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

Kang, Young Joong; Park, Jong Heun; Eom, Huisu; Choi, Bohwa; Lee, Seyoung; Lee, Jiwon; Myong, Jun‐Pyo

doi:10.1186/s40557-017-0159-y

Cited by 5 publications

(3 citation statements)

References 11 publications

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“…The better the general health screenings, the lower the number of serious diseases that develop, and medical expenses have also been reduced [6,8]. Health screenings are also associated with reductions in cerebral cardiovascular disease and average hospitalization days [7,9,10].…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with General Health Screening Participation among Married Immigrant Women in Korea

Jeong

Lee

Kwon

et al. 2019

IJERPH

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Background: The number of married female immigrants living in Korea has been increasing and is expected to increase further. This study was performed to identify factors associated with national general health screening participation among married immigrant women living in South Korea. Methods: The Korean National Health Insurance System’s (NHIS) customized database for the years 2014 and 2015 was used. The targets of this study were women aged 19 years old and above. To identify factors associated with national general health screening participation, the following analyses were employed: frequency, chi-square, simple regression, and multiple regression. Results: A total of 11,213 women were identified in the NHIS database. Overall, 67.4% participated in national general health screenings, lower than the 74.6% participation rate of the entire women’s health screening program. Married immigrant women with a job had higher health screening participation than those without a job (OR = 2.822, p < 0.0001). Age, socioeconomic status, and duration of stay were related to health screening behaviors among employed married immigrant women. Nationality, socioeconomic status, duration of stay, and disease status were associated with general health screening behaviors among unemployed immigrant women. The odds ratios decreased as the length of stay increased, regardless of employment status. Conclusion: The results of this study showed that employment status and duration of stay in Korea are significantly associated with general health screening participation. Accordingly, to improve awareness about health screening and health care disparities, programs promoting health screening participation for socially vulnerable classes, including immigrant women and unemployed women, should be instigated.

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Section: Introductionmentioning

confidence: 99%

Factors Associated with General Health Screening Participation among Married Immigrant Women in Korea

Jeong

Lee

Kwon

et al. 2019

IJERPH

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“…Thus, regular screening may be less accessible to such groups. Indeed, from 2006 to 2013, workers employed by enterprises with < 50 employees were about 50% less likely to participate in general health examinations than were those employed by enterprises with ≥300 employees [40].…”

Section: Discussionmentioning

confidence: 99%

Employment conditions and use of gastric cancer screening services in Korea: a nationwide survey

2019

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Background Although it is well known that employment conditions exert considerable effects on health and health equity, the association between employment conditions and the use of preventative health services has rarely been studied. We explored whether inequities in the use of preventative services were associated with employment conditions. We used gastric cancer screening as a surrogate for the use of preventative health services. Methods The study population was derived from the Korea National Health and Nutrition Survey IV (2007–2009), which included data on 5626 individuals over 40 years of age. Employment conditions were grouped by employment status, work hours, employment contract term, and salary source. Participants who had undergone gastroscopy or an upper gastrointestinal series within the past 2 years were considered to have used cancer screening services according to the National Cancer Screening Program guidelines. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using multiple logistic regression analysis. As the survey procedure incorporated sample weights, we adjusted our calculations to consider the complex sample design. Results Self-employed workers were less likely to participate in regular cancer screening than were wage workers (OR = 0.79, 95% CI = 0.68–0.92), and part-time workers were less likely to participate than were full-time workers (OR = 0.81, 95% CI = 0.67–0.99). Among wage workers, temporary workers and daily workers exhibited lower participation rates than did regular workers (OR = 0.81, 95% CI = 0.63–1.05 and OR = 0.58, 95% CI = 0.44–0.76, respectively). Dispatched workers also exhibited lower participation rates (OR = 0.45, 95% CI = 0.25–0.80). Conclusions We found obvious inequities in the use of preventative health services associated with various employment conditions. Self-employed, irregular, and dispatched workers were significantly less likely to participate in cancer screening than were other workers. Political efforts should be made to reduce employment insecurity and to improve participation in preventative screening services by vulnerable employees so as to resolve the evident health inequities.

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“…According to the results of the health examination (HE) of workers in 2016, the proportions of suspected general diseases (C2), diagnosed general diseases (D2), suspected occupational diseases (C1), and diagnosed occupational diseases (D1) were 37.0, 34.9, 36.1, and 28.7%, respectively [ 4 ]. In a study on the participation rate of general HE of workers by the size of the business based on the data from the National Health Insurance Corporation from 2006 to 2013, it was found that the participation rate of enterprises with less than 50 non-white-collar workers and 50–299 non-white-collar workers were lower than that of enterprises with more than 300 non-white-collar workers [ 5 ]. Therefore, both health management of EW and quality management of these services are deemed important.…”

Section: Introductionmentioning

confidence: 99%

The roles of doctors, nurses, and industrial hygienists in the healthcare management services in Korea: a comparison of the opinions of specialized health management institutions and entrusted enterprises

Jang

Kang

Kim

et al. 2018

Ann of Occup and Environ Med

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BackgroundThis study aimed to identify the difference of perception about the role of appointing health officers by comparing and analyzing the response of entrustment workplace (EW) and specialized health management institution (SI). This is considered an important aspect of an institutional assessment to improve the quality of health management services.MethodsA survey questionnaire was mailed to 122 SIs and 319 EWs nationwide. The questionnaire survey was about the general characteristics of SIs and EWs and main occupations for each evaluation item. In total, 81 SIs (66.4%) and 30 EWs responded to the questionnaire. A logistic regression analysis was performed to compare the opinions of SI and EW.ResultsBased on the analysis, the items showing statistically significant differences were as follows. Doctors’ main tasks survey: “Guidance on their wearing personal protective equipment (PPE)” (OR: 4.58), “Guidance of improvement of work environment (WE)” (OR: 3.33), etc.; Nurses’ main tasks survey: “Guidance on their wearing PPE” (OR: 3.86), “Guidance for programs on health process in confined space (CS)” (OR: 0.36), “Guidance on the hearing conservation program (HCP)” (OR: 0.28), etc.; Industrial hygienist (IH)‘s main tasks survey: “Guidance of work through inspection (WTI)” (OR: 0.15), “Guidance on the improvement of WE” (OR: 0.32), “Management confirmation of substances used by process and Material Safety Data Sheet (MSDS)” (OR: 0.08), “Guidance on posting or keeping of MSDS and warning signs” (OR: 0.03), “Prevention of dust-induced medical problems” (OR: 0.28), “Guidance for programs of health process in CS” (OR: 0.39), etc.ConclusionsIt is necessary to educate the EWs to recognize the need for physicians to perform tasks, such as wearing a PPE, and instruction to improve WE. As for nurses’ tasks, such as education about the CS and the noise work, educating the nurses of the SI is regarded necessary as the demand of the EWs is considered. With respect to the unique tasks of IH, such as WE management and instructions for wearing PPE, among several other tasks of IH, training should be provided for improved IH recognition.

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

Cited by 5 publications

References 11 publications

Factors Associated with General Health Screening Participation among Married Immigrant Women in Korea

Factors Associated with General Health Screening Participation among Married Immigrant Women in Korea

Employment conditions and use of gastric cancer screening services in Korea: a nationwide survey

The roles of doctors, nurses, and industrial hygienists in the healthcare management services in Korea: a comparison of the opinions of specialized health management institutions and entrusted enterprises

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