Effectiveness of workers' general health examination in Korea by health examination period and compliance: retrospective cohort study using nationwide data
Annals of Occupational and Environmental Medicine
;
: 2-2017.
Article
in English
| WPRIM
| ID: wpr-52120
ABSTRACT
BACKGROUND:
Our study evaluated the effectiveness of the Workers' General Health Examination by health examination period and compliance.METHODS:
A retrospective cohort of the health examination participants in 2006 (baseline year N = 6,527,045) was used. We identified newly occurring cardio-cerebrovascular disease over 7 years (from 2007 to 2013). After stratification by age, sex, and national health insurance type, we identified 7 years' cumulative incidence of cardio-cerebrovascular disease by health examination compliance and estimated its relative risk by health examination period and compliance.RESULTS:
The compliant group presented a lower cumulative incidence of cardio-cerebrovascular disease than the non-compliant group; this result was consistent across sex, working age (40s and 50s), and workplace policyholder. Relative risk of cardio-cerebrovascular disease by health examination period (1 and 2 years) showed statistically significant results in ischemic heart disease for male participants. Of men in their 40s, office workers (over a 2-year period) presented statistically higher relative risk of ischemic heart disease than non-office workers (over a 1-year period 1.03; 95% confidence interval, 1.02–1.03). However, there were no consistent results in ischemic cerebrovascular disease and hemorrhagic cerebrovascular disease for men or cardio-cerebrovascular disease for women.CONCLUSION:
A 1-year period of Workers' General Health Examinations in non-office workers had a more significant prevention effect on ischemic heart disease than a 2-year period in office workers among working age (40s–50s) men. It is, however, necessary to consider that prevention of cardio-cerebrovascular disease can be partially explained by their occupational characteristics rather than by health examination period.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Cerebrovascular Disorders
/
Incidence
/
Retrospective Studies
/
Cohort Studies
/
Myocardial Ischemia
/
Compliance
/
Korea
/
National Health Programs
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
/
Male
Country/Region as subject:
Asia
Language:
English
Journal:
Annals of Occupational and Environmental Medicine
Year:
2017
Type:
Article
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