Institute of Economic Research, Hitotsubashi University, Japan.
Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Japan.
Ind Health. 2023 Dec 6;61(6):446-454. doi: 10.2486/indhealth.2022-0194. Epub 2023 Jan 31.
Health checkups are considered to promote occupational and public health. This study aimed to investigate the extent to which participation in social activities encourages middle-aged people to participate in health checkups and adhere to doctor-visit recommendations. We analyzed 337,024 longitudinal observational studies involving 33,420 individuals aged 50-59 yr in the baseline year (2005) derived from a nationwide, population-based, 14-wave survey. We estimated fixed-effects logistic models to elucidate how people's participation in health checkups and recommended doctor visits are affected by participation in social activities. Attending health checkups was positively associated with participation in social activities, with an odds ratio (OR) of 1.19 (95% confidence interval [CI]: 1.15-1.22) and a marginal effect of 3.3% (95% CI: 2.7%-3.9%). Adherence to doctor-visit recommendations was also positively associated with participation in social activities, with an OR of 1.15 (95% CI: 1.08-1.23) and a marginal effect of 3.3% (95% CI: 1.8%-4.8%), although the association was observed only among regular employees. These results provide new insights into the effectiveness of health checkups.
健康检查被认为可以促进职业和公共健康。本研究旨在调查社会活动参与度在多大程度上鼓励中年人参加健康检查并遵循医生就诊建议。我们分析了 337024 项涉及 33420 名年龄在 50-59 岁的个体的纵向观察性研究，这些个体来自于一项全国性的、基于人群的、14 波次的调查。我们估计了固定效应逻辑模型，以阐明人们参加健康检查和遵医嘱就诊的情况如何受到社会活动参与度的影响。参加健康检查与参加社会活动呈正相关，优势比（OR）为 1.19（95%置信区间[CI]：1.15-1.22），边际效应为 3.3%（95%CI：2.7%-3.9%）。遵医嘱就诊建议也与参加社会活动呈正相关，OR 为 1.15（95%CI：1.08-1.23），边际效应为 3.3%（95%CI：1.8%-4.8%），尽管这种关联仅在固定员工中观察到。这些结果为健康检查的有效性提供了新的见解。
