Relationship of Attendance Rates for Health Examinations to Voter Turnout for Prefectural Governor and Socioeconomic Factors in 99 Municipalities of Gifu Prefecture, Japan
| Autor: | Atsushi Hioki |
|---|---|
| Rok vydání: | 1996 |
| Předmět: | |
| Zdroj: | Japanese Journal of Health and Human Ecology. 62:75-86 |
| ISSN: | 1882-868X 0368-9395 |
| DOI: | 10.3861/jshhe.62.75 |
| Popis: | This study examined the influence of civic responsibility and demographic characteristics on participation rates for health examination services. Comparisons were made among the cross-sectional data concerning attendance rates for four types of health examinations on the basis of voter turnout for a prefectural governor election and socioeconomic factors in 99 municipalities of Gifu Prefecture, Japan, in fiscal years 1988 and 1992. The percentage of residents who received health examinations provided by local authorities is generally regarded as one of the principal indices for the activity level of health services. The voter turnout for prefectural governor elections was interpreted as an index of civic responsibility. The socioeconomic factors chosen included data on population, industries, economy, vital statistics, health and medical care, and social security. The attendance rates for basic health examinations, tuberculosis screenings and gastric cancer screenings correlated strongly and positively with the voter turnout for prefectural governor elections, although, the rate for uterine cancer screening showed weaker correlation. The attendance rates are generally higher in the smaller municipalities and lower in the larger municipalities. A lower proportion of public debt expense in the municipalities was another determinant of higher attendance rates for health examinations. A higher proportion of elderly people decreased the attendance rates for cancer screening. These results support the hypothesis that attendance at health examinations is influenced chiefly by the civic responsibility of the residents and, to a lesser extent, by socioeconomic factors within the municipalities. Other factors may be important in the attendance rate for uterine cancer screening. The author concluded that the attendance rates for health examinations, as indices for the activitylevel of the services, must be assessed after adjusting for these factors. |
| Databáze: | OpenAIRE |
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