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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: Cheah, Yong Kang, Meltzer, David
Format: Article
Language:English
Published: Springer US 2020
Subjects:
H Social Sciences (General)
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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spelling my.uum.repo.274922020-09-20T08:13:56Z http://repo.uum.edu.my/27492/ Ethnic differences in participation in medical check-ups among the elderly: Evidence from Malaysia Cheah, Yong Kang Meltzer, David H Social Sciences (General) 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. Springer US 2020 Article PeerReviewed application/pdf en http://repo.uum.edu.my/27492/1/JGIM%2035%209%202020%202680%202686.pdf Cheah, Yong Kang and Meltzer, David (2020) Ethnic differences in participation in medical check-ups among the elderly: Evidence from Malaysia. Journal of General Internal Medicine, 35 (9). pp. 2680-2686. ISSN 0884-8734 http://doi.org/10.1007/s11606-020-05766-6 doi:10.1007/s11606-020-05766-6
institution Universiti Utara Malaysia
building UUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Utara Malaysia
content_source UUM Institutional Repository
url_provider http://repo.uum.edu.my/
language English
topic H Social Sciences (General)
spellingShingle H Social Sciences (General)
Cheah, Yong Kang
Meltzer, David
Ethnic differences in participation in medical check-ups among the elderly: Evidence from Malaysia
description 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.
format Article
author Cheah, Yong Kang
Meltzer, David
author_facet Cheah, Yong Kang
Meltzer, David
author_sort Cheah, Yong Kang
title Ethnic differences in participation in medical check-ups among the elderly: Evidence from Malaysia
title_short Ethnic differences in participation in medical check-ups among the elderly: Evidence from Malaysia
title_full Ethnic differences in participation in medical check-ups among the elderly: Evidence from Malaysia
title_fullStr Ethnic differences in participation in medical check-ups among the elderly: Evidence from Malaysia
title_full_unstemmed Ethnic differences in participation in medical check-ups among the elderly: Evidence from Malaysia
title_sort ethnic differences in participation in medical check-ups among the elderly: evidence from malaysia
publisher Springer US
publishDate 2020
url 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
_version_ 1678594992834084864
score 13.211869

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