Skip to main content
Top
Published in: BMC Health Services Research 1/2014

Open Access 01-12-2014 | Research article

The use of annual physical examinations among the elderly in rural China: a cross-sectional study

Authors: Xi Sun, Yingchun Chen, Xuetao Tong, Zhanchun Feng, Li Wei, Donghua Zhou, Miaomiao Tian, Benyan Lv, Da Feng

Published in: BMC Health Services Research | Issue 1/2014

Login to get access

Abstract

Background

Periodic physical examination is considered helpful in preventing illness and promoting health among the elderly. Limited information is available about the use of annual physical examinations among the elderly in rural areas, however. This research explores the distribution characteristics of annual physical examination use and its determinants among people aged 60 or over in rural China.

Methods

A cross-sectional study was undertaken to estimate distribution characteristics of annual physical examination use and to collect data of sociodemographic characteristics, health knowledge level, and health communication channels. Participants were 1128 people aged 60 or over, randomly selected from four different provinces in the East, Mid-East, Mid-West, and West China. Logistic regression determined the predictors of annual physical examination use.

Results

Participants were predominantly aged 60–79 (44.1%) and 70–79 (42.0%). A total of 716 (63.5%) participants underwent annual physical examinations. Those who reported acquiring health knowledge via bulletin boards and village doctors had a higher probability of using annual physical examinations (OR = 3.15 and 1.53). The probability for civil servants/retired having annual physical examinations was 2.16 times higher than for farmers. Those who had an average level of health knowledge had a higher probability of using annual physical examinations than those at the below-average level (odds ratio: 2.07).

Conclusion

The government and public health institutions should assist farmers to acquire the habit of having annual physical examinations. Traditional channels, such as bulletin boards, should be used to deliver health information. Village doctors should be supported in delivering health information to the elderly in rural areas.
Appendix
Available only for authorised users
Literature
1.
go back to reference Culica D, Rohrer J, Ward M, Hilsenrath P, Pomrehn P: Medical checkups: who does not get them?. Am J Public Health. 2002, 92 (1): 88-91. 10.2105/AJPH.92.1.88.CrossRefPubMedPubMedCentral Culica D, Rohrer J, Ward M, Hilsenrath P, Pomrehn P: Medical checkups: who does not get them?. Am J Public Health. 2002, 92 (1): 88-91. 10.2105/AJPH.92.1.88.CrossRefPubMedPubMedCentral
2.
go back to reference Lai DW, Kalyniak S: Use of annual physical examinations by aging Chinese Canadians. J Aging Health. 2005, 17 (5): 573-591. 10.1177/0898264305279778.CrossRefPubMed Lai DW, Kalyniak S: Use of annual physical examinations by aging Chinese Canadians. J Aging Health. 2005, 17 (5): 573-591. 10.1177/0898264305279778.CrossRefPubMed
3.
go back to reference Prochazka AV, Lundahl K, Pearson W, Oboler SK, Anderson RJ: Support of evidence-based guidelines for the annual physical examination: a survey of primary care providers. Arch Intern Med. 2005, 165 (12): 1347-10.1001/archinte.165.12.1347.CrossRefPubMed Prochazka AV, Lundahl K, Pearson W, Oboler SK, Anderson RJ: Support of evidence-based guidelines for the annual physical examination: a survey of primary care providers. Arch Intern Med. 2005, 165 (12): 1347-10.1001/archinte.165.12.1347.CrossRefPubMed
4.
go back to reference Fenton JJ, Cai Y, Weiss NS, Elmore JG, Pardee RE, Reid RJ, Baldwin LM: Delivery of cancer screening: how important is the preventive health examination?. Arch Intern Med. 2007, 167 (6): 580-585. 10.1001/archinte.167.6.580.CrossRefPubMedPubMedCentral Fenton JJ, Cai Y, Weiss NS, Elmore JG, Pardee RE, Reid RJ, Baldwin LM: Delivery of cancer screening: how important is the preventive health examination?. Arch Intern Med. 2007, 167 (6): 580-585. 10.1001/archinte.167.6.580.CrossRefPubMedPubMedCentral
5.
go back to reference Sox CH, Dietrich AJ, Tosteson TD, Winchell CW, Labaree CE: Periodic health examinations and the provision of cancer prevention services. Arch Fam Med. 1997, 6 (3): 223-230. 10.1001/archfami.6.3.223.CrossRefPubMed Sox CH, Dietrich AJ, Tosteson TD, Winchell CW, Labaree CE: Periodic health examinations and the provision of cancer prevention services. Arch Fam Med. 1997, 6 (3): 223-230. 10.1001/archfami.6.3.223.CrossRefPubMed
6.
go back to reference WHO: International plan of action on ageing: report on implementation report by the secretariat. 2012 WHO: International plan of action on ageing: report on implementation report by the secretariat. 2012
7.
go back to reference Wen-jing M: Master. Study on disease burden of common chronic diseases among community middle-elderly-people. 2007, Southeast University, Social Security Wen-jing M: Master. Study on disease burden of common chronic diseases among community middle-elderly-people. 2007, Southeast University, Social Security
8.
go back to reference Si-qing L: Importance of regular physical examination for early prevention and treatment of disease in middle aged and elderly people. ChinJ Convalescent Med. 2009, 18 (5): 429-430. Si-qing L: Importance of regular physical examination for early prevention and treatment of disease in middle aged and elderly people. ChinJ Convalescent Med. 2009, 18 (5): 429-430.
13.
go back to reference Yong-lan W, Rong LU, Wei Z, Jin-jie X, Xian L, Zhong P: Analysis on community-based management for elder population in Chengdu. Chin J Public Health Manag. 2011, 4: 414-415. Yong-lan W, Rong LU, Wei Z, Jin-jie X, Xian L, Zhong P: Analysis on community-based management for elder population in Chengdu. Chin J Public Health Manag. 2011, 4: 414-415.
15.
go back to reference Chun H, Kim IH: Socioeconomic inequalities in preventive services among the elderly: results from medical checkup, cancer check, and BP check. J Prev Med Public Health. 2007, 40 (5): 404-410. 10.3961/jpmph.2007.40.5.404.CrossRefPubMed Chun H, Kim IH: Socioeconomic inequalities in preventive services among the elderly: results from medical checkup, cancer check, and BP check. J Prev Med Public Health. 2007, 40 (5): 404-410. 10.3961/jpmph.2007.40.5.404.CrossRefPubMed
16.
go back to reference Faulkner LA, Schauffler HH: The effect of health insurance coverage on the appropriate use of recommended clinical preventive services. Am J Prev Med. 1997, 13 (6): 453-458.PubMed Faulkner LA, Schauffler HH: The effect of health insurance coverage on the appropriate use of recommended clinical preventive services. Am J Prev Med. 1997, 13 (6): 453-458.PubMed
17.
go back to reference Nelson KM, Chapko MK, Reiber G, Boyko EJ: The association between health insurance coverage and diabetes care; data from the 2000 behavioral risk factor surveillance system. Health Serv Res. 2005, 40 (2): 361-372. 10.1111/j.1475-6773.2005.0d362.x.CrossRefPubMedPubMedCentral Nelson KM, Chapko MK, Reiber G, Boyko EJ: The association between health insurance coverage and diabetes care; data from the 2000 behavioral risk factor surveillance system. Health Serv Res. 2005, 40 (2): 361-372. 10.1111/j.1475-6773.2005.0d362.x.CrossRefPubMedPubMedCentral
18.
go back to reference Saver BG, Peterfreund N: Insurance, income, and access to ambulatory care in King County Washington. Am J Public Health. 1993, 83 (11): 1583-1588. 10.2105/AJPH.83.11.1583.CrossRefPubMedPubMedCentral Saver BG, Peterfreund N: Insurance, income, and access to ambulatory care in King County Washington. Am J Public Health. 1993, 83 (11): 1583-1588. 10.2105/AJPH.83.11.1583.CrossRefPubMedPubMedCentral
19.
go back to reference Green CA, Pope CR: Gender, psychosocial factors and the use of medical services: a longitudinal analysis. Soc Sci Med. 1999, 48 (10): 1363-1372. 10.1016/S0277-9536(98)00440-7.CrossRefPubMed Green CA, Pope CR: Gender, psychosocial factors and the use of medical services: a longitudinal analysis. Soc Sci Med. 1999, 48 (10): 1363-1372. 10.1016/S0277-9536(98)00440-7.CrossRefPubMed
20.
go back to reference Koopmans GT, Lamers LM: Gender and health care utilization: the role of mental distress and help-seeking propensity. Soc Sci Med. 2007, 64 (6): 1216-1230. 10.1016/j.socscimed.2006.11.018.CrossRefPubMed Koopmans GT, Lamers LM: Gender and health care utilization: the role of mental distress and help-seeking propensity. Soc Sci Med. 2007, 64 (6): 1216-1230. 10.1016/j.socscimed.2006.11.018.CrossRefPubMed
21.
go back to reference Redondo-Sendino A, Guallar-Castillon P, Banegas JR, Rodriguez-Artalejo F: Gender differences in the utilization of health-care services among the older adult population of Spain. Bmc Public Health. 2006, 6: 155-10.1186/1471-2458-6-155.CrossRefPubMedPubMedCentral Redondo-Sendino A, Guallar-Castillon P, Banegas JR, Rodriguez-Artalejo F: Gender differences in the utilization of health-care services among the older adult population of Spain. Bmc Public Health. 2006, 6: 155-10.1186/1471-2458-6-155.CrossRefPubMedPubMedCentral
22.
go back to reference Xiong GL, Iosif AM, Bermudes RA, McCarron RM, Hales RE: Preventive medical services use among community mental health patients with severe mental illness:the influence of gender and insurance coverage. Prim Care Companion J Clin Psychiatry. 2010, 12 (5): 441-445. Xiong GL, Iosif AM, Bermudes RA, McCarron RM, Hales RE: Preventive medical services use among community mental health patients with severe mental illness:the influence of gender and insurance coverage. Prim Care Companion J Clin Psychiatry. 2010, 12 (5): 441-445.
23.
go back to reference Xiao-man Z, Hong-xia W, Hui-min LI: Analysis of utilization and influencing factors for community health service of the elderly population in Xuzhou. Chin J Pract Nurs. 2013, 29 (16): 5-7. Xiao-man Z, Hong-xia W, Hui-min LI: Analysis of utilization and influencing factors for community health service of the elderly population in Xuzhou. Chin J Pract Nurs. 2013, 29 (16): 5-7.
24.
go back to reference Li-juan L, Wei-min R, Yue W: The influence of "empty nest" on health and equality of health service utilization among the elderly in Shanghai. Chin Health Ser Manag. 2011, 28 (9): 672-673. Li-juan L, Wei-min R, Yue W: The influence of "empty nest" on health and equality of health service utilization among the elderly in Shanghai. Chin Health Ser Manag. 2011, 28 (9): 672-673.
25.
go back to reference Qi-qi W: Master. Health communication: help the elderly to establish health habits. 2008, University of Science and Technology of China, Communication Qi-qi W: Master. Health communication: help the elderly to establish health habits. 2008, University of Science and Technology of China, Communication
26.
go back to reference Zhang Z, Pan J, Cui S, Zhao Y, Zhong N: Preterm births in countries with a very high human development index. 2013, Geneva: World Health Organization, 381: 1355. Zhang Z, Pan J, Cui S, Zhao Y, Zhong N: Preterm births in countries with a very high human development index. 2013, Geneva: World Health Organization, 381: 1355.
27.
go back to reference Matejic B, Vukovic D, Pekmezovic T, Kesic V, Markovic M: Determinants of preventive health behavior in relation to cervical cancer screening among the female population of Belgrade. Health Educ Res. 2011, 26 (2): 201-211. 10.1093/her/cyq081.CrossRefPubMed Matejic B, Vukovic D, Pekmezovic T, Kesic V, Markovic M: Determinants of preventive health behavior in relation to cervical cancer screening among the female population of Belgrade. Health Educ Res. 2011, 26 (2): 201-211. 10.1093/her/cyq081.CrossRefPubMed
28.
go back to reference Wu B: Dental service utilization among urban and rural older adults in China – a brief communication. J Public Health Dent. 2007, 67 (3): 185-188. 10.1111/j.1752-7325.2007.00038.x.CrossRefPubMed Wu B: Dental service utilization among urban and rural older adults in China – a brief communication. J Public Health Dent. 2007, 67 (3): 185-188. 10.1111/j.1752-7325.2007.00038.x.CrossRefPubMed
31.
go back to reference Rosenstock IM: Why people use health services. Milbank Q. 2005, 83 (4): Online-only Rosenstock IM: Why people use health services. Milbank Q. 2005, 83 (4): Online-only
33.
go back to reference Lee JS: Channels of health communications used among Korean and Asian Indian older adults. Soc Work Health Care. 2010, 49 (2): 165-175. 10.1080/00981380903157997.CrossRefPubMed Lee JS: Channels of health communications used among Korean and Asian Indian older adults. Soc Work Health Care. 2010, 49 (2): 165-175. 10.1080/00981380903157997.CrossRefPubMed
34.
go back to reference Andreasen AR: Public health communication: evidence for behavior change. Soc Mark Q. 2002, 8 (3): 38-41. 10.1080/15245000214136.CrossRef Andreasen AR: Public health communication: evidence for behavior change. Soc Mark Q. 2002, 8 (3): 38-41. 10.1080/15245000214136.CrossRef
35.
go back to reference Shimp TA: Advertising, promotion: and supplemental aspects of integrated marketing communications. 2003, Ohio, EUA: Thomson Shimp TA: Advertising, promotion: and supplemental aspects of integrated marketing communications. 2003, Ohio, EUA: Thomson
36.
go back to reference Flach SD, McCoy KD, Vaughn TE, Ward MM, Bootsmiller BJ, Doebbeling BN: Does patient-centered care improve provision of preventive services?. J Gen Intern Med. 2004, 19 (10): 1019-1026. 10.1111/j.1525-1497.2004.30395.x.CrossRefPubMedPubMedCentral Flach SD, McCoy KD, Vaughn TE, Ward MM, Bootsmiller BJ, Doebbeling BN: Does patient-centered care improve provision of preventive services?. J Gen Intern Med. 2004, 19 (10): 1019-1026. 10.1111/j.1525-1497.2004.30395.x.CrossRefPubMedPubMedCentral
37.
go back to reference Lasser KE, Kelly B, Maier J, Murillo J, Hoover S, Isenberg K, Osber D, Pilkauskas N, Willis BC, Hersey J: Discussions about preventive services: a qualitative study. BMC Fam Pract. 2008, 9: 49-10.1186/1471-2296-9-49.CrossRefPubMedPubMedCentral Lasser KE, Kelly B, Maier J, Murillo J, Hoover S, Isenberg K, Osber D, Pilkauskas N, Willis BC, Hersey J: Discussions about preventive services: a qualitative study. BMC Fam Pract. 2008, 9: 49-10.1186/1471-2296-9-49.CrossRefPubMedPubMedCentral
38.
go back to reference Bernzweig J, Takayama JI, Phibbs C, Lewis C, Pantell RH: Gender differences in physician-patient communication. Evidence from pediatric visits. Arch Pediatr Adolesc Med. 1997, 151 (6): 586-591. 10.1001/archpedi.1997.02170430052011.CrossRefPubMed Bernzweig J, Takayama JI, Phibbs C, Lewis C, Pantell RH: Gender differences in physician-patient communication. Evidence from pediatric visits. Arch Pediatr Adolesc Med. 1997, 151 (6): 586-591. 10.1001/archpedi.1997.02170430052011.CrossRefPubMed
39.
go back to reference Smith DL: Disparities in patient-physician communication for persons with a disability from the 2006 Medical Expenditure Panel Survey (MEPS). Disabil Health J. 2009, 2 (4): 206-215. 10.1016/j.dhjo.2009.06.002.CrossRefPubMed Smith DL: Disparities in patient-physician communication for persons with a disability from the 2006 Medical Expenditure Panel Survey (MEPS). Disabil Health J. 2009, 2 (4): 206-215. 10.1016/j.dhjo.2009.06.002.CrossRefPubMed
40.
go back to reference Musa D, Schulz R, Harris R, Silverman M, Thomas SB: Trust in the health care system and the use of preventive health services by older black and white adults. Am J Public Health. 2009, 99 (7): 1293-1299. 10.2105/AJPH.2007.123927.CrossRefPubMedPubMedCentral Musa D, Schulz R, Harris R, Silverman M, Thomas SB: Trust in the health care system and the use of preventive health services by older black and white adults. Am J Public Health. 2009, 99 (7): 1293-1299. 10.2105/AJPH.2007.123927.CrossRefPubMedPubMedCentral
41.
go back to reference Kakai H, Maskarinec G, Shumay DM, Tatsumura Y, Tasaki K: Ethnic differences in choices of health information by cancer patients using complementary and alternative medicine: an exploratory study with correspondence analysis. Soc Sci Med. 2003, 56 (4): 851-862. 10.1016/S0277-9536(02)00086-2.CrossRefPubMed Kakai H, Maskarinec G, Shumay DM, Tatsumura Y, Tasaki K: Ethnic differences in choices of health information by cancer patients using complementary and alternative medicine: an exploratory study with correspondence analysis. Soc Sci Med. 2003, 56 (4): 851-862. 10.1016/S0277-9536(02)00086-2.CrossRefPubMed
42.
go back to reference Hornik RC: Development communication: information, agriculture, and nutrition in the Third World. 1993, Lanham, USA: University Press of America Hornik RC: Development communication: information, agriculture, and nutrition in the Third World. 1993, Lanham, USA: University Press of America
43.
go back to reference Snyder LB: Health communication campaigns and their impact on behavior. J Nutr Educ Behav. 2007, 39 (2 Suppl): S32-S40.CrossRefPubMed Snyder LB: Health communication campaigns and their impact on behavior. J Nutr Educ Behav. 2007, 39 (2 Suppl): S32-S40.CrossRefPubMed
Metadata
Title
The use of annual physical examinations among the elderly in rural China: a cross-sectional study
Authors
Xi Sun
Yingchun Chen
Xuetao Tong
Zhanchun Feng
Li Wei
Donghua Zhou
Miaomiao Tian
Benyan Lv
Da Feng
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2014
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-14-16

Other articles of this Issue 1/2014

BMC Health Services Research 1/2014 Go to the issue