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https://doi.org/10.1016/j.ypmed.2011.05.005
Title: | The effect of neighborhood, socioeconomic status and a community-based program on multi-disease health screening in an Asian population: A controlled intervention study | Authors: | Wee, L.E. Koh, G.C.H. |
Keywords: | Colorectal cancer Diabetes mellitus Health screening Hyperlipidemia Hypertension Multi-disease Socioeconomic status |
Issue Date: | Jul-2011 | Citation: | Wee, L.E., Koh, G.C.H. (2011-07). The effect of neighborhood, socioeconomic status and a community-based program on multi-disease health screening in an Asian population: A controlled intervention study. Preventive Medicine 53 (1-2) : 64-69. ScholarBank@NUS Repository. https://doi.org/10.1016/j.ypmed.2011.05.005 | Abstract: | Objectives: We studied whether individual socioeconomic and neighborhood factors such as living in a poor community independently affected health screening participation. Methods: We studied 3 blocks of public-rental flats (the poorer neighborhood) adjacent to 3 blocks of owner-occupied public housing (the better-off neighborhood) in a precinct in Taman Jurong, Singapore. Demographic details and reasons for not having regular hypertension, diabetes mellitus, hyperlipidemia and colorectal cancer screening were collected from 2009 to 2010. An access-enhancing intervention was implemented in both neighborhoods to raise health screening rates. Results: Participation rates for rental flats and owner-occupied flats were 89.0% (356/400) and 70.2% (351/500) respectively. Living in a better-off neighborhood was independently associated with diabetes mellitus (66% vs. 35%, adjusted odds ratio (AOR) = 2.12, p < 0.01), hyperlipidemia (53% vs. 26%, AOR = 4.34, p < 0.01) and colorectal cancer screening (17% vs. 6%, AOR = 15.43, p < 0.01), as were individual socioeconomic factors such as employment, need for financial aid and household income. Uptake of all screening modalities significantly increased in the poorer neighborhood post-intervention (all p < 0.05). Cost was cited more commonly as a barrier to health screening in the poorer neighborhood. Conclusion: Differing neighborhoods within one geographical location, as well as individual socioeconomic factors, were independently associated with differences in health screening. © 2011 Elsevier Inc. | Source Title: | Preventive Medicine | URI: | http://scholarbank.nus.edu.sg/handle/10635/108570 | ISSN: | 00917435 | DOI: | 10.1016/j.ypmed.2011.05.005 |
Appears in Collections: | Staff Publications |
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