Please use this identifier to cite or link to this item: https://doi.org/10.1017/s1463423619000318
Title: ASSOCIATION BETWEEN ACCESS TO HEALTH-PROMOTING FACILITIES AND PARTICIPATION IN CARDIOVASCULAR DISEASE (CVD) RISK SCREENING AMONG POPULATIONS WITH LOW SOCIOECONOMIC STATUS (SES) IN SINGAPORE
Authors: Lim, KK
Lim, C
Kwan, YH
Tay, HY
Ostbye, T 
Chan, SY 
Fong, W 
Tan, CS 
Low, LL 
Keywords: Social Sciences
Science & Technology
Life Sciences & Biomedicine
Economics
Health Care Sciences & Services
Health Policy & Services
Business & Economics
Issue Date: 1-May-2017
Publisher: ELSEVIER SCIENCE INC
Citation: Lim, KK, Lim, C, Kwan, YH, Tay, HY, Ostbye, T, Chan, SY, Fong, W, Tan, CS, Low, LL (2017-05-01). ASSOCIATION BETWEEN ACCESS TO HEALTH-PROMOTING FACILITIES AND PARTICIPATION IN CARDIOVASCULAR DISEASE (CVD) RISK SCREENING AMONG POPULATIONS WITH LOW SOCIOECONOMIC STATUS (SES) IN SINGAPORE. ISPOR 22nd Annual International Meeting 20 (5) : A381-A382. ScholarBank@NUS Repository. https://doi.org/10.1017/s1463423619000318
Abstract: Abstract Background: Low socioeconomic status (SES) is a barrier for cardiovascular disease (CVD) risk screening and a determinant of poor CVD outcomes. This study examined the associations between access to health-promoting facilities and participation in a CVD risk screening program among populations with low SES residing in public rental flats in Singapore. Methods: Data from Health Mapping Exercises conducted from 2013 to 2015 were obtained, and screening participation rates of 66 blocks were calculated. Negative binomial regression was used to test for associations between distances to four nearest facilities (i.e., subsidized private clinics, healthy eateries, public polyclinics, and parks) and block participation rate in CVD screening. We also investigated potential heterogeneity in the association across regions with an interaction term between distance to each facility and region. Results: The analysis consisted of 2069 participants. The associations were only evident in the North/North-East region for subsidized private clinic and park. Specifically, increasing distance to the nearest subsidized private clinic and park was significantly associated with lower [incidence rate ratio (IRR) = 0.88, 95% confidence interval (CI): 0.80–0.98] and higher (IRR = 1.93, 95%CI: 1.15–3.25) screening participation rates respectively. Conclusions: Our findings could potentially inform the planning of future door-to-door screenings in urban settings for optimal prioritization of resources. To increase participation rates in low SES populations, accessibility to subsidized private clinics and parks in a high population density region should be considered.
Source Title: ISPOR 22nd Annual International Meeting
URI: https://scholarbank.nus.edu.sg/handle/10635/156116
ISSN: 1098-3015
1524-4733
DOI: 10.1017/s1463423619000318
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