Factors Associated with Refraining from Health Checkups during the COVID-19 Pandemic in Japan

Author:

Ito Naoko1ORCID,Sugimori Hiroki1ORCID,Odajima Takeshi2ORCID,Yoshimura Naohito3ORCID,Muto Shigeki4,Hirao Maki5ORCID,Ninohei Mika1ORCID,Nakayama Takeo6ORCID

Affiliation:

1. Department of Nursing, Faculty of Sports and Health Science, Daito Bunka University, Saitama 355-8501, Japan

2. Japanese Red Cross Kanto-Koshinetsu Block Blood Center, Tokyo 153-0053, Japan

3. Department of Nursing, Faculty of Nursing, Iryo Sosei University, Iwaki 970-8551, Japan

4. Seirei Social Welfare Community’s Health Care Division, Hamamatsu 430-0906, Japan

5. Department of Health Science, Faculty of Sports and Health Science, Daito Bunka University, Saitama 355-8501, Japan

6. Department of Health Informatics, School of Public Health, Kyoto University, Kyoto 606-8501, Japan

Abstract

This study aimed to determine the characteristics of people who refrained from having regular checkups due to the spread of the novel coronavirus 2019 (COVID-19) infection and the factors associated with this behavior. We conducted a nationwide internet survey of 4593 males and females aged 20–69 in Japan regarding their health checkups from April 2020 to March 2021, when COVID-19 was widespread. Individuals who received checkups during this time were “the receiving group”; those who did not were “the refraining group”. Personal attributes, responses to a health questionnaire and other items were used to compare the groups. The analysis showed that males over 53 refrained from having health checkups compared to those younger. On the other hand, males with higher personal incomes who never skipped breakfast received health checkups. Females with children under 18 years were less likely than those without to receive health checkups. For males, the characteristic factors were economic and health awareness and literacy. Females were less aware of medical checkups. Moreover, they demonstrated an inability to maintain an everyday rhythm. No factors were common to males and females, indicating the need to consider separate strategies for encouraging males and females to obtain annual health checkups.

Funder

Health Labour Sciences Research Grant of the Ministry of Health Labor and Welfare

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

Reference23 articles.

1. OECD (2023, August 06). OECD Reviews of Public Health: Japan, Chapter3. Health Check-Ups in Japan. Available online: https://www.oecd-ilibrary.org/sites/9789264311602-7-en/index.html?itemId=/content/component/9789264311602-7-en.

2. Ministry of Health, Labour and Welfare (2023, August 06). About Specific Health Checkups and Specific Health Guidance. Available online: https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000161103.html.

3. Digital Agency (2023, August 06). e-Gov Japan. Available online: https://elaws.e-gov.go.jp/document?lawid=347AC0000000057&openerCode=1l.

4. Ministry of Health, Labour and Welfare (2023, August 06). Prevention of COVID-19. Available online: https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000121431_00094.html.

5. Igarashi, A. (2023, August 22). A Web-Based Survey to Understand the Actual Situation of the Inhibition of Medical Checkups for Coronary Disasters from the Viewpoint of Patients, Health and Labor Sciences Research Grants (Appropriate Operation and Attendance of Health Check-Ups in the COVID-19 Era with ‘New Lifestyle’), Sub-Contributed Report 2021. Available online: https://mhlw-grants.niph.go.jp/system/files/report_pdf/202109042A-buntan5_1.pdf.

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