Determinants of individuals' participation in integrated chronic disease screening in Singapore

Venkataraman, Kavita; Wee, Hwee Lin; Ng, S Y; Rebello, Salome A.; Tai, E. Shyong; Lee, Jeannette; Tan, Chuen Seng

doi:10.1136/jech-2016-207404

Cited by 17 publications

(14 citation statements)

References 44 publications

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“…Also, consistent with the present findings, previous studies have shown that older age groups present with higher prevalence rates of preventive health-care utilization than their younger counterparts and that community dwelling elderly demonstrate need for preventive oral-health care (35,7). In contrast, DE BOER, (44) found no significant influence of age, suggesting that the direction of age influence depends on specific characteristics of the study population.…”

Section: Discussionsupporting

confidence: 90%

“…Previous studies have applied Andersen's model in a variety of contexts, including oral health, lending support to the model's hypothesized relationships . The present findings agree with evidence suggesting that health‐care utilization in older people varies according to individual and contextual factors . Using structural equation modelling, Baker revealed that the impact on use of oral health‐care services from predisposing factors was indirect and mediated through enabling resources.…”

Section: Discussionsupporting

confidence: 87%

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Dental hygienist attendance and its covariates in an ageing Swedish cohort

Åstrøm

Ekbäck

Ordell

et al. 2017

European J Oral Sciences

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Delegation of tasks between professional groups is important to make health-care services accessible and effective for ageing people. Focussing on a Swedish 1942 birth cohort and guided by Andersen's Behavioral Model, this study assessed dental hygienist attendance from age 50 to age 70 and identified covariates at the population-averaged and person-specific levels. In 1992, a census of 50-yr-old subjects was invited to participate in a questionnaire survey. Of the 6,346 respondents, 3,585 completed follow-ups in 1997, 2002, 2007, and 2012. Multiple logistic regression analysis was conducted using a marginal model and a random intercept model. Cochran's Q test revealed that significantly more respondents confirmed dental hygienist attendance in 2012 than in 1992 (57.2% in 2012 vs. 26.0% in 1992). Population-averaged ORs for dental hygienist attendance across time were 3.5 at age 70 yr compared with age 50 yr (baseline); 2.0 if being a regular rather than an irregular dental attendee; and 0.7 if being of non-native origin compared with native origin. The corresponding person-specific ORs were 8.9, 3.2, and 0.5. Consistent with Andersen's Behavioral Model, predisposing, enabling, and need-related factors were associated with dental hygienist attendance at population-averaged and person-specific levels. This has implications for promoting dental hygienist attendance among ageing people.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 87%

Dental hygienist attendance and its covariates in an ageing Swedish cohort

Åstrøm

Ekbäck

Ordell

et al. 2017

European J Oral Sciences

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“…The Anderson model of healthcare-use behaviour [ 16 ] was used to identify potential determinants of cancer screening awareness and participation. This model includes three domains: predisposing, enabling, and need factors, which interact in determining one’s health-related behaviour.…”

Section: Methodsmentioning

confidence: 99%

“…Univariable analyses were conducted for all potential determinants of cancer screening awareness and practice. These factors comprised different components of the Anderson model [ 16 ], ranging from predisposing factors such as sociodemographic characteristics (e.g. marital status, education, income), enabling factors, which included healthcare access.…”

Section: Methodsmentioning

confidence: 99%

Determinants of cancer screening awareness and participation among Indonesian women

et al. 2018

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BackgroundCancer screening awareness and participation may be lower in low- and middle-income countries that lack established national screening programmes compared with those that do. We evaluated potential determinants of awareness about and participation in breast and cervical cancer screening, and breast self-examination (BSE) in women using survey data from Indonesia.MethodsFrom the fifth Indonesian Family Life Survey (2014–2015), a total of 5397 women aged 40 and older without any history of cancer who responded to questionnaires concerning Pap smears, mammography, and BSE were included. Multilevel modelling was used to assess potential determinants in relation to awareness about Pap smears and mammography, and participation in Pap smears and BSE practice. Multivariable analyses were performed to identify independent predictors of cancer screening.ResultsOf the 5397 respondents, 1058 (20%) women were aware of Pap smears, of which 297 had never had the procedure. Only 251 (5%) participants were aware of mammography. A total of 605 (12%) of women reported they performed BSE. Higher education and household expenditure were consistently associated with higher odds of awareness about Pap smears and mammography (e.g. odds ratio [OR] of being aware of Pap smear and mammography: 7.82 (95% CI: 6.30–9.70) and 7.70 (6.19–9.58), respectively, for high school graduates compared to women with less educational attainment in the multivariable models), and participation in Pap smears and BSE. We also identified enabling factors linked with greater cancer screening awareness and participation, including health insurance, shorter distance to health services, and social participation.ConclusionThere are socioeconomic disparities in cancer screening awareness and participation among Indonesian women. Our findings may help inform targeted health promotion and screening for cancer in the presence of limited resources.Electronic supplementary materialThe online version of this article (10.1186/s12885-018-4125-z) contains supplementary material, which is available to authorized users.

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“…Venkataraman et al () investigated 6,366 Singapore residents and identified several factors associated with greater health screening participation: an older age, Chinese or Indian ethnicity, higher education levels, and leisure‐time physical activity. Varga and Surratt () investigated 546 Black, street‐based female sex workers and found that access to fixed medical facilities or permanent physicians was a factor influencing the use of preventive health services.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with the intention to use adult preventive health services in Taiwan

Hsieh

Lee

Chen

et al. 2019

Public Health Nursing

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Objective: This research aimed to examine the factors associated with the intention to use adult preventive health services in Taiwan. Design and Sample:Using Andersen's behavioral model, we employed a cross-sectional descriptive design to investigate 500 samples from four communities in southern Taiwan. Measures:We used a self-reported survey to assess participants' intention to use adult preventive health services, and the predisposing, enabling, and need factors influencing their intention.Results: Intention to use adult preventive health services was more significantly explained by predisposing and enabling factors than by need factors. In addition, a lack of fixed medical facilities (enabling factor) and Taiwanese origin (predisposing factor) were associated with decreased odds of intention to use adult preventive health services. An educational level of high school or below (predisposing factor), higher amounts of exercise (predisposing factor), and lower barriers to use preventive health services (predisposing factor) were associated with increased odds of intention to use adult preventive health services. Conclusion:The findings can assist public health nurses in identifying high-risk groups with lower intentions of using adult preventive health services. Additionally, community-based health education program can be developed to increase people's intention to use adult preventive health services. K E Y W O R D SAndersen's behavioral model, immigrants, intention, preventive health services, Taiwan

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Determinants of individuals' participation in integrated chronic disease screening in Singapore

Cited by 17 publications

References 44 publications

Dental hygienist attendance and its covariates in an ageing Swedish cohort

Dental hygienist attendance and its covariates in an ageing Swedish cohort

Determinants of cancer screening awareness and participation among Indonesian women

Factors associated with the intention to use adult preventive health services in Taiwan

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