Retention in Community Health Screening among Taiwanese Adults: A 9-Year Prospective Cohort Study

Huan-Cheng Chang, Ting-Huan Chang, Hsiao-Yen Kang, Yu-Wei Chen, Sheng-Pyng Chen, Mei-Chin Wang and Jersey Liang
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Huan-Cheng Chang: Division of Family Medicine, Department of Community Medicine, Landseed International Hospital, Taoyuan 324609, Taiwan
Ting-Huan Chang: Department of Medical Education, Research and Quality Management, Landseed International Hospital, Taoyuan 324609, Taiwan
Hsiao-Yen Kang: Division of Family Medicine, Department of Community Medicine, Landseed International Hospital, Taoyuan 324609, Taiwan
Yu-Wei Chen: Department of Neurology, Landseed International Hospital, Taoyuan 324609, Taiwan
Sheng-Pyng Chen: Division of Family Medicine, Department of Community Medicine, Landseed International Hospital, Taoyuan 324609, Taiwan
Mei-Chin Wang: Community Health Development Center, Department of Community Medicine, Landseed International Hospital, Taoyuan 324609, Taiwan
Jersey Liang: Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI 48109-2029, USA

IJERPH, 2022, vol. 19, issue 11, 1-13

Abstract: Largely conducted in Western developed nations, research on community health screening has mainly been of limited duration. This study aims to ascertain the predictors of retention in a community health screening program, involving multiple admission cohorts over a 9-year period in Taiwan. Retention is defined as the participation in subsequent waves of health screening after being recruited for an initial screening. Data came from a prospective cohort study, named “Landseed Integrated Outreaching Neighborhood Screening (LIONS)”, in Taiwan. This research retrieved 5901 community-dwelling Taiwanese adults aged 30 and over from LIONS and examined their retention in three follow-ups during 2006–2014. Generalized estimating equations were employed to evaluate retention over time as a function of social determinants, health behaviors, and health conditions. Being middle-aged, higher education, and regular exercise were positively associated with retention. Conversely, smoking, betel-nut chewing, psychiatric disorder, hypertension, type 2 diabetes mellitus, stroke, and a longer time interval since enrollment were negatively associated with retention. Furthermore, retention rates varied substantially across admission cohorts with more recent cohorts having a lower rate of retention (aOR = 0.33–0.83). Greater attention needs to be directed to retention over time and variations across admission cohorts. Additionally, those who are in either younger or older age groups and have chronic diseases or unhealthy behaviors should be targeted with greater efforts.

Keywords: retention; health screening; community; social determinants; cohort study (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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