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Cited by 28Health Promotion and Cardiovascular PreventionPublic Health and NutritionGlobal Health and Epidemiology

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Participation in community-based healthcare interventions and non-communicable diseases early detection of general population in Indonesia

Open access
Sujarwoto, Maharani, Asri·2022·SSM - Population Health
DOI 10.1016/j.ssmph.2022.101236PMC PMC9513697
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Abstract

Background: Community-based Healthcare Interventions (CBHIs) are regarded as a critical component of healthcare task-sharing in LMICs and have the potential to address LMICs' health system weaknesses to improve NCDs prevention care. This study aims to investigate the relationship between participation in CBHIs and NCDs early detection at medical facilities among Indonesians. Methods: Data come from the fifth Indonesian Family Life Survey (2014-2015), a total of 27,692 individuals (14,820 female and 12,872 male individuals age 15 and older). Multiple ordered logistics and logistics regression was used to assess the association between individual participation in CBHI and early detection of NCDs at medical facilities. Findings: Participation in CBHIs are associated with higher odds of having regular blood pressure test (adjusted odds ratio [OR], 3.09; 95% confidence interval [CI], 2.67-3.58), cholesterol test (adjusted OR, 1.88; 95% CI, 1.60-2.22), blood glucose test (adjusted OR, 1.88; 95% CI, 1.58-2.23), electrocardiogram (adjusted OR, 1.37; 95% CI, 1.06-1.76) and basic dental examination (adjusted OR, 1.32; 95% CI, 1.09-1.60) at medical facilities. The odds of having pap smears (adjusted OR, 2.20; 95% CI, 1.62-2.98) and breast self-examination (adjusted OR, 1.73; 95% CI, 1.37-2.19) among females who participated in CBHIs are substantially larger than those who did not participate in CBHIs. No significant association is shown for the basic vision examination (adjusted OR, 1.14; 95% CI, 0.95-1.37), while the association of participation in CBHIs on prostate cancer checkup (adjusted OR, 0.18; 95% CI, 0.04-0.76) was negative and significant. The results were controlled with a wide range of predisposing, enabling and need factors for NCDs early detection. Conclusion: and recommendation: CBHIs may benefit NCDs early detection for the general population in Indonesia. Policymakers and health practitioners need to design CBHIs programs that are attractive to the population, especially men and younger people.

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Fig. 1 Original number of IFLS 2014, excluded individuals, and final number of respondents included for the analysis.
Fig. 1 Original number of IFLS 2014, excluded individuals, and final number of respondents included for the analysis.CC BY · PubMed Central
Fig. 2 Multiple ordered logistic regression results of participation in CBHI and early CVDs detection.
Fig. 2 Multiple ordered logistic regression results of participation in CBHI and early CVDs detection.CC BY · PubMed Central

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Citations

Cites

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Metadata

Authors
Sujarwoto, & Maharani, A.
Affiliations
Manchester Metropolitan University (GB)
ORCID
Maharani, Asri
Venue
SSM - Population Health
Publisher
Elsevier BV
Published
2022-09
Volume
19
Pages
101236
ISSN
2352-8273 (ISSN-L)
DOI
10.1016/j.ssmph.2022.101236
PMC
PMC9513697
OpenAlex
W4297895637
Cited by
28
References
2
Citations by year
2026: 3 · 2025: 17 · 2024: 6 · 2023: 2
FWCI
5.52
Type
journal article
Language
en
Open access
Licence
Locations
  • SSM - Population Health (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (publishedVersion, cc-by)
  • e-space (Manchester Metropolitan University) (acceptedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Direktorat Jenderal Pendidikan Tinggi
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Public Health and Nutrition
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Epidemiology
Keywords
non-communicable diseases, early detection, health care utilization, blood pressure screening, cholesterol screening, blood glucose screening, electrocardiogram, dental examination, Pap smear, breast self-examination, prostate cancer screening, vision screening, task sharing, low- and middle-income countries, Indonesia, health system weaknesses, health education

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