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Neighborhood Deprivation Is Strongly Associated with Participation in a Population-Based Health Check

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  • Anne Mette Bender
  • Ichiro Kawachi
  • Torben Jørgensen
  • Charlotta Pisinger

Abstract

Background: We sought to examine whether neighborhood deprivation is associated with participation in a large population-based health check. Such analyses will help answer the question whether health checks, which are designed to meet the needs of residents in deprived neighborhoods, may increase participation and prove to be more effective in preventing disease. In Europe, no study has previously looked at the association between neighborhood deprivation and participation in a population-based health check. Methods: The study population comprised 12,768 persons invited for a health check including screening for ischemic heart disease and lifestyle counseling. The study population was randomly drawn from a population of 179,097 persons living in 73 neighborhoods in Denmark. Data on neighborhood deprivation (percentage with basic education, with low income and not in work) and individual socioeconomic position were retrieved from national administrative registers. Multilevel regression analyses with log links and binary distributions were conducted to obtain relative risks, intraclass correlation coefficients and proportional change in variance. Results: Large differences between neighborhoods existed in both deprivation levels and neighborhood health check participation rate (mean 53%; range 35-84%). In multilevel analyses adjusted for age and sex, higher levels of all three indicators of neighborhood deprivation and a deprivation score were associated with lower participation in a dose-response fashion. Persons living in the most deprived neighborhoods had up to 37% decreased probability of participating compared to those living in the least deprived neighborhoods. Inclusion of individual socioeconomic position in the model attenuated the neighborhood deprivation coefficients, but all except for income deprivation remained statistically significant. Conclusion: Neighborhood deprivation was associated with participation in a population-based health check in a dose-response manner, in which increasing neighborhood deprivation was associated with decreasing participation. This suggests the need to develop preventive health checks tailored to deprived neighborhoods.

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  • Anne Mette Bender & Ichiro Kawachi & Torben Jørgensen & Charlotta Pisinger, 2015. "Neighborhood Deprivation Is Strongly Associated with Participation in a Population-Based Health Check," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-10, June.
    • Handle: RePEc:plo:pone00:0129819
    DOI: 10.1371/journal.pone.0129819
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    References listed on IDEAS

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    1. Abirami Srivarathan & Rikke Lund & Ulla Christensen & Maria Kristiansen, 2020. "Social Relations, Community Engagement and Potentials: A Qualitative Study Exploring Resident Engagement in a Community-Based Health Promotion Intervention in a Deprived Social Housing Area," IJERPH, MDPI, vol. 17(7), pages 1-18, March.
    2. Nadja Kabisch & Dagmar Haase & Matilda Annerstedt van den Bosch, 2016. "Adding Natural Areas to Social Indicators of Intra-Urban Health Inequalities among Children: A Case Study from Berlin, Germany," IJERPH, MDPI, vol. 13(8), pages 1-20, August.
    3. Alice Blukacz & Báltica Cabieses & Alexandra Obach & Alejandra Carreño Calderón & María Inés Álvarez & Paula Madrid & Isabel Rada, 2023. "Promoting the Participation of “Hard-to-Reach” Migrant Populations in Qualitative Public Health Research during the COVID-19 Pandemic in Chile," IJERPH, MDPI, vol. 20(3), pages 1-17, January.
    4. Xinjun Li & Jan Sundquist & Tsuyoshi Hamano & Kristina Sundquist, 2019. "Neighborhood Deprivation and Risks of Autoimmune Disorders: A National Cohort Study in Sweden," IJERPH, MDPI, vol. 16(20), pages 1-14, October.
    5. Tadao Ooka & Yuka Akiyama & Ryoji Shinohara & Hiroshi Yokomichi & Zentaro Yamagata, 2019. "Individual and Regional Characteristics Associated with Maternal Smoking During Pregnancy in Japan: Healthy Parents and Children 21," IJERPH, MDPI, vol. 17(1), pages 1-20, December.
    6. Jakobsen, Andreas Lindegaard & Lund, Rolf Lyneborg, 2022. "Neighborhood social context and suicide mortality: A multilevel register-based 5-year follow-up study of 2.7 million individuals," Social Science & Medicine, Elsevier, vol. 311(C).
    7. Marianne Rasmussen & Eva Kanstrup Poulsen & Anne Stoffersen Rytter & Tine Mechlenborg Kristiansen & Carsten Kronborg Bak, 2016. "Experiences with Recruitment of Marginalized Groups in a Danish Health Promotion Program: A Document Evaluation Study," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-13, June.

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