Hyeongsu Kim1, Minjung Lee1, Haejoon Kim2, Kunsei Lee1, Sounghoon Chang3, Vitna Kim1, Jun Pyo Myong4, Soyoun Jeon5. 1. Department of Preventive Medicine, School of Medicine, Konkuk University, Seoul, South Korea. 2. Department of Preventive Medicine, School of Medicine, Korea University, Seoul, South Korea. 3. Department of Preventive Medicine, School of Medicine, Konkuk University, Seoul, South Korea. Electronic address: schang@kku.ac.kr. 4. Department of Preventive Medicine, Center for Occupational and Environmental Medicine, College of Medicine, The Catholic University of Korea, Seoul, South Korea. 5. Department of Emergency Medical Technology, Daejeon Health Sciences College, Daejeon, South Korea.
Abstract
PURPOSE: We investigated the role of individual and community level factors on diabetes screening test behavior. METHODS: We used individual-level data from 170,193 adults aged 30 years or older who were not diagnosed with diabetes and participated in the 2009 community health survey. Community-level data includes 253 communities and were collected from various national statistics. Multilevel logistic regression analysis was conducted. RESULTS: The rate of diabetes screening within the year prior to this study was 53.2%. Community variance of Model I, Model II and Model III was 0.236, 0.252 and 0.238, respectively. The proportional change in variance of Model II and Model III was -6.8% and -1.2%. The odds ratio for participation of diabetic screening of areas with bottom financial independence compared to areas with top was 0.84 (95% confidence interval, 0.74-0.96); the odds ratio of areas with top internist compared to areas with bottom was 1.15 (95% confidence interval, 1.01-1.31). CONCLUSION: This study identified a contextual effect influencing the participation of Korean adults in diabetes screening. It is necessary to develop specific policies that consider not only individual factors, but also community factors relating to individual behaviors to increase the likelihood of diabetes screening.
PURPOSE: We investigated the role of individual and community level factors on diabetes screening test behavior. METHODS: We used individual-level data from 170,193 adults aged 30 years or older who were not diagnosed with diabetes and participated in the 2009 community health survey. Community-level data includes 253 communities and were collected from various national statistics. Multilevel logistic regression analysis was conducted. RESULTS: The rate of diabetes screening within the year prior to this study was 53.2%. Community variance of Model I, Model II and Model III was 0.236, 0.252 and 0.238, respectively. The proportional change in variance of Model II and Model III was -6.8% and -1.2%. The odds ratio for participation of diabetic screening of areas with bottom financial independence compared to areas with top was 0.84 (95% confidence interval, 0.74-0.96); the odds ratio of areas with top internist compared to areas with bottom was 1.15 (95% confidence interval, 1.01-1.31). CONCLUSION: This study identified a contextual effect influencing the participation of Korean adults in diabetes screening. It is necessary to develop specific policies that consider not only individual factors, but also community factors relating to individual behaviors to increase the likelihood of diabetes screening.
Authors: Coralie Gandré; Jeanne Gervaix; Julien Thillard; Jean-Marc Macé; Jean-Luc Roelandt; Karine Chevreul Journal: Int J Environ Res Public Health Date: 2017-03-21 Impact factor: 3.390