Using general practitioners to recruit individuals with low socioeconomic position to preventive health checks is feasible: a cross sectional study
Creators: name: Kamstrup-Larsen, Nina
name: Dalton, Susanne Oksbjerg
name: Broholm-Jørgensen, Marie
name: Larsen, Lars Bruun
name: Thomsen, Janus Laust
name: Johansen, Christoffer
name: Tolstrup, Janne Schurmann
Publisher: name: Taylor & Francis
Year: 2019
Subjects: subject: Medicine
subject: Biotechnology
subject: Science Policy
subject: 69999 Biological Sciences not elsewhere classified
subject: FOS: Biological sciences
subject: FOS: Biological sciences
subject: Cancer
subject: 111714 Mental Health
subject: FOS: Health sciences
subject: FOS: Health sciences
subject: 110309 Infectious Diseases

description: <b>Objective:</b> To test whether demographic and health-related characteristics are associated with non-attendance of preventive health checks offered to individuals with low levels of education using proactive recruitment by the general practitioners. <b>Design:</b> A cross-sectional study. <b>Setting:</b> 32 general practice clinics in Copenhagen, Denmark. <b>Subjects:</b> A total of 549 individuals aged 45–64, with low levels of education, enrolled in the intervention group of a randomised controlled trial on preventive health checks offered by general practitioner. <b>Main outcome measures:</b> Non-attendance of the preventive health checks. <b>Methods:</b> (i) Descriptive characteristics of attendees and non-attendees and (ii) crude and adjusted multi-level logistic regression to examine associations of individual characteristics with non-attendance of preventive health checks. <b>Results:</b> Overall, 33% did not attend the prescheduled preventive health checks at their general practitioners. Non-attendees were more likely to live without a partner, be of non-Western origin, be daily smokers, have poor self-rated health, have higher pulmonary symptoms score, have increased level of stress, have low levels of self-efficacy, have metabolic risk factors or non-communicable diseases and have had no contact with their general practitioner within the past year. <b>Conclusion:</b> The findings suggest that, it is feasible to use general practitioners for recruiting individuals for preventive health checks. However, even in a trial targeting individuals with low levels of education, there are differences between attendees and non-attendees, with a more adverse health behaviour profile and worse health status observed among the non-attendees.KEY POINTSCurrent awareness• Non-attendance of preventive health checks offered to the general population is associated with low socioeconomic position and adverse health behaviours.Main statements• It is feasible to use general practitioners proactively in recruitment to preventive health checks offered to individuals with low socioeconomic positions.• In a trial targeting individuals with low levels of education, there were differences between attendees and non-attendees.• Non-attendance was associated with daily smoking, poor self-rated health, high stress and no contact with the general practitioner within the last year. Current awareness • Non-attendance of preventive health checks offered to the general population is associated with low socioeconomic position and adverse health behaviours. Main statements • It is feasible to use general practitioners proactively in recruitment to preventive health checks offered to individuals with low socioeconomic positions. • In a trial targeting individuals with low levels of education, there were differences between attendees and non-attendees. • Non-attendance was associated with daily smoking, poor self-rated health, high stress and no contact with the general practitioner within the last year. <b>Trial registration:</b>ClinicalTrials.gov identifier: NCT01979107.