What are the determinants for individuals to undergo cardiovascular disease health checks? A cross sectional survey

Cheong, Ai Theng; Khoo, Ee Ming; Liew, Su May; Chinna, Karuthan

doi:10.1371/journal.pone.0201931

Cited by 4 publications

(6 citation statements)

References 24 publications

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“…This was a sub-analysis of a larger study that examined factors influencing individuals' intention to undergo CVD health checks. The detailed method of this study was published elsewhere [20] and is summarized in brief here.…”

Section: Methodsmentioning

confidence: 99%

“…Where k was the number of independent variables (9 factors were examined in this study) and P was the proportions of intention to undergo CVD health check. The P was estimated from the intention to undergo for CVD health check reported as 83.7% [20]. Thus, the estimated sample size required was 108 for men and women respectively.…”

Section: Study Design and Data Collectionmentioning

confidence: 99%

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Gender differences in factors influencing intention to undergo cardiovascular disease health checks: A cross-sectional survey

et al. 2020

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Background Undergo a health check for cardiovascular disease (CVD) is an important strategy to improve cardiovascular (CV) health. Men are reported to be less likely to undergo cardiovascular disease (CVD) health check than women. Gender difference could be one of the factors influencing health seeking behaviour of men and women. We aimed to identify gender differences in factors influencing the intention to undergo CVD health checks. Methods This was a cross-sectional survey using mall intercept interviews. Malaysians aged �30 years without known CVD were recruited. They were asked for their intention to undergo CVD health checks and associated factors. The factors included seven internal factors that were related to individuals' attitude, perception and preparedness for CVD health checks and two external factors that were related to external resources. Hierarchical ordinal regression analysis was used to evaluate the importance of the factors on intention to undergo CVD health checks, for men and women separately. Results 397 participants were recruited, 60% were women. For men, internal factors explained 31.6% of the variances in likeliness and 9.6% of the timeline to undergo CVD health checks, with 1.2% and 1.8% added respectively when external factors were sequentially included. For women, internal factors explained 18.9% and 22.1% of the variances, with 3.1% and 4.2% added with inclusion of the external factors. In men, perceived drawbacks of health checks was a significant negative factor associated with likeliness to undergo CVD health checks (coefficient =-1.093; 95%CI:-1.592 to-0.594), and timeline for checks (coefficient =-0.533; 95%CI:-0.975 to-0.091). In women, readiness to handle outcomes following health

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Section: Methodsmentioning

confidence: 99%

Section: Study Design and Data Collectionmentioning

confidence: 99%

Gender differences in factors influencing intention to undergo cardiovascular disease health checks: A cross-sectional survey

et al. 2020

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“…Lack of medical supplies and equipment were also identified to be a major barrier to the prevention and management of CVDs in the province. This ranged from the lack of basic diagnostic equipment for check-ups to essential medication for the management of CVDs across the selected health facilities [20]. Logistical challenges in healthcare provision seems to be a systemic problem in South Africa.…”

Section: Barriers Of Cvd Prevention and Managementmentioning

confidence: 99%

Facilitators and barriers in prevention of cardiovascular disease in Limpopo, South Africa: a qualitative study conducted with primary health care managers

Douglas

Kgatla

Sodi

et al. 2021

BMC Cardiovasc Disord

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Background In the Southern African countries, cardiovascular disease burden is increasing and the second most prevalent cause of death after infectious diseases. The sustainable primary prevention of cardiovascular disease is associated with the engagement of facilitators that support it and hindered by barriers that undermine the support of a healthy lifestyle at the community level. The purpose of the study was to investigate facilitators and barriers at the level of primary health care facilities, on prevention of cardiovascular disease in Limpopo Province of South Africa. Methods This study is an exploratory and descriptive qualitative design, where open-ended key informant interviews were conducted among 20 primary health care managers conveniently sampled in their respective health care facilities. Coding and analysis were done using the thematic analysis method with the assistance of Atlas ti qualitative software. Results Various facilitators for the prevention of CVD were identified in this study. One of such facilitators is the availability and adherence to CVD treatment guidelines in the district. Other facilitators included top-down health education programme; collaboration with schools, traditional and religious leaders; the use of modern technology; and a structured healthcare system. Barriers were also identified as poor infrastructural development; shortage of medical supplies and equipment; lack of health promotion activities; shortage of nurses and other health care personnel; and poor accessibility to primary health care services. Conclusion This study has identified barriers and facilitators that may be harnessed to improve cardiovascular disease prevention, care, and management in a rural setting in South Africa. The facilitators should be strengthened, and barriers identified redressed. Trial registration number: REC-0310111-031.

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“…Our findings imply the need to improve the accessibility and quality of the services parallel to the increasing demand for HLCs. However, the implementation of such measures will be challenged by the availability of human resources and health financing issues in low and middle-income countries [ 35 ]. Literature shows that community-based intervention could improve public screening participation in low and middle-income countries [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, there was inconsistent evidence on perceived susceptibility to NCDs as a predictor of screening utilisation. Some literature showed higher perceived susceptibility as a more robust predictor [34] while other findings did not support that claim [35][36][37]. However, one intervention conducted in the United States reported that individuals utilised screening services more after their risk perception improved [38].…”

Section: Plos Onementioning

confidence: 99%

Under-utilisation of noncommunicable disease screening and healthy lifestyle promotion centres: A cross-sectional study from Sri Lanka

Herath,

Perera,

Kasturiratne

2024

PLoS ONE

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Background Healthy Lifestyle Centres (HLCs) are state-owned, free-of-charge facilities that screen for major noncommunicable disease risks and promote healthy lifestyles among adults older than 35 years in Sri Lanka. The key challenge to their effectiveness is their underutilisation. This study aimed to describe the underutilisation and determine the factors associated, as a precedent of a bigger project that designed and implemented an intervention for its improvement. Methods Data derived from a community-based cross-sectional study conducted among 1727 adults (aged 35 to 65 years) recruited using a multi-stage cluster sampling method from two districts (Gampaha and Kalutara) in Sri Lanka. A prior qualitative study was used to identify potential factors to develop the questionnaire which is published separately. Data were obtained using an interviewer-administered questionnaire and analysed using inferential statistics. Results Forty-two percent (n = 726, 95% CI: 39.7–44.4) had a satisfactory level of awareness on HLCs even though utilisation was only 11.3% (n = 195, 95% CI: 9.80–12.8). Utilisation was significantly associated with 14 factors. The five factors with the highest Odds Ratios (OR) were perceiving screening as useful (OR = 10.2, 95% CI: 4.04–23.4), perceiving as susceptible to NCDs (OR = 6.78, 95% CI: 2.79–16.42) and the presence of peer support for screening and a healthy lifestyle (OR = 3.12, 95% CI: 1.54–6.34), belonging to the second (OR = 3.69, 95% CI: 1.53–8.89) and third lowest (OR = 2.84, 95% CI: 1.02–7.94) household income categories and a higher level of knowledge on HLCs (OR = 1.31, 95% CI: 1.24–1.38). When considering non-utilisation, being a male (OR = 0.18, 95% CI: 0.05–0.52), belonging to an extended family (OR = 0.43, 95% CI: 0.21–0.88), residing within 1–2 km (OR = 0.29, 95% CI: 0.14–0.63) or more than 3 km of the HLC (OR = 0.14, 95% CI: 0.04–0.53), having a higher self-assessed health score (OR = 0.97, 95% CI: 0.95–0.99) and low perceived accessibility to HLCs (OR = 0.12, 95% CI: 0.04–0.36) were significantly associated. Conclusion In conclusion, underutilisation of HLCs is a result of multiple factors operating at different levels. Therefore, interventions aiming to improve HLC utilisation should be complex and multifaceted designs based on these factors rather than merely improving knowledge.

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What are the determinants for individuals to undergo cardiovascular disease health checks? A cross sectional survey

Cited by 4 publications

References 24 publications

Gender differences in factors influencing intention to undergo cardiovascular disease health checks: A cross-sectional survey

Gender differences in factors influencing intention to undergo cardiovascular disease health checks: A cross-sectional survey

Facilitators and barriers in prevention of cardiovascular disease in Limpopo, South Africa: a qualitative study conducted with primary health care managers

Under-utilisation of noncommunicable disease screening and healthy lifestyle promotion centres: A cross-sectional study from Sri Lanka

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