Kontakt 2025, 27(1/2025):47-53 | DOI: 10.32725/kont.2024.058

The impact of preventive healthcare on self-rated health status among adults and the elderly in TurkiyeSociální vědy ve zdraví - původní práce

Gökçe Manavgat *, Ayhan Demirci
Toros University, Faculty of Economics, Administrative and Social Sciences, Mersin, Turkiye

Objective: The aim of this study is to examine the sociodemographic factors and the utilization of preventive healthcare services associated with self-rated health status among adults and the elderly in Turkiye.

Methods: We performed statistical tests to evaluate differences in the frequency of preventive health service use, based on perceived health status across various age groups. We utilized multi-level probit regression models to scrutinize the self-rated health status, considering factors associated with sociodemographic variables and the receipt of preventive healthcare among adult groups and the elderly using the Turkiye Health Survey (HS) Micro Dataset (2022).

Results: This study highlights a clear and positive association between self-rated health status and preventive health services, particularly in consultations with general practitioners, blood pressure measurements, and blood sugar tests. Notably, regular utilization of these services within the past year positively influences health status. This relationship is more pronounced with age, especially among young and middle-aged adults. Typically, tobacco and alcohol use have a negative impact on health for each age group, while education level has a positive effect. Additionally, affordability constraints on accessing healthcare services and medication have a clear negative impact.

Conclusion: Subsidizing primary healthcare, screenings, and expanding healthcare services are essential for effective health policy implementation. Policies should focus on subsidizing primary care and screenings to encourage regular check-ups, considering both age and gender.

Klíčová slova: Adults and elders; Health policy; Health services; Preventive healthcare; Self-rated health
Střet zájmů:

All the authors have read and approved the manuscript. The authors, whose names are listed immediately below, certify that they have no affiliations with (or involvement in) any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership; employment; consultancies; stock ownership or other equity interest; expert testimony; patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge, or beliefs) in relation to the subject matter or materials discussed in this manuscript.

Vloženo: 14. srpen 2024; Revidováno: 11. říjen 2024; Přijato: 10. prosinec 2024; Zveřejněno online: 17. prosinec 2024; Zveřejněno: 27. únor 2025  Zobrazit citaci

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Manavgat G, Demirci A. The impact of preventive healthcare on self-rated health status among adults and the elderly in Turkiye. Kontakt. 2025;27(1):47-53. doi: 10.32725/kont.2024.058.
Sdílet...
Stáhnout citaci
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Zobrazit celý článek

    Přílohy

    Stáhnout souborKONT_Manavgat_1481_Suppl-mat.pdf

    Velikost: 88.86 kB

    Reference

    1. AbdulRaheem Y (2023). Unveiling the significance and challenges of integrating prevention levels in healthcare practice. J Prim Care Community Health 14: 21501319231186500. DOI: 10.1177/21501319231186500. Přejít k původnímu zdroji... Přejít na PubMed...
    2. Aboumatar HJ, Carson KA, Beach MC, Roter DL, Cooper LA (2013). The impact of health literacy on desire for participation in healthcare, medical visit communication, and patient reported outcomes among patients with hypertension. J Gen Inter Med 28(11): 1469-1476. DOI: 10.1007/s11606-013-2466-5. Přejít k původnímu zdroji... Přejít na PubMed...
    3. Adams SH, Park MJ, Twietmeyer L, Brindis CD, Irwin CE, Jr. (2019). Young Adult Preventive Healthcare: Changes in Receipt of Care Pre-to Post-Affordable Care Act. J Adolesc Health 64(6): 763-769. DOI: 10.1016/j.jadohealth.2018.12.004. Přejít k původnímu zdroji... Přejít na PubMed...
    4. Başer DA, Kahveci R, Koç M, Kasim İ, Şencan İ, Özkara A (2015). Etkin Sağlik Sistemleri İçin Güçlü Birinci Basamak [Strong primary care for effective health systems]. Ankara Med J 15(1): 26-31. DOI: 10.17098/amj.47853. Přejít k původnímu zdroji...
    5. Boerma T, Hosseinpoor AR, Verdes E, Chatterji S (2016). A global assessment of the gender gap in self-reported health with survey data from 59 countries. BMC Public Health 16: 675. DOI: 10.1186/s12889-016-3352-y. Přejít k původnímu zdroji... Přejít na PubMed...
    6. Brown DW, Giles WH, Greenlund KJ, Croft JB. (2001). Disparities in cholesterol screening: Falling short of a national health objective. Prev Med 33(6): 517-522. DOI: 10.1006/pmed.2001.0928. Přejít k původnímu zdroji... Přejít na PubMed...
    7. Çakir M (2023). Evaluation of Preventive Health Practices in Turkey. Iran J Public Health 52(2): 315-324. DOI: 10.18502/ijph.v52i2.11884. Přejít k původnímu zdroji... Přejít na PubMed...
    8. Coker TR, Sareen HG, Chung PJ, Kennedy DP, Weidmer BA, Schuster MA (2010). Improving access to and utilization of adolescent preventive health care: the perspectives of adolescents and parents. J Adolesc Health 47(2): 133-142. DOI: 10.1016/j.jadohealth.2010.01.005. Přejít k původnímu zdroji... Přejít na PubMed...
    9. Czekierda K, Banik A, Park CL, Luszczynska A (2017). Meaning in life and physical health: systematic review and meta-analysis. Health Psychol Rev 11(4): 387-418. DOI: 10.1080/17437199.2017.1327325. Přejít k původnímu zdroji... Přejít na PubMed...
    10. DeVoe JE, Fryer GE, Phillips R, Green L (2003). Receipt of preventive care among adults: Insurance status and usual source of care. Am J Public Health 93(5): 786-791. DOI: 10.2105/ajph.93.5.786. Přejít k původnímu zdroji... Přejít na PubMed...
    11. Ergin I, Mandiracioglu A (2015). Demographic and socioeconomic inequalities for self-rated health and happiness in elderly: the situation for Turkey regarding World Values Survey between 1990 and 2013. Arch Gerontol Geriatr 61(2): 224-230. DOI: 10.1016/j.archger.2015.06.011. Přejít k původnímu zdroji... Přejít na PubMed...
    12. Eurostat (2023). Preventive health care expenditure statistics. [online] [cit. 2024-01-22]. Available from: https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Preventive_health_care_expenditure_statistics#Preventive_healthcare_in_the_EU_accounted_for_0.37_.25_of_GDP_in_2020
    13. Fernandez DM, Larson JL, Zikmund-Fisher BJ (2016). Associations between health literacy and preventive health behaviors among older adults: findings from the health and retirement study. BMC Public Health 16: 596. DOI: 10.1186/s12889-016-3267-7. Přejít k původnímu zdroji... Přejít na PubMed...
    14. Finkelstein MM (2002). Preventive screening. What factors influence testing? Can Fam Physician 48: 1494-1501.
    15. Fletcher JM, Frisvold DE (2009). Higher education and health investments: does more schooling affect preventive health care use? J Hum Cap 3(2): 144-176. DOI: 10.1086/645090. Přejít k původnímu zdroji... Přejít na PubMed...
    16. Hart PD, Benavidez G, Erickson J (2017). Meeting recommended levels of physical activity in relation to preventive health behavior and health status among adults. J Prev Med Public Health 50(1): 10-17. DOI: 10.3961/jpmph.16.080. Přejít k původnímu zdroji... Přejít na PubMed...
    17. Katz LB, Stewart L, Guthrie B, Cameron H (2020). Patient satisfaction with a new, high accuracy blood glucose meter that provides personalized guidance, insight, andencouragement. J Diabetes Sci Technol 14(2): 318-323. DOI: 10.1177/1932296819867396. Přejít k původnímu zdroji... Přejít na PubMed...
    18. Lau JS, Adams SH, Irwin CE, Jr., Ozer EM (2013). Receipt of preventive health services in young adults. J Adolesc Health 52(1): 42-49. DOI: 10.1016/j.jadohealth.2012.04.017. Přejít k původnímu zdroji... Přejít na PubMed...
    19. Maciosek MV, Coffield AB, Flottemesch TJ, Edwards NM, Solberg LI. (2010). Greater use of preventive services in US health care could save lives at little or no cost. Health Aff 29(9): 1656-1660. DOI: 10.1377/hlthaff.2008.0701. Přejít k původnímu zdroji... Přejít na PubMed...
    20. Manavgat G, Saygili F, Audibert M (2020). Examining the economic burden of out-of-pocket health expenditures for households in different socio-economic groups in Turkey. Sosyoekonomi 28(46): 25-49. DOI: 10.17233/sosyoekonomi.2020.04.02. Přejít k původnímu zdroji...
    21. Marzetti E, Calvani R, Picca A, Sisto A, Tosato M, Martone AM, et al. (2018). Prevalence of dyslipidaemia and awareness of blood cholesterol levels among community-living people: results from the Longevity check-up 7+(Lookup 7+) cross-sectional survey. BMJ Open 8(6): e021627. DOI: 10.1136/bmjopen-2018-021627. Přejít k původnímu zdroji... Přejít na PubMed...
    22. MoH - Ministry of Health Turkiye (2021). Health Statistics Yearbook. [online] [cit. 2024-01-22]. Available from: https://dosyasb.saglik.gov.tr/Eklenti/45317/0/siy2021-ingilizcepdf.pdf
    23. Özcan C, Erdal R (2017). Türkiye'de Birinci Basamak Sağlik Hizmetlerinin Sunumunda Yaşanilan Süreçler. Smyrna Tip Dergisi 7(1): 58-62.
    24. Ozer EM, Urquhart J, Brindis C, Park J, Irwin CE, Jr. (2012). Young adult preventive health guidelines: There but can't be found. Arch Pediatr Adolesc Med 166(3): 240-247. DOI: 10.1001/archpediatrics.2011.794. Přejít k původnímu zdroji... Přejít na PubMed...
    25. Park A, Eckert TL, Zaso MJ, Scott-Sheldon LAJ, Vanable PA, Carey KB, et al. (2017). Associations between health literacy and health behaviors among urban high school students. J Sch Health 87(12): 885-893. DOI: 10.1111/josh.12567. Přejít k původnímu zdroji... Přejít na PubMed...
    26. Rodgers JL, Jones J, Bolleddu SI, Vanthenapalli S, Rodgers LE, Shah K, et al. (2019). Cardiovascular risks associated with gender and aging. J Cardiovasc Dev Dis 6(2): 19. DOI: 10.3390/jcdd6020019. Přejít k původnímu zdroji... Přejít na PubMed...
    27. Simon K, Soni A, Cawley J (2017). The impact of health insurance on preventive care and health behaviors: evidence from the first two years of the ACA Medicaid expansions. J Policy Anal Manage 36(2): 390-417. DOI: 10.1002/pam.21972. Přejít k původnímu zdroji... Přejít na PubMed...
    28. Sözmen K, Baydur H, Simsek H, Ünal B (2012). Decomposing socioeconomic inequalities in self assessed health in Turkiye. Int J Equity Health 11: 73. DOI: 10.1186/1475-9276-11-73. Přejít k původnímu zdroji... Přejít na PubMed...
    29. Ürek D, Karaman S, Bilgin İ, Uğurluoğlu Ö, Işik O (2023). Determinants of Self-Rated Health for Adults in Türkiye. Clin Exp Health Sci 13(2): 279-285. DOI: 10.33808/clinexphealthsci.923476. Přejít k původnímu zdroji...
    30. Wang MJ, Lo YT (2022). Strategies for Improving the Utilization of Preventive Care Services: Application of Importance-Performance Gap Analysis Method. Int J Environ Res Public Health 19(20): 13195. DOI: 10.3390/ijerph192013195. Přejít k původnímu zdroji... Přejít na PubMed...
    31. WHO - World Health Organization (2022). Global report on infection prevention and control. [online] [cit. 2024-01-22]. Available from: https://www.who.int/publications/i/item/9789240051164
    32. Yingwattanakul P, Moschis GP (2017). Life course perspectives on the onset and continuity of preventive healthcare behaviors. J Prim Prev 38(5): 537-550. DOI: 10.1007/s10935-017-0482-7. Přejít k původnímu zdroji... Přejít na PubMed...
    33. Zajacova A, Huzurbazar S, Todd M (2017). Gender and the structure of self-rated health across the adult life span. Soc Sci Med 187: 58-66. DOI: 10.1016/j.socscimed.2017.06.019. Přejít k původnímu zdroji... Přejít na PubMed...
    34. Zhang D, Xu Z, Yang Z, Zhou W, Cheung PMH, Kam-pui Lee E, et al. (2022). Association of meaning in life with preventive healthcare use among Chinese adults: are there age and gender differences? BMC Public Health 22: 2308. DOI: 10.1186/s12889-022-14699-0 Přejít k původnímu zdroji... Přejít na PubMed...
    35. Zhou L, Ju P, Li Y, Liu B, Wang Y, Zhang X, Yin H (2023). Preventive health behaviors among the middle-aged and elderly in China: Does social capital matter? Prev Med Rep 35: 102329. DOI: 10.1016/j.pmedr.2023.102329. Přejít k původnímu zdroji... Přejít na PubMed...

    Tento článek je publikován v režimu tzv. otevřeného přístupu k vědeckým informacím (Open Access), který je distribuován pod licencí Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0), která umožňuje nekomerční distribuci, reprodukci a změny, pokud je původní dílo řádně ocitováno. Není povolena distribuce, reprodukce nebo změna, která není v souladu s podmínkami této licence.


    Zpět na obsah