Appointment Adherence to a City-Wide Cardiovascular Disease Prevention Program: Its Predictors and Outcomes

Jina Choo, Hwa Mi Yang, Sooyeon Park, Mi Suk Park, Yoo Mi Park, Do Sun Lim

Research output: Contribution to journalArticlepeer-review

Abstract

This study identified predictors of appointment adherence and examined its impacts on improvements in metabolic risk factors in a free city-wide cardiovascular disease prevention program in Seoul, South Korea. Data of 8251 citizens with metabolic syndrome were used. Appointment adherers were defined as having 70% or higher adherence rates, that is, 3 or more visits. Of the 8251 citizens, 17.6% were appointment adherers. Appointment adherers were significantly more likely to be older, low-income earners, nonsmokers, and nonobese than appointment nonadherers. Moreover, appointment adherers, compared with nonadherers, showed significant improvements in waist circumference, systolic blood pressure, and high-density lipoprotein cholesterol, but not in fasting glucose and triglycerides. Designing strategies for increasing appointment adherence to a free city-wide cardiovascular disease prevention program is essential to improve health outcomes, especially targeting population groups with young age, high-income, current smoking, or obesity.

Original languageEnglish
Pages (from-to)555-563
Number of pages9
JournalAsia-Pacific Journal of Public Health
Volume33
Issue number5
DOIs
Publication statusPublished - 2021 Jul

Bibliographical note

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the National Research Foundation of Korea (NRF) grant by the Korea government (No. NRF-2019R1A2C1004116) and the Institute of Nursing Research of Korea University.

Publisher Copyright:
© 2021 APJPH.

Keywords

  • cardiovascular diseases
  • metabolic syndrome
  • patient adherence
  • patient appointment
  • primary prevention

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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