Mularczyk-Tomczewska Paulina, Żarnowski Adam, Gujski Mariusz, Sytnik-Czetwertyński Janusz, Pańkowski Igor, Smoliński Rafał, Jankowski Mateusz
Department of Public Health, Medical University of Warsaw, 02-097 Warsaw, Poland.
School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland.
J Clin Med. 2022 Jun 14;11(12):3423. doi: 10.3390/jcm11123423.
Preventive screening is a highly cost-effective public health intervention. The COVID-19 pandemic may impact preventive healthcare services. This study aimed to assess the frequency of preventive health screening, as well as to identify the factors associated with compliance with health screening guidelines among adults in Poland during the COVID-19 pandemic. This cross-sectional survey was carried out between October and December 2021, among Internet users in Poland. Respondents were asked about the last date that they performed seven different screening tests. Completed questionnaires were obtained from 102,928 adults aged 18−99 years, and 57.2% were female. The most common screening tests performed in the past 12 months were blood pressure measurement (83%), blood count (66.2%), and blood sugar (63.3%). Moreover, more than half of respondents had a urinalysis (53.1%) and lipid panel (55.1%) in the past 12 months. Out of 58,904 females, 69.2% had a cervical cytology in the past 3 years. Older age, having higher education, living in urban areas, being occupationally active, having at least one chronic disease, and visiting a doctor in the past 12 months were significantly associated (p < 0.001) with a higher level of compliance with screening guidelines. This study revealed a significant gap in the performance of preventive health screening.
预防性筛查是一种极具成本效益的公共卫生干预措施。新冠疫情可能会影响预防性医疗服务。本研究旨在评估预防性健康筛查的频率,并确定在新冠疫情期间波兰成年人中与遵守健康筛查指南相关的因素。这项横断面调查于2021年10月至12月在波兰的互联网用户中进行。受访者被问及他们进行七种不同筛查测试的最后日期。共获得102928名年龄在18至99岁的成年人填写的问卷,其中57.2%为女性。过去12个月中最常见的筛查测试是血压测量(83%)、血常规(66.2%)和血糖(63.3%)。此外,超过一半的受访者在过去12个月中进行了尿液分析(53.1%)和血脂检查(55.1%)。在58904名女性中,69.2%在过去3年中进行了宫颈细胞学检查。年龄较大、受过高等教育、居住在城市地区、有职业活动、患有至少一种慢性病以及在过去12个月中看过医生与更高水平的遵守筛查指南显著相关(p<0.001)。本研究揭示了预防性健康筛查实施方面的显著差距。