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Screening for Chronic Conditions During Wellness Programs? A Case Study.

M Gabriela Sava1, Bogdan C Bichescu2

  • 1Allen W. and Carol M. Schmidthorst College of Business, Bowling Green State University, Bowling Green, OH, USA.

American Journal of Health Promotion : AJHP
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Wellness program visits effectively screen for chronic conditions like diabetes, high blood pressure, and high cholesterol. Increased age and BMI are associated with higher risks, highlighting the value of these health screenings.

Keywords:
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Area of Science:

  • Public Health
  • Preventive Medicine
  • Health Services Research

Background:

  • Chronic diseases such as diabetes, hypertension, and hyperlipidemia pose significant public health challenges.
  • Early detection and intervention are crucial for managing chronic conditions and improving patient outcomes.
  • Voluntary wellness programs offer a potential platform for opportunistic health screenings.

Purpose of the Study:

  • To evaluate the effectiveness of voluntary wellness program visits as a screening tool for chronic conditions.
  • To identify participant characteristics associated with susceptibility to diabetes, high blood pressure, and high cholesterol.
  • To assess the interrelationships between these chronic conditions.

Main Methods:

  • Observational study utilizing secondary data from 4876 visits (2309 unique participants) at an academic institution (2000-2017).
  • Clinical guidelines were used to define criteria for disease susceptibility.
  • Descriptive statistics and logistic regression analyses were employed to quantify associations.

Main Results:

  • Prevalence of susceptibility: diabetes (17.03%-18.29%), high blood pressure (44.76%-48.27%), high cholesterol (8.97%-7.33%).
  • Increased age and Body Mass Index (BMI) correlated with higher risks for diabetes and high blood pressure; all three risks increased with BMI.
  • Female sex was associated with lower risks of diabetes and high blood pressure; race showed limited association except for high blood pressure.

Conclusions:

  • Wellness program visits serve as effective screening opportunities for identifying individuals at risk for chronic diseases.
  • Findings underscore the potential of workplace wellness programs for early detection and intervention strategies.
  • The positive association between the three conditions suggests a need for comprehensive risk assessment.