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
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Angiopathies intracrâniennes
/
Incidence
/
Études rétrospectives
/
Études de cohortes
/
Ischémie myocardique
/
Compliance
/
Corée
/
Programmes nationaux de santé
Type d'étude:
Etude d'étiologie
/
Etude d'incidence
/
Étude observationnelle
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Femelle
/
Humains
/
Mâle
Pays comme sujet:
Asie
langue:
Anglais
Texte intégral:
Annals of Occupational and Environmental Medicine
Année:
2017
Type:
Article
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