Background
Methods
Setting and study design
Development of the non-participation questionnaire
Question on reasons for non-participation
Patient and public involvement
Analysis
Register information
Statistical analyses
Results
Characteristics of non-participants compared to participants
Characteristics of responders and non-responders to the non-participation questionnaire
Respon-ders | Non-respon-ders | Total number of non-partici-pants | Mis-sing, n (%) | Logistic regression | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Crude | Adjustedb | |||||||||
n (%) | 93 (3.8) | 2369 (96.2) | 2462 (100) | OR | 95% Cl | p | OR | 95% Cl | p | |
10-year age groups, n (%) | 0 (0.0) | |||||||||
29–39 years | 17 (18.3) | 804 (33.9) | 821 (33.4) | 1 | ||||||
40–49 years | 34 (36.6) | 892 (37.7) | 926 (37.6) | 1.80 | 1.00–3.25 | 0.05 | ||||
50–60 years | 42 (45.2) | 673 (28.4) | 715 (29.0) | 2.95 | 1.66–5.23 | < .001 | ||||
Gender, n (%) | 0 (0.0) | |||||||||
Female | 58 (58.1) | 1112 (46.9) | 1166 (47.4) | 1 | ||||||
Male | 39 (41.9) | 1257 (53.1) | 1296 (52.6) | 0.64 | 0.42–0.97 | 0.036 | ||||
Country of origin, n (%) | 15 (0.6) | |||||||||
Denmark | 84 (90.3) | 2050 (87.1) | 2134 (87.2) | 1 | 1 | |||||
Western | < 5 | 99 (4.2) | 101 (4.1) | 0.49 | 0.12–2.03 | 0.33 | 0.55 | 0.13–2.26 | 0.40 | |
Non-western | 7 (7.5) | 205 (8.7) | 212 (8.7) | 0.83 | 0.38–1.83 | 0.65 | 0.92 | 0.42–2.03 | 0.84 | |
Highest educational attainment, n (%) | 106 (4.3) | |||||||||
Highschool, vocational education, higher education, higher education—master level | 73 (82.0) | 1799 (79.4) | 1872 (79.5) | 1 | 1 | |||||
Secondary school | 16 (18.0) | 468 (20.6) | 484 (20.5) | 0.84 | 0.49–1.46 | 0.54 | 0.83 | 0.48–1.45 | 0.52 | |
Employment status, n (%) | 13 (0.5) | |||||||||
Unemployed/ on benefits, social welfare recipients or othera | 27 (29.0) | 508 (21.6) | 535 (21.9) | 1 | 1 | |||||
Employed, self-employed | 66 (71.0) | 1848 (78.4) | 1914 (78.2) | 0.67 | 0.42–1.06 | 0.09 | 0.70 | 0.44–1.11 | 0.13 | |
Family income, n (%) | 15 (0.6) | |||||||||
> Lowest quartile | 72 (77.4) | 1633 (69.3) | 1705 (69.7) | 1 | 1 | |||||
Lowest quartile | 21 (22.6) | 721 (30.6) | 742 (30.3) | 0.66 | 0.40–1.08 | 0.10 | 0.75 | 0.45–1.24 | 0.26 |
Reasons for non-participation
Reported reasons for non-participation
I do not want to participate in the study because … (n(%)) | Men (n = 37) | Women (n = 47) | Total (n = 84) |
---|---|---|---|
Time constraints | 13 (35.1) | 12 (25.5) | 25 (29.8) |
I do not have time to participate | 13 (35.1) | 12 (25.5) | 25 (29.8) |
No perceived need for a health check | 18 (48.7) | 28 (59.6) | 46(54.8) |
I already have a healthy lifestyle | 7 (18.9) | 17 (36.2) | 24 (28.6) |
I feel healthy | 10 (27) | 10 (21.3) | 20 (23.8) |
I get regularly health checks at my GP | 7 (18.9) | 9 (19.2) | 16 (19.1) |
I can change my lifestyle if I feel the need for it | 6 (16.2) | 9 (19.2) | 15 (17.9) |
I think I am too young to get something out of a health check | 0 (0) | 0 (0) | 0 (0) |
I think I am too old to get something out of a health check | 0 (0) | 0 (0) | 0 (0) |
Unclarity of the program | 8 (21.6) | 9 (19.2) | 17 (20.2) |
It is unclear for me what the intervention is about | 8 (21.6) | 9 (19.2) | 17 (20.2) |
Privacy concerns | 10 (27) | 8 (17) | 18 (21.4) |
I do not wish that information from my journal at my own GP will be given to this intervention | 5 (13.5) | 7 (14.9) | 12 (14.3) |
I am afraid others will get access to the results e.g. insurance companies | NS | NS | 9 (10.7) |
Do not want to know results/fear of bad results | 10 (27) | 10 (21.3) | 20 (23.8) |
Participation in this intervention will make me unnecessarily nervous | 5 (13.5) | 6 (12.8) | 11 (13.1) |
I do not want to know my risk of developing a lifestyle-related disease | 6 (16.2) | 5 (10.6) | 11 (13.1) |
I am afraid the results of a health check will be negative | NS | NS | < 5 |
Do not want to participate because of the program/parts of the program | 9 (24.3) | 13 (27.7) | 22 (26.2) |
I do not believe the intervention can help me get a healthier lifestyle | NS | NS | 10 (11.9) |
I do not like when others interfere with my lifestyle | NS | NS | 9 (10.7) |
I do not want to change my lifestyle | NS | NS | 7 (8.3) |
I do not want to get medicine if that is what my GP recommends | NS | NS | < 5 |
Already in treatment | NS | NS | 8 (9.5) |
I am already in treatment for a lifestyle-related disease | NS | NS | 8 (9.5) |
Perceived need for health check, health behavior, and BMI
No perceived need for a health check (n (%)) | Other reasons for non-participation (n (%)) | Total (n (%)) | Missing (n (%)) | |
---|---|---|---|---|
46 (54.8) | 38 (45.2) | 84 (100) | ||
Current smoker, n (%) | 10 (21.7) | 10 (26.3) | 20 (23.8) | 2 (2.4) |
Unhealthy diet, n (%) | 5 (10.9) | 8 (21.1) | 13 (15.5) | 2 (2.4) |
Sedentary lifestyle, n (%) | 6 (13) | 8 (21.1) | 14 (16.7) | 2 (2.4) |
High-risk alcohol intake, n (%) | 0 (0) | 0 (0) | 0 (0) | 2 (2.4) |
BMI (kg/m2) ≥ 35, (%) | 2 (4.4) | 7 (18.4) | 9 (10.7) | 3 (3.6) |
Fair or poor self-rated health, n (%) | 4 (8.7) | 7 (18.4) | 11 (13.1) | 3 (3.6) |
Number of patients with one or more health risk behaviorsa, n (%) | 21 (45.7) | 24 (63.2) | 45 (53.6) |