Utilization of preventative health checkup services in China among middle-aged and older adult population: evidence from China’s 28 provinces

IntroductionResearch on the utilization of outpatient and inpatient medical and health services for residents and the factors influencing them is well established, however, there are fewer relevant studies analyzing the utilization of preventive health check-up services for middle-aged and older adu...

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Main Authors: Jingyu Shen, Weiji Fang, Yating Zhu, Chunli Ye, Yanhua Zhu, Yanling Tao
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1500018/full
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author Jingyu Shen
Jingyu Shen
Weiji Fang
Weiji Fang
Yating Zhu
Yating Zhu
Chunli Ye
Chunli Ye
Yanhua Zhu
Yanhua Zhu
Yanling Tao
Yanling Tao
author_facet Jingyu Shen
Jingyu Shen
Weiji Fang
Weiji Fang
Yating Zhu
Yating Zhu
Chunli Ye
Chunli Ye
Yanhua Zhu
Yanhua Zhu
Yanling Tao
Yanling Tao
author_sort Jingyu Shen
collection DOAJ
description IntroductionResearch on the utilization of outpatient and inpatient medical and health services for residents and the factors influencing them is well established, however, there are fewer relevant studies analyzing the utilization of preventive health check-up services for middle-aged and older adult people in China. In this study, we hope to understand the utilization of preventive health care services and identify the factors that influence such utilization, thereby providing insights for health policy and resource allocation.MethodsThe study uses data from the 2020 CHARLS survey, including 17,200 participants aged 45 and older.ResultsApproximately 47.3% of middle-aged and older adult individuals had at least one health checkup. Utilization was significantly influenced by age, area of residence, education level, social insurance, health insurance, personal income, presence of chronic diseases, and life satisfaction. Older adults, urban residents, and individuals with higher income or chronic conditions were more likely to utilize health checkup services.ConclusionThere are significant urban–rural disparities in the utilization of health checkup services among middle-aged and older adult people in China. Future health policies should prioritize rural areas and disadvantaged groups to improve equity and accessibility of health services.
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institution Kabale University
issn 2296-2565
language English
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publisher Frontiers Media S.A.
record_format Article
series Frontiers in Public Health
spelling doaj-art-ecaafaf742124c2b96dfdd4d9501977d2025-02-12T07:25:27ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-02-011310.3389/fpubh.2025.15000181500018Utilization of preventative health checkup services in China among middle-aged and older adult population: evidence from China’s 28 provincesJingyu Shen0Jingyu Shen1Weiji Fang2Weiji Fang3Yating Zhu4Yating Zhu5Chunli Ye6Chunli Ye7Yanhua Zhu8Yanhua Zhu9Yanling Tao10Yanling Tao11Center Operating Room, Longgang Central Hospital, Shenzhen, ChinaNurse Department, Longgang Central Hospital, Shenzhen, ChinaCenter Operating Room, Longgang Central Hospital, Shenzhen, ChinaNurse Department, Longgang Central Hospital, Shenzhen, ChinaHuman Resources Department, Zhuhai People’s Hospital (The Affiliated Hospital of Beijing Institute of Technology, Zhuhai Clinical Medical College of Jinan University), Zhuhai, ChinaMedical Sciences Division, Macau University of Science and Technology, Macau, Macao SAR, ChinaCenter Operating Room, Longgang Central Hospital, Shenzhen, ChinaNurse Department, Longgang Central Hospital, Shenzhen, ChinaCenter Operating Room, Longgang Central Hospital, Shenzhen, ChinaNurse Department, Longgang Central Hospital, Shenzhen, ChinaCenter Operating Room, Longgang Central Hospital, Shenzhen, ChinaNurse Department, Longgang Central Hospital, Shenzhen, ChinaIntroductionResearch on the utilization of outpatient and inpatient medical and health services for residents and the factors influencing them is well established, however, there are fewer relevant studies analyzing the utilization of preventive health check-up services for middle-aged and older adult people in China. In this study, we hope to understand the utilization of preventive health care services and identify the factors that influence such utilization, thereby providing insights for health policy and resource allocation.MethodsThe study uses data from the 2020 CHARLS survey, including 17,200 participants aged 45 and older.ResultsApproximately 47.3% of middle-aged and older adult individuals had at least one health checkup. Utilization was significantly influenced by age, area of residence, education level, social insurance, health insurance, personal income, presence of chronic diseases, and life satisfaction. Older adults, urban residents, and individuals with higher income or chronic conditions were more likely to utilize health checkup services.ConclusionThere are significant urban–rural disparities in the utilization of health checkup services among middle-aged and older adult people in China. Future health policies should prioritize rural areas and disadvantaged groups to improve equity and accessibility of health services.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1500018/fullhealth checkup servicespublic healthmiddle-agedolder adult populationutilization
spellingShingle Jingyu Shen
Jingyu Shen
Weiji Fang
Weiji Fang
Yating Zhu
Yating Zhu
Chunli Ye
Chunli Ye
Yanhua Zhu
Yanhua Zhu
Yanling Tao
Yanling Tao
Utilization of preventative health checkup services in China among middle-aged and older adult population: evidence from China’s 28 provinces
Frontiers in Public Health
health checkup services
public health
middle-aged
older adult population
utilization
title Utilization of preventative health checkup services in China among middle-aged and older adult population: evidence from China’s 28 provinces
title_full Utilization of preventative health checkup services in China among middle-aged and older adult population: evidence from China’s 28 provinces
title_fullStr Utilization of preventative health checkup services in China among middle-aged and older adult population: evidence from China’s 28 provinces
title_full_unstemmed Utilization of preventative health checkup services in China among middle-aged and older adult population: evidence from China’s 28 provinces
title_short Utilization of preventative health checkup services in China among middle-aged and older adult population: evidence from China’s 28 provinces
title_sort utilization of preventative health checkup services in china among middle aged and older adult population evidence from china s 28 provinces
topic health checkup services
public health
middle-aged
older adult population
utilization
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1500018/full
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