[The factors associated with a better compliance with the periodic health exam in adults. The Working Group of the Maresme Group of Nurses and Physicians for Evaluation and Research (the IMMAR Group)].
OBJECTIVE
To analyse specific care and user factors associated with adult compliance with preventive activities: blood pressure measurement, and questionnaire on tobacco and alcohol consumption.


METHODS
Descriptive crossover study.


METHODS
Primary health care, rural setting.


METHODS
Randomised sample of 296 clinical histories of people aged 15 and over from the basic care units (BCUs), who voluntarily enrolled for the study and belonged to 4 health districts. The characteristics of the professionals taking part was also studied.


RESULTS
The data of each clinical history were obtained through a specific questionnaire; data of doctors and nurses, through a self-administered questionnaire. In the bivariate analysis of the patient's characteristics, female gender, chronic diseases, age, frequency of attendance and length of the clinical record were associated with better compliance with preventive activities. After multiple regression, only frequency of attendance and length of the clinical record were still associated with better compliance with preventive activities. Out of the BCU variables, pressure of attendance, work situation and in-work training were associated with better preventive practice.


CONCLUSIONS
Frequency of attendance is the variable which most determines preventive practice, and so organisational systems have to be developed which increase preventive practice among young people and users who attend little. In the area of care, reforms aimed at decreasing attendance pressure and increasing job stability should be prioritised.
Subías-Loren
P J
PJ
Dirección, Atención Primaria del Maresme, Barcelona. psubiasL@papps.org
Casanovas-Cuquet
E
E
D000328:Adult; D016009:Chi-Square Distribution; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data; D010808:Physical Examination / Q000706:statistics & numerical data; D012424:Rural Population / Q000706:statistics & numerical data; D012955:Societies, Medical; D012956:Societies, Nursing; D013030:Spain; D011795:Surveys and Questionnaires