Skip to main content
Top
Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Research article

Predictors of participation in preventive health examinations in Austria

Authors: Sophie Brunner-Ziegler, Anita Rieder, Katharina Viktoria Stein, Renate Koppensteiner, Kathryn Hoffmann, Thomas Ernst Dorner

Published in: BMC Public Health | Issue 1/2013

Login to get access

Abstract

Background

Preventive health check-ups in Austria are offered free of charge to all insured adults (98% of the population) and focus on early detection of chronic diseases, primary prevention, and health counseling. The study aims to explore predictors of compliance with the recommended interval of preventive health check-up performance.

Methods

Source of data was the Austrian Health Interview Survey 2006/07 (15,474 subjects). Participation in a preventive health examination during the last three years was used as dependent variable. Socio-demographic and health-related characteristics were used as independent variables in a multivariate logistic regression analysis.

Results

Results show that 41.6% of men and 41.8% of women had attended a preventive health check-up within the last three years. In multivariate analysis, subjects ≥40 years, with higher education, higher income or born in Austria were significantly more likely to attend a preventive health check-up. Furthermore, a chronic disease was associated with a higher attendance rate (OR: 1.21; CI: 1.07-1.36 in men; OR: 1.19; CI: 1.06-1.33 in women).

Conclusions

Attendance rates for health check-ups in the general Austrian population are comparatively high but not equally distributed among subgroups. Health check-ups must increase among people at a young age, with a lower socio-economic status, migration background and in good health.
Literature
1.
go back to reference Shippee ND, Mullan RJ, Nabhan M, Kermott CA, Hagen PT, Rhodes DJ, Montori VM, Murad MH: Adherence to preventive recommendations: experience of a cohort presenting for executive health care. Popul Health Manag. 2012, 15 (2): 65-70. 10.1089/pop.2011.0029.CrossRefPubMed Shippee ND, Mullan RJ, Nabhan M, Kermott CA, Hagen PT, Rhodes DJ, Montori VM, Murad MH: Adherence to preventive recommendations: experience of a cohort presenting for executive health care. Popul Health Manag. 2012, 15 (2): 65-70. 10.1089/pop.2011.0029.CrossRefPubMed
2.
go back to reference Deutekom M, Vansenne F, McCaffery K, Essink-Bot ML, Stronks K, Bossuyt PM: The effects of screening on health behaviour: a summary of the results of randomized controlled trials. J Public Health (Oxf). 2011, 33 (1): 71-79. 10.1093/pubmed/fdq050.CrossRef Deutekom M, Vansenne F, McCaffery K, Essink-Bot ML, Stronks K, Bossuyt PM: The effects of screening on health behaviour: a summary of the results of randomized controlled trials. J Public Health (Oxf). 2011, 33 (1): 71-79. 10.1093/pubmed/fdq050.CrossRef
3.
go back to reference Holstein BE, Currie C, Boyce W, Damsgaard MT, Gobina I, Kökönyei G, Hetland J, de Looze M, Richter M, Due P: HBSC social inequalities focus group: socio-economic inequality in multiple health complaints among adolescents: international comparative study in 37 countries. Int J Public Health. 2009, 54 (Suppl 2): 260-270.CrossRefPubMed Holstein BE, Currie C, Boyce W, Damsgaard MT, Gobina I, Kökönyei G, Hetland J, de Looze M, Richter M, Due P: HBSC social inequalities focus group: socio-economic inequality in multiple health complaints among adolescents: international comparative study in 37 countries. Int J Public Health. 2009, 54 (Suppl 2): 260-270.CrossRefPubMed
4.
go back to reference Weinbrenner S, Wörz M, Busse R: Gesundheitsförderung in Europa. E in Ländervergleich. GGW. 2007, 2: 19-30. Weinbrenner S, Wörz M, Busse R: Gesundheitsförderung in Europa. E in Ländervergleich. GGW. 2007, 2: 19-30.
5.
go back to reference Klimont J, Kytir J, Leitner B: Österreichische Gesundheitsabefragung 2006/2007. Hauptergebnisse und methodische Dokumentation. 2007, Austria, Vienna: Statistik, 978-3-902611-04-8 Klimont J, Kytir J, Leitner B: Österreichische Gesundheitsabefragung 2006/2007. Hauptergebnisse und methodische Dokumentation. 2007, Austria, Vienna: Statistik, 978-3-902611-04-8
6.
go back to reference Prochazka AV, Caverly T: General health checks in adults for reducing morbidity and mortality from disease summary review of primary findings and conclusions. JAMA Intern Med. 2013, 173 (5): 371-372. 10.1001/jamainternmed.2013.3187.CrossRefPubMed Prochazka AV, Caverly T: General health checks in adults for reducing morbidity and mortality from disease summary review of primary findings and conclusions. JAMA Intern Med. 2013, 173 (5): 371-372. 10.1001/jamainternmed.2013.3187.CrossRefPubMed
7.
go back to reference Wee CC, McCarthy EP, Phillips RS: Factors associated with colon cancer screening: the role of patient factors and physician counseling. Prev Med. 2005, 41 (1): 23-29. 10.1016/j.ypmed.2004.11.004.CrossRefPubMed Wee CC, McCarthy EP, Phillips RS: Factors associated with colon cancer screening: the role of patient factors and physician counseling. Prev Med. 2005, 41 (1): 23-29. 10.1016/j.ypmed.2004.11.004.CrossRefPubMed
8.
go back to reference Hsia J, Kemper E, Kiefe C, Zapka J, Sofaer S, Pettinger M, Bowen D, Limacher M, Lillington L, Mason E: The importance of health insurance as a determinant of cancer screening: evidence from the Women’s health initiative. Prev Med. 2000, 31 (3): 261-270. 10.1006/pmed.2000.0697.CrossRefPubMed Hsia J, Kemper E, Kiefe C, Zapka J, Sofaer S, Pettinger M, Bowen D, Limacher M, Lillington L, Mason E: The importance of health insurance as a determinant of cancer screening: evidence from the Women’s health initiative. Prev Med. 2000, 31 (3): 261-270. 10.1006/pmed.2000.0697.CrossRefPubMed
9.
go back to reference Aromaa A, Koponen P, Tafforeau J, Vermeire C, HIS/HES core group: Evaluation of health interview surveys and health examination surveys in the European Union. Eur J Public Health. 2003, 13 (3 Suppl): 67-72.CrossRefPubMed Aromaa A, Koponen P, Tafforeau J, Vermeire C, HIS/HES core group: Evaluation of health interview surveys and health examination surveys in the European Union. Eur J Public Health. 2003, 13 (3 Suppl): 67-72.CrossRefPubMed
10.
go back to reference Oboler SK, Prochazka AV, Gonzales R, Xu S, Anderson RJ: Public expectations and attitudes for annual physical examinations and testing. Ann Intern Med. 2002, 136 (9): 652-659. 10.7326/0003-4819-136-9-200205070-00007.CrossRefPubMed Oboler SK, Prochazka AV, Gonzales R, Xu S, Anderson RJ: Public expectations and attitudes for annual physical examinations and testing. Ann Intern Med. 2002, 136 (9): 652-659. 10.7326/0003-4819-136-9-200205070-00007.CrossRefPubMed
11.
go back to reference Mehrotra A, Zaslavsky AM, Ayanian JZ: Preventive health examinations and preventive gynecological examinations in the United States. Arch Intern Med. 2007, 167 (17): 1876-1883. 10.1001/archinte.167.17.1876.CrossRefPubMed Mehrotra A, Zaslavsky AM, Ayanian JZ: Preventive health examinations and preventive gynecological examinations in the United States. Arch Intern Med. 2007, 167 (17): 1876-1883. 10.1001/archinte.167.17.1876.CrossRefPubMed
12.
go back to reference Woolf SH: The accuracy and effectiveness of routine population screening with mammography, prostate-specific antigen, and prenatal ultrasound: a review of published scientific evidence. Int J Technol Assess Health Care. 2001, 17 (3): 275-304. 10.1017/S0266462301106021.CrossRefPubMed Woolf SH: The accuracy and effectiveness of routine population screening with mammography, prostate-specific antigen, and prenatal ultrasound: a review of published scientific evidence. Int J Technol Assess Health Care. 2001, 17 (3): 275-304. 10.1017/S0266462301106021.CrossRefPubMed
13.
go back to reference Simmons RK, Echouffo-Tcheugui JB, Sharp SJ, Sargeant LA, Williams KM, Prevost AT, Kinmonth AL, Wareham NJ, Griffin SJ: Screening for type 2 diabetes and population mortality over 10 years (ADDITION-Cambridge): a cluster-randomised controlled trial. Lancet. 2012, 380 (9855): 1741-1748. 10.1016/S0140-6736(12)61422-6.CrossRefPubMedPubMedCentral Simmons RK, Echouffo-Tcheugui JB, Sharp SJ, Sargeant LA, Williams KM, Prevost AT, Kinmonth AL, Wareham NJ, Griffin SJ: Screening for type 2 diabetes and population mortality over 10 years (ADDITION-Cambridge): a cluster-randomised controlled trial. Lancet. 2012, 380 (9855): 1741-1748. 10.1016/S0140-6736(12)61422-6.CrossRefPubMedPubMedCentral
14.
go back to reference Bachinger E: Wiener Gesundheitsbericht 2002 (Vienna Health Report 2002). 2002, Magistrat der Stadt Wien: Bereichsleitung für Gesundheitsplanung und Finanzmanagement Bachinger E: Wiener Gesundheitsbericht 2002 (Vienna Health Report 2002). 2002, Magistrat der Stadt Wien: Bereichsleitung für Gesundheitsplanung und Finanzmanagement
15.
go back to reference Alexandraki I: Utilisation of preventive care services: does gender matter?. J Womens Health (Larchmt). 2012, 21 (2): 118-120. 10.1089/jwh.2011.3311.CrossRef Alexandraki I: Utilisation of preventive care services: does gender matter?. J Womens Health (Larchmt). 2012, 21 (2): 118-120. 10.1089/jwh.2011.3311.CrossRef
16.
go back to reference Barata R, de Almeida M, Montero C, da Silva Z: Gender and health inequalities among adolescents and adults in Brazil, 1998. Rev Panam Salud Publica. 2007, 21 (5): 320-327. 10.1590/S1020-49892007000400008.CrossRefPubMed Barata R, de Almeida M, Montero C, da Silva Z: Gender and health inequalities among adolescents and adults in Brazil, 1998. Rev Panam Salud Publica. 2007, 21 (5): 320-327. 10.1590/S1020-49892007000400008.CrossRefPubMed
17.
go back to reference Beydoun HA, Beydoun MA: Predictors of colorectal cancer screening behaviors among average-risk older adults in the United States. Cancer Causes Control. 2008, 19 (4): 339-359. 10.1007/s10552-007-9100-y.CrossRefPubMed Beydoun HA, Beydoun MA: Predictors of colorectal cancer screening behaviors among average-risk older adults in the United States. Cancer Causes Control. 2008, 19 (4): 339-359. 10.1007/s10552-007-9100-y.CrossRefPubMed
18.
go back to reference Wilf-Miron R, Peled R, Yaari E, Vainer A, Porath A, Kokia E: The association between socio-demographic characteristics and adherence to breast and colorectal cancer screening: analysis of large sub populations. BMC Cancer. 2011, 11: 376-10.1186/1471-2407-11-376.CrossRefPubMedPubMedCentral Wilf-Miron R, Peled R, Yaari E, Vainer A, Porath A, Kokia E: The association between socio-demographic characteristics and adherence to breast and colorectal cancer screening: analysis of large sub populations. BMC Cancer. 2011, 11: 376-10.1186/1471-2407-11-376.CrossRefPubMedPubMedCentral
19.
go back to reference Fontana M, Bischoff A: Uptake of breast cancer screening measures among immigrant and Swiss women in Switzerland. Swiss Med Wkly. 2008, 138 (49–50): 752-758.PubMed Fontana M, Bischoff A: Uptake of breast cancer screening measures among immigrant and Swiss women in Switzerland. Swiss Med Wkly. 2008, 138 (49–50): 752-758.PubMed
20.
go back to reference Mayer JA, Slymen DJ, Drew JA, Wright BL, Elder JP, Williams SJ: Breast and cervical cancer screening in older women: the San Diego Medicare preventive health project. Prev Med. 1992, 21 (4): 395-404. 10.1016/0091-7435(92)90049-N.CrossRefPubMed Mayer JA, Slymen DJ, Drew JA, Wright BL, Elder JP, Williams SJ: Breast and cervical cancer screening in older women: the San Diego Medicare preventive health project. Prev Med. 1992, 21 (4): 395-404. 10.1016/0091-7435(92)90049-N.CrossRefPubMed
21.
go back to reference Stein KV, Rieder A, Dorner TE: East–west gradient in cardio-vascular mortality in Austria: how much can we explain by following the pattern of risk factors?. Int J Health Geogr. 2011, 10: 59-10.1186/1476-072X-10-59.CrossRefPubMedPubMedCentral Stein KV, Rieder A, Dorner TE: East–west gradient in cardio-vascular mortality in Austria: how much can we explain by following the pattern of risk factors?. Int J Health Geogr. 2011, 10: 59-10.1186/1476-072X-10-59.CrossRefPubMedPubMedCentral
22.
go back to reference Dorner TE, Stronegger WJ, Hoffmann K, Stein KV, Niederkrotenthaler T: Socio- economic determinants of health behaviours across age groups: results of a cross-sectional survey. Wien Klin Wochenschr. 2013, 125 (9–10): 261-269.CrossRefPubMed Dorner TE, Stronegger WJ, Hoffmann K, Stein KV, Niederkrotenthaler T: Socio- economic determinants of health behaviours across age groups: results of a cross-sectional survey. Wien Klin Wochenschr. 2013, 125 (9–10): 261-269.CrossRefPubMed
23.
go back to reference Dionne CE: Psychological distress confirmed as predictor of long-term back-related functional limitations in primary care settings. J Clin Epidemiol. 2005, 58 (7): 714-718. 10.1016/j.jclinepi.2004.12.005.CrossRefPubMed Dionne CE: Psychological distress confirmed as predictor of long-term back-related functional limitations in primary care settings. J Clin Epidemiol. 2005, 58 (7): 714-718. 10.1016/j.jclinepi.2004.12.005.CrossRefPubMed
24.
go back to reference Wolff R, Clar C, Lerch C, Kleijnen J: Epidemiology of chronic non-malignant pain in Germany. Schmerz. 2011, 25 (1): 26-44. 10.1007/s00482-010-1011-2.CrossRefPubMed Wolff R, Clar C, Lerch C, Kleijnen J: Epidemiology of chronic non-malignant pain in Germany. Schmerz. 2011, 25 (1): 26-44. 10.1007/s00482-010-1011-2.CrossRefPubMed
25.
go back to reference Balagué F, Mannion AF, Pellisé F, Cedraschi C: Non-specific low back pain. Lancet. 2012, 379 (9814): 482-491. 10.1016/S0140-6736(11)60610-7.CrossRefPubMed Balagué F, Mannion AF, Pellisé F, Cedraschi C: Non-specific low back pain. Lancet. 2012, 379 (9814): 482-491. 10.1016/S0140-6736(11)60610-7.CrossRefPubMed
26.
go back to reference Juniper M, Le TK, Mladsi D: The epidemiology, economic burden, and pharmacological treatment of chronic low back pain in France, Germany, Italy, Spain and the UK: a literature-based review. Expert Opin Pharmacother. 2009, 10 (16): 2581-2592. 10.1517/14656560903304063.CrossRefPubMed Juniper M, Le TK, Mladsi D: The epidemiology, economic burden, and pharmacological treatment of chronic low back pain in France, Germany, Italy, Spain and the UK: a literature-based review. Expert Opin Pharmacother. 2009, 10 (16): 2581-2592. 10.1517/14656560903304063.CrossRefPubMed
27.
go back to reference Becker S: Der Einfluss der Gesundheitszufriedenheit auf die Sportaktivität. SOEPpapers (Berlin). 2011, 400: ISSN: 1964-6689 (online) Becker S: Der Einfluss der Gesundheitszufriedenheit auf die Sportaktivität. SOEPpapers (Berlin). 2011, 400: ISSN: 1964-6689 (online)
28.
go back to reference Eichberg S, Rott C: Sportverhalten im mittleren und höheren erwachsenenalter -bedingungsfaktoren für kontinuität und diskontinuität. Public Health. 2004, 12: 93-104. 10.1007/s10389-004-0020-y.CrossRef Eichberg S, Rott C: Sportverhalten im mittleren und höheren erwachsenenalter -bedingungsfaktoren für kontinuität und diskontinuität. Public Health. 2004, 12: 93-104. 10.1007/s10389-004-0020-y.CrossRef
29.
go back to reference Zimmer Z, Hickey T, Searle MS: The pattern of change in leisure activity behavior among older adults with arthritis. Gerontologist. 1997, 37 (3): 384-392. 10.1093/geront/37.3.384.CrossRefPubMed Zimmer Z, Hickey T, Searle MS: The pattern of change in leisure activity behavior among older adults with arthritis. Gerontologist. 1997, 37 (3): 384-392. 10.1093/geront/37.3.384.CrossRefPubMed
30.
go back to reference Camfield L, Skevington SM: On subjective well-being and quality of life. J Health Psychol. 2008, 3 (6): 764-775.CrossRef Camfield L, Skevington SM: On subjective well-being and quality of life. J Health Psychol. 2008, 3 (6): 764-775.CrossRef
31.
go back to reference Mielck A: Soziale Schicht und Krankheit: Forschungsstand in der BRD (Alte Länder). Argument Sonderband AS 1983, Jahrbuch für kritische Medizin, Nr. 16. 1991, Hamburg: Argument Verlag, S.35- Mielck A: Soziale Schicht und Krankheit: Forschungsstand in der BRD (Alte Länder). Argument Sonderband AS 1983, Jahrbuch für kritische Medizin, Nr. 16. 1991, Hamburg: Argument Verlag, S.35-
32.
go back to reference Hoffmann K, Stein KV, Maier M, Rieder A, Dorner TE: Access points to the different levels of health care and demographic predictors in a country without a gatekeeping system. Results of a cross-sectional study from Austria. Eur J Public Health. 2013, epub, ahead of print Hoffmann K, Stein KV, Maier M, Rieder A, Dorner TE: Access points to the different levels of health care and demographic predictors in a country without a gatekeeping system. Results of a cross-sectional study from Austria. Eur J Public Health. 2013, epub, ahead of print
Metadata
Title
Predictors of participation in preventive health examinations in Austria
Authors
Sophie Brunner-Ziegler
Anita Rieder
Katharina Viktoria Stein
Renate Koppensteiner
Kathryn Hoffmann
Thomas Ernst Dorner
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-1138

Other articles of this Issue 1/2013

BMC Public Health 1/2013 Go to the issue