ISSN 2146-8346
 

Original Research 


Socioeconomic inequalities in utilisation of preventive health services in relation to cardiovascular disease and diabetes

Jianzhen Zhang, Brian F Oldenburg.

Cited by (2)

Abstract
ABSTRACT
Background
Substantial evidence suggests an inverse relation between all-cause mortality and indicators of socioeconomic position (SEP). However, while lower SEP groups are more likely to use medical services due to their increased morbidity, research suggests they are less likely to use preventive health services. National and international research indicates that, despite the increasing use of different types of preventive health services, significant SEP-related disparities remain. This study examines the relationship between SEP and the utilisation of preventive health services provided by general practitioners (GPs) for cardiovascular disease (CVD) and diabetes in Australia.

Methods
A self-administered mailed questionnaire survey from 518 participants aged 25-64 years was conducted in Brisbane, Australia, in November 2004. SEP was measured by education and family income levels. Using multivariable analysis, rates of preventive check-ups for blood pressure (BP), blood cholesterol (BC) and blood glucose (BG), and for the presence of CVD and/or diabetes were compared by SEP group.

Results
People from a lower educational background (p<0.05, 95%CI: 1.11–3.39) and lower income families (p<0.05, 95 %CI: 1.26–4.24) were twice as likely to report having CVD and/or diabetes. However, lower income respondents were 2.6 times less likely to have had their BC checked (p<0.05, 95% CI: 0.16-0.89) and those with lower education were half as likely to have had their BC checked (p<0.05, 95% CI: 0.26-0.94). Respondents with a lower education were nearly half as likely to have had their BG checked (p<0.05, 95% CI: 0.28-0.97).

Conclusions
Some important SEP differences were identified in self-reported utilisation of GP preventive health services in relation to CVD and diabetes. Regular check-ups for lower SEP groups should be incorporated into GP consultations in primary health care settings.

Key words: Socioeconomic position; cardiovascular disease; diabetes; health service utilisation; blood pressure check-up; blood cholesterol check-up; blood glucose check-up.


 
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How to Cite this Article
Pubmed Style

Zhang J, Oldenburg BF. Socioeconomic inequalities in utilisation of preventive health services in relation to cardiovascular disease and diabetes. J Behav Health. 2014; 3(2): 87-94. doi:10.5455/jbh.20140310053242


Web Style

Zhang J, Oldenburg BF. Socioeconomic inequalities in utilisation of preventive health services in relation to cardiovascular disease and diabetes. http://www.jbehavioralhealth.com/?mno=153751 [Access: September 21, 2018]. doi:10.5455/jbh.20140310053242


AMA (American Medical Association) Style

Zhang J, Oldenburg BF. Socioeconomic inequalities in utilisation of preventive health services in relation to cardiovascular disease and diabetes. J Behav Health. 2014; 3(2): 87-94. doi:10.5455/jbh.20140310053242



Vancouver/ICMJE Style

Zhang J, Oldenburg BF. Socioeconomic inequalities in utilisation of preventive health services in relation to cardiovascular disease and diabetes. J Behav Health. (2014), [cited September 21, 2018]; 3(2): 87-94. doi:10.5455/jbh.20140310053242



Harvard Style

Zhang, J. & Oldenburg, B. F. (2014) Socioeconomic inequalities in utilisation of preventive health services in relation to cardiovascular disease and diabetes. J Behav Health, 3 (2), 87-94. doi:10.5455/jbh.20140310053242



Turabian Style

Zhang, Jianzhen, and Brian F Oldenburg. 2014. Socioeconomic inequalities in utilisation of preventive health services in relation to cardiovascular disease and diabetes. Journal of Behavioral Health, 3 (2), 87-94. doi:10.5455/jbh.20140310053242



Chicago Style

Zhang, Jianzhen, and Brian F Oldenburg. "Socioeconomic inequalities in utilisation of preventive health services in relation to cardiovascular disease and diabetes." Journal of Behavioral Health 3 (2014), 87-94. doi:10.5455/jbh.20140310053242



MLA (The Modern Language Association) Style

Zhang, Jianzhen, and Brian F Oldenburg. "Socioeconomic inequalities in utilisation of preventive health services in relation to cardiovascular disease and diabetes." Journal of Behavioral Health 3.2 (2014), 87-94. Print. doi:10.5455/jbh.20140310053242



APA (American Psychological Association) Style

Zhang, J. & Oldenburg, B. F. (2014) Socioeconomic inequalities in utilisation of preventive health services in relation to cardiovascular disease and diabetes. Journal of Behavioral Health, 3 (2), 87-94. doi:10.5455/jbh.20140310053242





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