de Waard Anne-Karien M, Korevaar Joke C, Hollander Monika, Nielen Mark M J, Seifert Bohumil, Carlsson Axel C, Lionis Christos, Søndergaard Jens, Schellevis François G, de Wit Niek J
Department of General Practice, Julius Center University Medical Center Utrecht, Utrecht University Utrecht The Netherlands.
Nivel (Netherlands Institute for Health Services Research), Department of general practice care Utrecht The Netherlands.
Health Sci Rep. 2021 Mar 24;4(2):e256. doi: 10.1002/hsr2.256. eCollection 2021 Jun.
Since cardiometabolic diseases (CMD) are a frequent cause of death worldwide, preventive strategies are needed. Recruiting adults for a health check could facilitate the identification of individuals at risk for CMD. For successful results, participation is crucial. We aimed to identify factors related to unwillingness to participate in CMD health checks.
We performed a cross-sectional study in the Czech Republic, Denmark, Greece, the Netherlands, and Sweden. A questionnaire was distributed among persons without known CMD consulting general practice between January and July 2017 within the framework of the SPIMEU study.
In total, 1354 persons responded. Nine percent was unwilling to participate in a CMD health check. Male gender, smoking, higher self-rated health, never been invited before, and not willing to pay were related to unwillingness to participate. The most mentioned reason for unwillingness to participate was "I think that I am healthy" (57%). Among the respondents who were willing to participate, 94% preferred an invitation by the general practitioner and 66% was willing to pay.
A minority of the respondents was unwilling to participate in a CMD health check with consistent results within the five countries. This provides a promising starting point to increase participation in CMD health checks in primary care.
由于心脏代谢疾病（CMD）是全球常见的死亡原因，因此需要采取预防策略。招募成年人进行健康检查有助于识别有患CMD风险的个体。为了取得成功的结果，参与至关重要。我们旨在确定与不愿参与CMD健康检查相关的因素。
我们在捷克共和国、丹麦、希腊、荷兰和瑞典进行了一项横断面研究。在SPIMEU研究框架内，于2017年1月至7月期间，向在普通诊所咨询但无已知CMD的人员发放了问卷。
共有1354人做出回应。9%的人不愿参与CMD健康检查。男性、吸烟、自我评估健康状况较好、以前从未被邀请过以及不愿付费与不愿参与有关。最常提到的不愿参与的原因是“我认为我很健康”（57%）。在愿意参与的受访者中，94%更喜欢由全科医生邀请，66%愿意付费。
少数受访者不愿参与CMD健康检查，这五个国家的结果一致。这为提高初级保健中CMD健康检查的参与度提供了一个有希望的起点。
