区域人口减少和韩国成年人健康查的普及:使用多层次回归分析进行全国性研究
Wonjeong Jeong1, Woorim Kim2,3, Kyu-Tae Han3
1Cancer Knowledge and Information Center, National Cancer Control Institute, National Cancer Center, Goyang, Republic of Korea.
Frontiers in public health
|May 12, 2025
概括
韩国地区人口规模的下降与健康查的减少有关. 这凸显了需要以人口为基础的政策,以解决区域差异,以确保平等获得至关重要的卫生服务.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 健康查对于早期发现和管理健康状况至关重要.
- 韩国面临人口结构的变化和区域差异,增加了可访问的健康查的重要性.
- 了解影响查普及的因素对于公共卫生政策至关重要.
研究的目的:
- 调查区域人口规模变化与韩国成年人健康查参与之间的关联.
- 分析人口变化如何影响获得一般医疗和癌症查的机会.
主要方法:
- 利用了2021年韩国社区健康调查 (KCHS) 中182,437名成年人的数据.
- 综合区域人口规模,老龄化指数和财务独立数据 (2012-2022 KOSIS).
- 在层次逻辑回归分析中采用了通用线性混合效应模型.
主要成果:
- 区域人口规模的减少与接受一般健康查的几率较低显著相关 (OR 0.85;95% CI 0.83-0.88).
- 在癌症查中也发现了类似的显著关联 (OR 0.87;95% CI 0.85-0.90).
- 稳定人口规模的地区也显示出相似的趋势,表明影响更广泛.
结论:
- 地区人口减少与韩国减少的健康查率有很大关系.
- 公共卫生政策必须考虑到区域特点,以促进公平的查机会.
- 应对人口变化对于维持有效的人口健康战略至关重要.
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