16 provinces in South Korea and health screening participation rate of each district collected in 2019 and 2020 were included in the study. Data were then analyzed via descriptive statistics and geographically weighted regression (GWR).

Results: This study revealed that health screening participation rates decreased in all districts during COVID-19. Regional vulnerabilities contributing to a further reduction in health screening participation rate included COVID-19 concerns, the population of those aged 65+ years and the disabled, lower education level, lower access to healthcare, and the prevalence of chronic disease. GWR analysis showed that different vulnerable factors had different degrees of influence on differences in health screening participation rate.

Conclusions: These findings could enhance our understanding of decreased health screening participation due to COVID-19 and suggest that regional vulnerabilities should be considered stringent public health strategies after COVID-19.

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在 COVID-19 大流行之前和期间参与健康检查的地区差异。

背景：健康筛查是一项预防性且具有成本效益的公共卫生策略，可用于早期发现疾病。然而，COVID-19 大流行降低了健康检查的参与率。本研究旨在探讨 COVID-19 大流行之前和期间健康检查参与率的地区差异，以及在地区背景下健康检查参与率的脆弱性：研究纳入了韩国 16 个道的 229 个地区的行政数据，以及各地区在 2019 年和 2020 年的健康检查参与率。然后通过描述性统计和地理加权回归（GWR）对数据进行分析：研究结果表明，在 COVID-19 期间，所有地区的健康检查参与率都有所下降。导致健康检查参与率进一步下降的地区脆弱性包括 COVID-19、65 岁以上人口和残疾人口、较低的教育水平、较低的医疗保健可及性以及慢性病的流行。GWR分析表明，不同的脆弱因素对健康检查参与率的差异有不同程度的影响：这些研究结果可以加深我们对 COVID-19 导致的健康检查参与率下降的理解，并建议在 COVID-19 之后应将地区脆弱性视为严格的公共卫生策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Environmental Health and Preventive Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -

CiteScore

7.90

自引率

2.10%

发文量

审稿时长

10 weeks

期刊介绍： The official journal of the Japanese Society for Hygiene, Environmental Health and Preventive Medicine (EHPM) brings a comprehensive approach to prevention and environmental health related to medical, biological, molecular biological, genetic, physical, psychosocial, chemical, and other environmental factors. Environmental Health and Preventive Medicine features definitive studies on human health sciences and provides comprehensive and unique information to a worldwide readership.