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ORIGINAL RESEARCH article

Front. Public Health
Sec. Aging and Public Health
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1500018
This article is part of the Research Topic Public Health Outcomes: The Role of Social Security Systems in Improving Residents' Health Welfare View all 6 articles

Utilisation of preventative health checkup services in China among middle-aged and elderly population: evidence from China's 28 provinces

Provisionally accepted
Shen Jingyu Shen Jingyu 1,2Weiji Fang Weiji Fang 1,2*Yating Zhu Yating Zhu 3,4Shen Jingyu Shen Jingyu 1,2*Yanhua Zhu Yanhua Zhu 1,2*Yanling Tao Yanling Tao 2*
  • 1 Center Operating Room, Longgang Central Hospital of Shenzhen, Shenzhen, China
  • 2 Nurse department, Longgang Central Hospital Of Shenzhen, Shenzhen, China
  • 3 Human Resources Department, Zhuhai People's Hospital Medical Group, Zhuhai, China
  • 4 Medical Sciences Division, Macau University of Science and Technolog, Macau, China

The final, formatted version of the article will be published soon.

    Research 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 elderly 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.The study uses data from the 2020 CHARLS survey, including 17,200 participants aged 45 and older. Results: Approximately 47.3% of middle-aged and elderly 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.There are significant urban-rural disparities in the utilization of health checkup services among middle-aged and elderly people in China. Future health policies should prioritize rural areas and disadvantaged groups to improve equity and accessibility of health services. Keywords: health checkup services ; Public Health; middle-aged and elderly population.Globally, healthcare systems face mounting challenges due to aging populations and the rising prevalence of chronic diseases. The proportion of people aged 65 and older is expected to double by 2050, while non-communicable diseases (NCDs), such as cardiovascular diseases, diabetes, and cancers, have become the leading causes of death worldwide [1]. This shift in disease burden is closely tied to changes in health risk factors. Traditional risks, such as environmental and occupational hazards, are increasingly being replaced by modern risks related to lifestyle and metabolism,

    Keywords: health checkup services, Public Health, Middle-aged, elderly population, utilisation

    Received: 22 Sep 2024; Accepted: 31 Jan 2025.

    Copyright: © 2025 Jingyu, Fang, Zhu, Jingyu, Zhu and Tao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Weiji Fang, Center Operating Room, Longgang Central Hospital of Shenzhen, Shenzhen, China
    Shen Jingyu, Center Operating Room, Longgang Central Hospital of Shenzhen, Shenzhen, China
    Yanhua Zhu, Center Operating Room, Longgang Central Hospital of Shenzhen, Shenzhen, China
    Yanling Tao, Nurse department, Longgang Central Hospital Of Shenzhen, Shenzhen, China

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