IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i11p6813-d830492.html
   My bibliography  Save this article

Retention in Community Health Screening among Taiwanese Adults: A 9-Year Prospective Cohort Study

Author

Listed:
  • Huan-Cheng Chang

    (Division of Family Medicine, Department of Community Medicine, Landseed International Hospital, Taoyuan 324609, Taiwan)

  • Ting-Huan Chang

    (Department of Medical Education, Research and Quality Management, Landseed International Hospital, Taoyuan 324609, Taiwan)

  • Hsiao-Yen Kang

    (Division of Family Medicine, Department of Community Medicine, Landseed International Hospital, Taoyuan 324609, Taiwan)

  • Yu-Wei Chen

    (Department of Neurology, Landseed International Hospital, Taoyuan 324609, Taiwan)

  • Sheng-Pyng Chen

    (Division of Family Medicine, Department of Community Medicine, Landseed International Hospital, Taoyuan 324609, Taiwan)

  • Mei-Chin Wang

    (Community Health Development Center, Department of Community Medicine, Landseed International Hospital, Taoyuan 324609, Taiwan)

  • Jersey Liang

    (Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI 48109-2029, USA)

Abstract

Largely conducted in Western developed nations, research on community health screening has mainly been of limited duration. This study aims to ascertain the predictors of retention in a community health screening program, involving multiple admission cohorts over a 9-year period in Taiwan. Retention is defined as the participation in subsequent waves of health screening after being recruited for an initial screening. Data came from a prospective cohort study, named “Landseed Integrated Outreaching Neighborhood Screening (LIONS)”, in Taiwan. This research retrieved 5901 community-dwelling Taiwanese adults aged 30 and over from LIONS and examined their retention in three follow-ups during 2006–2014. Generalized estimating equations were employed to evaluate retention over time as a function of social determinants, health behaviors, and health conditions. Being middle-aged, higher education, and regular exercise were positively associated with retention. Conversely, smoking, betel-nut chewing, psychiatric disorder, hypertension, type 2 diabetes mellitus, stroke, and a longer time interval since enrollment were negatively associated with retention. Furthermore, retention rates varied substantially across admission cohorts with more recent cohorts having a lower rate of retention (aOR = 0.33–0.83). Greater attention needs to be directed to retention over time and variations across admission cohorts. Additionally, those who are in either younger or older age groups and have chronic diseases or unhealthy behaviors should be targeted with greater efforts.

Suggested Citation

  • Huan-Cheng Chang & Ting-Huan Chang & Hsiao-Yen Kang & Yu-Wei Chen & Sheng-Pyng Chen & Mei-Chin Wang & Jersey Liang, 2022. "Retention in Community Health Screening among Taiwanese Adults: A 9-Year Prospective Cohort Study," IJERPH, MDPI, vol. 19(11), pages 1-13, June.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:11:p:6813-:d:830492
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/11/6813/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/11/6813/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Merzel, C. & D'Afflitti, J., 2003. "Reconsidering community-based health promotion: Promise, performance, and potential," American Journal of Public Health, American Public Health Association, vol. 93(4), pages 557-574.
    2. Jinhee Jeong & Yunhee Lee & Sung Hee Kwon & Jun-Pyo Myong, 2019. "Factors Associated with General Health Screening Participation among Married Immigrant Women in Korea," IJERPH, MDPI, vol. 16(20), pages 1-9, October.
    3. Shih-Ying Chien & Ming-Chuen Chuang & I-Ping Chen, 2020. "Why People Do Not Attend Health Screenings: Factors That Influence Willingness to Participate in Health Screenings for Chronic Diseases," IJERPH, MDPI, vol. 17(10), pages 1-13, May.
    4. Kruk, M.E. & Nigenda, G. & Knaul, F.M., 2015. "Redesigning primary care to tackle the global epidemic of noncommunicable disease," American Journal of Public Health, American Public Health Association, vol. 105(3), pages 431-437.
    5. Bloom, David E. & Chen, Simiao & Kuhn, Michael & McGovern, Mark E. & Oxley, Les & Prettner, Klaus, 2020. "The economic burden of chronic diseases: Estimates and projections for China, Japan, and South Korea," The Journal of the Economics of Ageing, Elsevier, vol. 17(C).
    6. Kuller, L.H. & Merzel, C.R., 2003. "On reconsidering community-based health promotion [3] (multiple letters)," American Journal of Public Health, American Public Health Association, vol. 93(8), pages 1201-1202.
    7. Du Feng & Merril Silverstein & Roseann Giarrusso & John J. McArdle & Vern L. Bengtson, 2006. "Attrition of Older Adults in Longitudinal Surveys: Detection and Correction of Sample Selection Bias Using Multigenerational Data," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 61(6), pages 323-328.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Kristie L. Ebi, 2011. "Resilience to the Health Risks of Extreme Weather Events in a Changing Climate in the United States," IJERPH, MDPI, vol. 8(12), pages 1-14, December.
    2. Mariano Kanamori & Mario De La Rosa & Cho-Hee Shrader & Cesar Munayco & Susanne Doblecki-Lewis & Guillermo Prado & Steven Safren & Mary Jo Trepka & Kayo Fujimoto, 2019. "Progreso en Salud: Findings from Two Adapted Social Network HIV Risk Reduction Interventions for Latina Seasonal Workers," IJERPH, MDPI, vol. 16(22), pages 1-13, November.
    3. Reid, Kaydian S. & Sekhobo, Jackson P. & Gantner, Leigh A. & Holbrook, MaryEllen K. & Allsopp, Marie & Whalen, Linda B. & Koren-Roth, Amy, 2018. "A mixed-method evaluation of the New York State Eat Well Play Hard Community Projects: Building local capacity for sustainable childhood obesity prevention," Evaluation and Program Planning, Elsevier, vol. 67(C), pages 79-88.
    4. Andrew Osehi Enaifoghe & Cotties Toyin Adetiba, 2019. "Understanding Dynamic Engagement of Community in Local Governance, Enhancing Grassroots Development in South Africa," Journal of Social and Development Sciences, AMH International, vol. 10(1), pages 22-32.
    5. Chen, Simiao & Prettner, Klaus & Kuhn, Michael & Bloom, David E., 2021. "The economic burden of COVID-19 in the United States: Estimates and projections under an infection-based herd immunity approach," The Journal of the Economics of Ageing, Elsevier, vol. 20(C).
    6. Bloom, David E. & Chen, Simiao & Kuhn, Michael & McGovern, Mark E. & Oxley, Les & Prettner, Klaus, 2020. "The economic burden of chronic diseases: Estimates and projections for China, Japan, and South Korea," The Journal of the Economics of Ageing, Elsevier, vol. 17(C).
    7. Katz, Jason & Wandersman, Abraham & Goodman, Robert M. & Griffin, Sarah & Wilson, Dawn K. & Schillaci, Michael, 2013. "Updating the FORECAST formative evaluation approach and some implications for ameliorating theory failure, implementation failure, and evaluation failure," Evaluation and Program Planning, Elsevier, vol. 39(C), pages 42-50.
    8. Pape Yona Boubacar Mane & Abdoulaye Diagne & Yao thibaut Kpegli, 2019. "Modeling the Macroeconomic Effects of Disease: Extension and Application in the context of Senegal," Economics Bulletin, AccessEcon, vol. 39(4), pages 2904-2912.
    9. Colleen M. Fisher & Michael G. Lee & Mary E. Boudreau, 2014. "Using Mixed-Method Assessment to Advance Adolescent HIV Prevention," Clinical Nursing Research, , vol. 23(5), pages 490-513, October.
    10. Tilman Brand & Claudia R. Pischke & Berit Steenbock & Johanna Schoenbach & Saskia Poettgen & Florence Samkange-Zeeb & Hajo Zeeb, 2014. "What Works in Community-Based Interventions Promoting Physical Activity and Healthy Eating? A Review of Reviews," IJERPH, MDPI, vol. 11(6), pages 1-23, May.
    11. Agatha Ravi Vidiasratri & Peter A. Bath, 2022. "Association between Internet Usage and Quality of Life of Elderly People in England: Evidence from the English Longitudinal Study of Ageing (ELSA)," IJERPH, MDPI, vol. 19(23), pages 1-11, November.
    12. David E. Bloom & Michael Kuhn & Klaus Prettner, 2022. "Modern Infectious Diseases: Macroeconomic Impacts and Policy Responses," Journal of Economic Literature, American Economic Association, vol. 60(1), pages 85-131, March.
    13. Chin Yi Chan & Shaanthana Subramaniam & Kok-Yong Chin & Soelaiman Ima-Nirwana & Norliza Muhammad & Ahmad Fairus & Pei Yuen Ng & Jamil Nor Aini & Noorazah Abd Aziz & Norazlina Mohamed, 2022. "Effect of a Screening and Education Programme on Knowledge, Beliefs, and Practices Regarding Osteoporosis among Malaysians," IJERPH, MDPI, vol. 19(10), pages 1-16, May.
    14. Vermeulen, Lisa & Schäfer, Willemijn & Pavlic, Danica Rotar & Groenewegen, Peter, 2018. "Community orientation of general practitioners in 34 countries," Health Policy, Elsevier, vol. 122(10), pages 1070-1077.
    15. Andrej Belak & Zuzana Dankulincova Veselska & Andrea Madarasova Geckova & Jitse P. van Dijk & Sijmen A. Reijneveld, 2017. "How Well Do Health-Mediation Programs Address the Determinants of the Poor Health Status of Roma? A Longitudinal Case Study," IJERPH, MDPI, vol. 14(12), pages 1-18, December.
    16. Chung-Chih Lin & Pang-Hsiang Yu & Jin-Kwan Lin, 2022. "Prompts for the Future to Live Healthier: A Study of Cognition and Motivation for Healthy Behaviors," IJERPH, MDPI, vol. 19(11), pages 1-10, May.
    17. Kyunghwan Jung & Younglae Choi, 2023. "Factors Influencing Physical Activity and Exercise in Older Adults during COVID-19 in South Korea," Sustainability, MDPI, vol. 15(9), pages 1-20, May.
    18. Kostova, Deliana & Nugent, Rachel & Richter, Patricia, 2021. "Noncommunicable disease outcomes and the effects of vertical and horizontal health aid," Economics & Human Biology, Elsevier, vol. 41(C).
    19. Smylie, Janet & Kirst, Maritt & McShane, Kelly & Firestone, Michelle & Wolfe, Sara & O'Campo, Patricia, 2016. "Understanding the role of Indigenous community participation in Indigenous prenatal and infant-toddler health promotion programs in Canada: A realist review," Social Science & Medicine, Elsevier, vol. 150(C), pages 128-143.
    20. Simiao Chen & David E Bloom, 2019. "The macroeconomic burden of noncommunicable diseases associated with air pollution in China," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-14, April.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:11:p:6813-:d:830492. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.