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The Relationship Between Health Changes and Community Health Screening Participation Among Older People

The utilization of health screening and other community health services has been a hot topic in China. Thus, this study examined the effect of health changes (self-rated health, physical health, and mental health) on older people's community health screening participation in China. We derived t...

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Autores principales: Du, Benfeng, Mu, Yuexuan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9091503/
https://www.ncbi.nlm.nih.gov/pubmed/35570968
http://dx.doi.org/10.3389/fpubh.2022.870157
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author Du, Benfeng
Mu, Yuexuan
author_facet Du, Benfeng
Mu, Yuexuan
author_sort Du, Benfeng
collection PubMed
description The utilization of health screening and other community health services has been a hot topic in China. Thus, this study examined the effect of health changes (self-rated health, physical health, and mental health) on older people's community health screening participation in China. We derived the data from the 2016 and 2018 waves of the Chinese Longitudinal Aging Social Survey (CLASS). This paper included 10,992 observations in two waves. We tested the causal relationship using the fixed effects model. Approximately 29.56% of the respondents participated in a health screening. Notably, after controlling for covariates, changes in mental and physical health both significantly influenced seniors' participation in health screenings (self-rated health: β = 0.188, 95% CI [−0.037, −0.413]; physical health: β = 0.078, 95% CI [0.032, −0.124]; mental health: β = 0.034, 95% CI [−0.057, −0.002]). The findings showed age, educational level, income level, and family support to be significant factors associated with community health screening participation. Additionally, we identified a partial mediating effect of mental health between self-rated health and health screening participation and a partial mediating effect of depression between physical health and health screening participation. The results highlight the important role of health changes in influencing participation and promoting health screening in China. On this basis, healthcare providers in the community may consider health changes as a screening criterion to promote health screening, guiding other health promotion and prevention programs while promoting healthy aging.
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spelling pubmed-90915032022-05-12 The Relationship Between Health Changes and Community Health Screening Participation Among Older People Du, Benfeng Mu, Yuexuan Front Public Health Public Health The utilization of health screening and other community health services has been a hot topic in China. Thus, this study examined the effect of health changes (self-rated health, physical health, and mental health) on older people's community health screening participation in China. We derived the data from the 2016 and 2018 waves of the Chinese Longitudinal Aging Social Survey (CLASS). This paper included 10,992 observations in two waves. We tested the causal relationship using the fixed effects model. Approximately 29.56% of the respondents participated in a health screening. Notably, after controlling for covariates, changes in mental and physical health both significantly influenced seniors' participation in health screenings (self-rated health: β = 0.188, 95% CI [−0.037, −0.413]; physical health: β = 0.078, 95% CI [0.032, −0.124]; mental health: β = 0.034, 95% CI [−0.057, −0.002]). The findings showed age, educational level, income level, and family support to be significant factors associated with community health screening participation. Additionally, we identified a partial mediating effect of mental health between self-rated health and health screening participation and a partial mediating effect of depression between physical health and health screening participation. The results highlight the important role of health changes in influencing participation and promoting health screening in China. On this basis, healthcare providers in the community may consider health changes as a screening criterion to promote health screening, guiding other health promotion and prevention programs while promoting healthy aging. Frontiers Media S.A. 2022-04-27 /pmc/articles/PMC9091503/ /pubmed/35570968 http://dx.doi.org/10.3389/fpubh.2022.870157 Text en Copyright © 2022 Du and Mu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Du, Benfeng
Mu, Yuexuan
The Relationship Between Health Changes and Community Health Screening Participation Among Older People
title The Relationship Between Health Changes and Community Health Screening Participation Among Older People
title_full The Relationship Between Health Changes and Community Health Screening Participation Among Older People
title_fullStr The Relationship Between Health Changes and Community Health Screening Participation Among Older People
title_full_unstemmed The Relationship Between Health Changes and Community Health Screening Participation Among Older People
title_short The Relationship Between Health Changes and Community Health Screening Participation Among Older People
title_sort relationship between health changes and community health screening participation among older people
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9091503/
https://www.ncbi.nlm.nih.gov/pubmed/35570968
http://dx.doi.org/10.3389/fpubh.2022.870157
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