Participation inequality in the National General Health Examination based on enterprise size

Young Joong Kang; Jong Heun Park; Huisu Eom; Bohwa Choi; Seyoung Lee; Ji-Won Lee; Jun-Pyo Myong

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자료유형: 학술저널

저자정보: Young Joong Kang (Korea Occupational Safety and Health Agency) Jong Heun Park (National Health Insurance Service) Huisu Eom (Korea Occupational Safety and Health Agency) Bohwa Choi (Korea Occupational Safety and Health Agency) Seyoung Lee (Catholic University of Korea) Ji-Won Lee (Catholic University of Korea) Jun-Pyo Myong (Catholic University of Korea)

저널정보: 대한직업환경의학회 대한직업환경의학회지 대한직업환경의학회지 제29권 제1호

발행연도: 2017.2

수록면: 2 - 10 (9page)

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연구배경

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Background: Health examinations are performed so that diseases can be identified and treated earlier. Several studies have evaluated the determinants of participation in health examinations including cancer screening, but few have evaluated the relationship between the size of the enterprise and their participation in Workers’ General Health Examinations (WGHE). The aim of the present study was to estimate the association of WGHE participation with the size of the enterprise and the type of policyholder.
Methods: The eligible population from 2006 through 2013 was extracted from the National Health Insurance Service (NHIS) database. The population size ranged from 14–17 million. After adjustment for age and gender, multiple logistic regression analysis was performed to estimate the odds ratios of participating in the WGHE (by age group) based on the type of policyholder (reference: public officers) and the size of the enterprise (reference: enterprise size ≥300 employees), respectively.
Results: Workers employed at enterprises with <50 persons were less likely to participate in WGHEs than those employed at enterprises with ≥300 persons. After policyholders were stratified by type (non-office workers vs. public officers), a disparity in the WGHE participation rate was found between the different types of policyholders at enterprises with <50 employees (reference: those employed at enterprises with ≥300 employees); the odds ratios for subjects in their 40s and 50s were 0.2–0.3 for non-office workers vs. 0.8–2.0 for public officers.
Conclusion: Workplace policyholders at small enterprises comprised a vulnerable group less likely to participate in WGHEs. Efforts should be made to raise the WGHE participation rate among the vulnerable employees belonging to small enterprises, as well as among their dependents.

#Mass screening #Healthcare disparities #Size #Enterprise #Policyholder

참고문헌 (20)

참고문헌 신청

National Health Insurance Service. National Health Insurance Service. Website http://www.nhis.or.kr/static/html/wbd/g/a/wbdga0101.html. Accessed 20 Feb 2016. National Health Insurance Service. A guideline for health examination, 2015. Seoul: National Health Insurance Service; 2015. Accessed 20 Feb 2016. In Korean. Chun EJ, Jang SN, Cho SI, Cho Y, Moon OR. Disparities in participation in health examination by socio-economic position among adult Seoul residents. J Prev Med Public Health. 2007;40:345?50. In Korean. Kang S, You CH, Kwon YD. The determinants of the use of opportunistic screening programs in Korea. J Prev Med Public Health. 2009;42:177?82. In Korean. Kim RB, Park KS, Hong DY, Lee CH, Kim JR. Factors associated with cancer screening intention in eligible persons for national cancer screening program. J Prev Med Public Health. 2010;43:62?72. In Korean.

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