60岁及以上社区居民年度健康检查的相关性：2015-2022年泰国健康、老龄化和退休研究的纵向国家证据

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Preventive Medicine Reports Pub Date : 2025-09-16 DOI:10.1016/j.pmedr.2025.103247

Supa Pengpid , Karl Peltzer , André Hajek , Razak M. Gyasi , Dararatt Anantanasuwong

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引用次数: 0

摘要

目的本纵向研究的目的是评估泰国老年人年度健康检查（AHC）使用率的患病率和决定因素。方法我们使用2015年、2017年、2020年和2022年泰国健康、老龄化和退休研究的数据（分析样本：n = 10,970个观察值，≥60岁）。采用Andersen的医疗服务获取行为模型和条件固定效应（conditional fixed effects， FE） logistic回归分析AHC消费的影响因素。结果AHC总体使用率为53.3%，由2015年的52.6%下降至2022年的42.1% （p < 0.001）。回归显示，城市居住（OR = 1.36）、较高的社会参与（OR = 1.29）、较高的主观预期寿命（OR = 1.03）、孤独（OR = 1.43）、较高的慢性病（OR = 1.09）、戒烟（OR = 1.34）和身体活动（OR = 1.20）与AHC利用呈正相关，而年龄（OR = 0.96）、独居（OR = 0.79）、抑郁症状（OR = 0.96）、功能限制（OR = 0.83）和自评身体健康（OR = 0.97）与AHC使用呈负相关。结论本纵向研究提高了我们对60岁及以上人群AHC使用影响因素的认识。增加身体活动、戒烟和社会参与的策略，以及延迟或减少慢性病和功能残疾以及筛查和管理抑郁症状，可能有助于提高AHC的利用率。

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Correlates of annual health check-up among community-dwelling persons 60 years and older: Longitudinal national evidence from the health, aging, and retirement in Thailand study, 2015–2022

Objective

The aim of this longitudinal study was to assess the prevalence and determinants of annual health check-up (AHC) utilization among older adults in Thailand.

Methods

We used data from the 2015, 2017, 2020, and 2022 Health, Aging, and Retirement in Thailand study (analytic sample: n = 10,970 observations, ≥60 years). The factors of AHC consumption were estimated using Andersen's Behavioral Model of Healthcare Access and conditional fixed effects (FE) logistic regressions.

Results

The overall prevalence of AHC utilization was 53.3 %, which decreased from 52.6 % in 2015 to 42.1 % in 2022 (p < 0.001). Regressions showed that urban residency (OR = 1.36), higher social engagement (OR = 1.29), higher subjective life expectancy (OR = 1.03), loneliness (OR = 1.43), higher number of chronic conditions (OR = 1.09), stopped smoking (OR = 1.34), and physical activity (OR = 1.20) were positive associated with AHC utilization, while age (OR = 0.96), living alone (OR = 0.79), depressive symptoms (OR = 0.96), functional limitations (OR = 0.83) and self-rated physical health (OR = 0.97) were negatively associated with AHC utilization.

Conclusions

Our knowledge of the factors influencing AHC use in people 60 and older is improved by this longitudinal study. Strategies to increase physical activity, smoking cessation, and social engagement, as well as delay or decrease chronic conditions and functional disability and screen and manage depressive symptoms, may help increase AHC utilization.

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来源期刊

Preventive Medicine Reports Medicine-Public Health, Environmental and Occupational Health

CiteScore

3.90

自引率

0.00%

发文量

353