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Title: Utilisation of preventative health check-ups in the UK: findings from individual-level repeated cross-sectional data from 1992 to 2008
Authors: Labeit, Alexander
Peinemann, F.
Baker, Richard
First Published: 23-Dec-2013
Publisher: BMJ Publishing Group: Open Access
Citation: BMJ Open, 2013, 3 (12), e003387
Abstract: Objectives: To analyse and compare the determinants of screening uptake for different National Health Service (NHS) health check-ups in the UK. Design: Individual-level analysis of repeated cross-sectional surveys with balanced panel data. Setting: The UK. Participants: Individuals taking part in the British Household Panel Survey (BHPS), 1992–2008. Outcome measure: Uptake of NHS health check-ups for cervical cancer screening, breast cancer screening, blood pressure checks, cholesterol tests, dental screening and eyesight tests. Methods: Dynamic panel data models (random effects panel probit with initial conditions). Results: Having had a health check-up 1 year before, and previously in accordance with the recommended schedule, was associated with higher uptake of health check-ups. Individuals who visited a general practitioner (GP) had a significantly higher uptake in 5 of the 6 health check-ups. Uptake was highest in the recommended age group for breast and cervical cancer screening. For all health check-ups, age had a non-linear relationship. Lower self-rated health status was associated with increased uptake of blood pressure checks and cholesterol tests; smoking was associated with decreased uptake of 4 health check-ups. The effects of socioeconomic variables differed for the different health check-ups. Ethnicity did not have a significant influence on any health check-up. Permanent household income had an influence only on eyesight tests and dental screening. Conclusions: Common determinants for having health check-ups are age, screening history and a GP visit. Policy interventions to increase uptake should consider the central role of the GP in promoting screening examinations and in preserving a high level of uptake. Possible economic barriers to access for prevention exist for dental screening and eyesight tests, and could be a target for policy intervention.
DOI Link: 10.1136/bmjopen-2013-003387
eISSN: 2044-6055
Version: Publisher Version
Status: Peer-reviewed
Type: Journal Article
Rights: Copyright © the authors, 2013. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Description: PMCID: PMC3884617
Appears in Collections:Published Articles, Dept. of Health Sciences

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