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


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-12

AUTHORS

Young Joong Kang, Jong Heun Park, Huisu Eom, Bohwa Choi, Seyoung Lee, Ji-Won Lee, Jun-Pyo Myong

ABSTRACT

BACKGROUND: Health examinations are performed so that diseases can be identified and treated earlier. Several studies have evaluated the determinants of participation in health examinations including cancer screening, but few have evaluated the relationship between the size of the enterprise and their participation in Workers' General Health Examinations (WGHE). The aim of the present study was to estimate the association of WGHE participation with the size of the enterprise and the type of policyholder. METHODS: The eligible population from 2006 through 2013 was extracted from the National Health Insurance Service (NHIS) database. The population size ranged from 14-17 million. After adjustment for age and gender, multiple logistic regression analysis was performed to estimate the odds ratios of participating in the WGHE (by age group) based on the type of policyholder (reference: public officers) and the size of the enterprise (reference: enterprise size ≥300 employees), respectively. RESULTS: Workers employed at enterprises with <50 persons were less likely to participate in WGHEs than those employed at enterprises with ≥300 persons. After policyholders were stratified by type (non-office workers vs. public officers), a disparity in the WGHE participation rate was found between the different types of policyholders at enterprises with <50 employees (reference: those employed at enterprises with ≥300 employees); the odds ratios for subjects in their 40s and 50s were 0.2-0.3 for non-office workers vs. 0.8-2.0 for public officers. CONCLUSION: Workplace policyholders at small enterprises comprised a vulnerable group less likely to participate in WGHEs. Efforts should be made to raise the WGHE participation rate among the vulnerable employees belonging to small enterprises, as well as among their dependents. More... »

PAGES

3

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s40557-017-0159-y

DOI

http://dx.doi.org/10.1186/s40557-017-0159-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1083870225

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28250959


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135 https://www.grid.ac/institutes/grid.454124.2 schema:alternateName National Health Insurance Service
136 schema:name Big Data Steering Department, National Health Insurance Service, 32, Sambo-ro, Wonju-si, Gangwon-do, Republic of Korea
137 rdf:type schema:Organization
 




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