Institute of Applied Arts, National Chiao Tung University, Hsinchu 30010, Taiwan.
Institute of East Asian Studies, University of California Berkeley, Berkeley, CA 94704, USA.
Int J Environ Res Public Health. 2019 May 11;16(9):1645. doi: 10.3390/ijerph16091645.
As the average age of the population continues to rise in the 21st century, chronic illnesses have become the most prominent threats to human health. Research has shown that early screenings for chronic diseases are an effective way of lowering incidence and mortality rates. However, low participation rates for health screening is one of the main challenges for preventive medicine. The objective of this study was to determine the primary drivers which: (1) first motivate people to participate in community-based health screening for chronic diseases; and (2) increase their willingness to continue to participate.
A total of 440 individuals between 30 and 75 years of age were invited to undergo a health screening and then complete an interview questionnaire. Screenings and interviews were conducted in four regions in northern Taiwan. The questionnaire was separated into three sections, which explored sociodemographic differences, drivers of willingness to participate, and willingness to continue to participate respectively. Raw data was analyzed using the statistical software package SPSS (SPSS Inc., Chicago, IL, USA).
Effects of sociodemographic factors on health screening participation rate, drivers of willingness to participate, and willingness to continue to participate.
Seventy-three percent of participants responded that they would be willing to continue to join in future health screenings. Notably, elderly people and married people were respectively more likely to participate in preventive health screening than were younger people and people who were single, divorced, separated, or widowed. Level of education was another key driver of willingness to participate in health screening for chronic diseases, as were the concern of relatives/friends and the provision of participation incentives.
Some of our findings, such as the key drivers of willingness to continue to participate in health screening that we identified, were different from findings of many previous studies conducted in other countries. The current study also found that a higher percentage of participants would be willing to join a similar health screening in the future if the service design is considered in advance and is well-implemented.
随着 21 世纪人口老龄化的持续，慢性病已成为危害人类健康的最主要因素。研究表明，慢性病的早期筛查是降低发病率和死亡率的有效方法。然而，健康筛查参与率低是预防医学面临的主要挑战之一。本研究旨在确定以下两个方面的主要驱动因素：（1）首先促使人们参与社区慢性病健康筛查；（2）提高他们继续参与的意愿。
共邀请 440 名 30-75 岁的个体进行健康筛查，然后完成一份访谈问卷。筛查和访谈在台湾北部的四个地区进行。问卷分为三个部分，分别探讨了社会人口统计学差异、参与意愿的驱动因素以及继续参与的意愿。原始数据使用统计软件包 SPSS（SPSS Inc.，芝加哥，IL，USA）进行分析。
社会人口统计学因素对健康筛查参与率、参与意愿的驱动因素以及继续参与的意愿的影响。
73%的参与者表示愿意继续参加未来的健康筛查。值得注意的是，老年人和已婚人士比年轻人和单身、离婚、分居或丧偶人士更有可能参与预防健康筛查。教育水平也是参与慢性病健康筛查意愿的关键驱动因素之一，同时，亲戚/朋友的关注和参与激励的提供也是关键驱动因素。
我们的一些发现，如我们确定的继续参与健康筛查的意愿的主要驱动因素，与许多在其他国家进行的先前研究的发现不同。本研究还发现，如果提前考虑并实施良好的服务设计，更多的参与者愿意参加类似的健康筛查。
