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. 2021 May:194:36-41.
doi: 10.1016/j.puhe.2021.02.023. Epub 2021 Apr 13.

Factors associated with postponed health checkups during the COVID-19 pandemic in Germany

A Hajek  1 , F De Bock  2 , B Kretzler  3 , H-H König  4
Affiliations

Factors associated with postponed health checkups during the COVID-19 pandemic in Germany

A Hajek et al. Public Health. 2021 May.

Abstract

Objectives: The COVID-19 pandemic has serious social, economic and health consequences. Particularly in these times, it is important to maintain individual health. Therefore, it is important to take part in routine health checkups. Consequently, our objective was to describe the frequency and to identify the determinants of postponed routine health checkups.

Study design: Cross-sectional data from the nationally representative online-survey "COVID-19 Snapshot Monitoring in Germany (COSMO)" was used (wave 17; July 2020).

Methods: In sum, 974 individuals were included in our analytical sample (average age was 45.9 years, SD: 16.5, 18-74 years). Postponed routine health checkups (yes or no) since March 2020 due to the COVID-19 pandemic were assessed.

Results: More than 16% of the individuals reported postponed routine health checkups in the past few months due to the COVID-19 pandemic. Particularly, individuals aged 30-49 years had postponed health checkups (21%). The probability of postponed health checkups was positively associated with the presence of chronic diseases (odds ratio [OR]: 1.68, 95% confidence interval [CI]: 1.15-2.47), higher affect regarding COVID-19 (OR: 1.44, 95%-CI: 1.16-1.78), and higher presumed severity of COVID-19 (OR: 1.17, 95%-CI: 1.01-1.35), whereas the outcome measure was not associated with socioeconomic factors. Data showed that a sizeable part (about one of six individuals) of the population reported postponed routine health checkups due to the COVID-19 pandemic between March and July 2020.

Conclusions: Postponed checkups should not be neglected during the COVID-19 pandemic. Individuals at risk for postponed health checkups should be appropriately addressed.

Keywords: COVID-19; Coronavirus; General medical examination; Preventive health examination; Routine health checkups; Screening.

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Fig. 1
Postponed routine health checkups.
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References

    1. Si S., Moss J.R., Sullivan T.R., Newton S.S., Stocks N.P. Effectiveness of general practice-based health checks: a systematic review and meta-analysis. Br J Gen Pract. 2014;64:e47–e53. - PMC - PubMed
    1. Deutsche Gesellschaft für Innere Medizin (DGIM) 2018. Check-up 35 Untersuchung – eine Diskussion.http://www.dgim.de/fileadmin/user_upload/PDF/Publikationen/DGIM_check_20... Available from:
    1. Hajek A., Bock J.-O., König H.-H. The use of routine health check-ups and psychological factors—a neglected link. Evidence from a population-based study. J Publ Health. 2018;26:137–144.
    1. Hajek A. The role of self-efficacy, self-esteem and optimism for using routine health check-ups in a population-based sample. A longitudinal perspective. Prev Med. 2017;105:47–51. - PubMed
    1. Hoebel J., Starker A., Jordan S., Richter M., Lampert T. Determinants of health check attendance in adults: findings from the cross-sectional German Health Update (GEDA) study. BMC Publ Health. 2014;14:1. - PMC - PubMed