Ethnic differences in participation in medical check-ups among the elderly: Evidence from Malaysia
BACKGROUND: There were ethnic differences in the prevalence of non-communicable diseases among the elderly in Malaysia. OBJECTIVE: To examine ethnic differences in participation in medical check-ups among the elderly. DESIGN: A nationally representative data set was employed. Multiple logistic regre...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Springer US
2020
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| Subjects: | |
| Online Access: | http://repo.uum.edu.my/27492/1/JGIM%2035%209%202020%202680%202686.pdf http://repo.uum.edu.my/27492/ http://doi.org/10.1007/s11606-020-05766-6 |
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| Summary: | BACKGROUND: There were ethnic differences in the prevalence of non-communicable diseases among the elderly in Malaysia. OBJECTIVE: To examine ethnic differences in participation in medical check-ups among the elderly. DESIGN: A nationally representative data set was employed. Multiple logistic regressions were utilised to examine the relationship between ethnicity and the likelihood of undergoing medical check-ups. The regressions
were stratified by age, income, marital status, gender, household location, insurance access and health status. These variables were also controlled for in the regressions (including stratified regressions). PARTICIPANTS: The respondents were required to be residents of Malaysia and not be institutionalised. Overall, 30,806 individuals were selected to be interviewed, but only 28,650 were actually interviewed, equivalent to a 93% response rate. Of those, only 2248 were used in the analyses, because 26,402 were others or below aged 60.
MAIN MEASURES: The dependent variable was participation in a medical check-up. The main independent variables were the three major ethnic groups in Malaysia (Malay, Chinese, Indian).KEY RESULTS: Among the elderly aged 70–79 years,
Chinese (aOR 1.89; 95% CI 1.28, 2.81) and Indians (aOR 2.39; 95% CI 1.20, 4.74) were more likely to undergo medical check-ups than Malays. Among the elderly with monthly incomes of ≤ RM999, Chinese (aOR 1.44; 95% CI 1.12, 1.85) and Indians (aOR 1.50; 95% CI 0.99, 2.28) were more likely to undergo medical check-ups than Malays. Indian males were more likely to undergo medical
check-ups than Malay males (aOR 2.32; 95% CI 1.15, 4.67). Chinese with hypercholesterolaemia (aOR 1.45; 95% CI 1.07, 1.98) and hypertension (aOR 1.32; 95% CI 1.02, 1.72) were more likely to undergo medical checkups than Malays.
CONCLUSIONS: There were ethnic differences in participation in medical check-ups among the elderly. These ethnic differences varied across age, income, marital status, gender, household location, insurance access and health status. |
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