Department of Ophthalmology, Juntendo University School of Medicine.
Department of Health Promotion, National Institute of Public Health.
J Epidemiol. 2021 May 5;31(5):315-319. doi: 10.2188/jea.JE20200052. Epub 2020 Oct 17.
Improving the specific health checkups participation rate is an essential task nationwide; however, studies on measures to accomplish this are limited. This study aimed to examine the influence of ophthalmic checkups on the specific health checkups' participation rate.
We conducted a postal questionnaire survey on 1,741 countrywide municipalities in Japan from January to February 2019. The questionnaire specifically addressed health checkup participation rates of 2017, health checkups formats (group, individual, or both), simultaneous cancer screenings, simultaneous ophthalmic checkups, and the state of implementation of ophthalmic checkups. We used multiple linear regression analyses to calculate the partial regression coefficients (βs) and their 95% confidential intervals (CIs) to identify the influence of simultaneous ophthalmic checkups on specific health checkup participation rates.
There was a significant association between specific health checkup participation rates and simultaneous ophthalmic checkups (β: +2.5%; 95% CI, 1.3-3.8) after adjusting for covariates. The fundus photos of all applicants, fundus photos with restrictions, and ophthalmology consultation for all applicants were associated with a significant increase in the specific health checkup participation rate (β: +2.8%, 95% CI, 1.2-4.4; β: +2.0%, 95% CI, 0.2-3.9; β: +7.4%, 95% CI, 1.2-13.6 respectively).
Our results suggest that additional simultaneous ophthalmic checkups as specific health checkups could increase the specific health checkup participation rate.
提高特定健康检查参与率是全国范围内的一项重要任务,但针对实现这一目标的措施的研究有限。本研究旨在探讨眼科检查对特定健康检查参与率的影响。
我们于 2019 年 1 月至 2 月对日本全国 1741 个市町村进行了邮寄问卷调查。问卷专门针对 2017 年的健康检查参与率、健康检查形式(团体、个人或两者兼有)、同时进行的癌症筛查、同时进行的眼科检查以及眼科检查的实施情况进行了调查。我们使用多元线性回归分析计算部分回归系数(β)及其 95%置信区间(CI),以确定同时进行的眼科检查对特定健康检查参与率的影响。
在调整了协变量后,特定健康检查参与率与同时进行的眼科检查之间存在显著关联(β:+2.5%;95%CI,1.3-3.8)。所有申请人的眼底照片、有条件的眼底照片和所有申请人的眼科咨询均与特定健康检查参与率的显著增加相关(β:+2.8%;95%CI,1.2-4.4;β:+2.0%;95%CI,0.2-3.9;β:+7.4%;95%CI,1.2-13.6)。
我们的研究结果表明,将额外的同时进行的眼科检查作为特定健康检查,可以提高特定健康检查的参与率。