Middle‑aged Health Checks Program Outputs in Non‑communicable Diseases Screening in Iran

Abstract

Background: The aim of the present study is identifying the outputs of middle‑aged health checks program (MAHCP) in Isfahan province in central of Islamic Republic of Iran.

Methods: This is a cross‑sectional study. During 30 months, from March 2014 to September 2016, 30–59 years old females and males were screened for abdominal obesity, overweight, obesity, physical inactivity, dyslipidemia, hypertension, diabetes, and also breast, skin, cervix, colorectal, and prostate cancers in all health houses, health posts, and health centers in the province. Based on the data bank of the family health office of the health center of Isfahan province, we estimated the outputs of MAHCP.

Results: The utilization rate of MAHCP was 0.39–273.06 per 1000 middle‑aged population (MAP). The utilization rate in 2015 was higher for women (43.02–273.06 per 1000 MAP), particularly in rural areas (273.06 per 1000 MAP). The case detection rate of physical inactivity was 26.40– 498.6, abdominal obesity was 16.50–428.38, overweight was 38.73–365.59, obesity was 3.30– 261.99, and body mass index (BMI) ≥25 was 63.21–593.41 per 1000 MAP. Also dyslipidemia was 21.51–171.62, hypertension was12.33–53.88, and diabetes mellitus was 10.71 – 36.99 per 1000 MAP. Cancers detection rate in women included: breast cancers (99.52–330.32), skin (14.24– 245.52), cervix (11.94–87.43), and colorectal (0–47.4) per 100,000 MAP. Cancer detection rate in men included: skin (0–59.18), colorectal (0–80.06), and prostate (0–42.03) per 100,000 MAP.

Conclusions: The MAHCP utilization rate in both the genders, particularly in men, was lower than it had been expected.

Keywords: Cancer, diabetes mellitus, dyslipidemia, hypertension, screening