Utilization of Preventive Health Check-Ups Among Older People in Rural Indonesia

Budi Aji(1*), Dian Anandari(2), Siti Masfiah(3), Siwi Pramatama Mars Wijayanti(4), Chalermpol Chamchan(5)
(1) School of Public Health, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto, Central Java, Indonesia
(2) School of Public Health, Faculty of Health Sciences, Jenderal Soedirman University
(3) School of Public Health, Faculty of Health Sciences, Jenderal Soedirman University
(4) School of Public Health, Faculty of Health Sciences, Jenderal Soedirman University
(5) Institute for Population and Social Research, Mahidol University
(*) Corresponding Author
DOI : 10.30604/jika.v6i1.464


The use of preventive health check-ups among older people was driven by health status and socioeconomic factors. This present study identified the determinants of preventive health check-up utilization among older people in rural Indonesia. This study had been conducted in rural areas in the district of Banyumas, Central Java, Indonesia. A cross-sectional survey had been carried out and a total of 412 older people were selected by using multistage sampling. Logistic regression determined the predictors of preventive health check-up utilization. The majority of the older people were female (75.5%) with low levels of educational attainments (56.3%). Factors including chronic illnesses and uneducated were associated with preventive health check-ups among older people. Older people with chronic illnesses (p less than 0.05, OR = 6.276) were more likely to use preventive health check-ups. Further, uneducated older people (p less than 0.05, OR = 12.562) were less likely to use preventive health check-ups in rural areas. Health status becomes a prominent factor that influences health care utilization among older people. Health interventions targeting identified at-risk subgroups are potential for fulfilling the demand for health care among older people who live in the community, particularly in rural areas. Health promotion for enhancing health literacy among older people would improve the utilization of preventive health check-ups among older adults.


Abstrak: Pemanfaatan layanan pemeriksaan kesehatan untuk lansia ditentukan oleh kondisi kesehatan dan faktor sosialekonominya. Kajian ini bertujuan untuk mengidentifikasi faktor-faktor determinan pemanfaatan pemeriksaan kesehatan pada lansia di wilayah pedesaan. Kajian ini dilaksanakan di Kabupaten Banyumas, Jawa Tengah, Indonesia. Survei dilakukan dengan menggunakan pendekatan belah lintang dan multistage random sampling terhadap 412 lansia. Data selanjutnya dianalisis dengan menggunakan regresi logistik. Hasil penelitian menunjukkan bahwa sebagian besar (75,5%) lansia adalah perempuan dengan tingkat pendidikan yang rendah (56,3). Status penyakit kronis dan tidak berpendidikan pada lansia berpengaruh signifikan secara statistik dengan pemanfaatan pemeriksaan kesehatan. Lansia yang memiliki penyakit kronis (p kurang dari 0,05, OR = 6,276) cenderung lebih memanfaatkan layanan pemeriksaan kesehatan, sedangkan lansia yang tidak berpendidikan (p kurang dari 0,05, OR = 12,562) cenderung kurang memanfaatkan layanan pemeriksaan kesehatan tersebut. KOndisi status kesehatan menjadi faktor utama yang mempengaruhi lansia untuk memanfaatkan layanan pemeriksaan kesehatan. Oleh karena itu intervensi kesehatan yang sesuai untuk kelompok usia berisiko tersebut pontensial untuk dapat memenuhi harapan bagi lansia yang tinggal di daerah pedesaan. Promosi kesehatan untuk meningkatan tingkat literasi terhadap pentingnya layanan kesehatan bagi lansia akan dapat meningkatkan pemanfaatan layanan kesehatan tersebut.


Preventive care; medical check-up; community-dwelling; elderly; rural area


Adams, M. (2016). Routine Check-Ups and Other Factors Affecting Discussions With a Health Care Provider About Subjective Memory Complaints, Behavioral Risk Factor Surveillance System, 21 States, 2011. Prev Chronic Dis, 13, E15. doi:10.5888/pcd13.150471E15 [pii]

Adioetomo, S. M., & Mujahid, G. (2014). Indonesia on the threshold of population ageing. Jakarta: UNFPA Indonesia.

Dewi, S. K., Kusnanto, H., Pramantara, I. D. P., & Rahayujati, T. B. (2017). Participation status and quality of life among members of the elderly integrated health post. Kes Mas: Jurnal Kesehatan Masyarakat, 11(1), 28-40.

Jansen, T., Rademakers, J., Waverijn, G., Verheij, R., Osborne, R., & Heijmans, M. (2018). The role of health literacy in explaining the association between educational attainment and the use of out-of-hours primary care services in chronically ill people: a survey study. BMC Health Serv Res, 18(1), 394. doi:10.1186/s12913-018-3197-410.1186/s12913-018-3197-4 [pii]

Labeit, A., Peinemann, F., & Baker, R. (2013). Utilisation of preventative health check-ups in the UK: findings from individual-level repeated cross-sectional data from 1992 to 2008. BMJ Open, 3(12), e003387. doi:10.1136/bmjopen-2013-003387bmjopen-2013-003387 [pii]

Madyaningrum, E., Chuang, Y. C., & Chuang, K. Y. (2018). Factors associated with the use of outpatient services among the elderly in Indonesia. BMC Health Serv Res, 18(1), 707. doi:10.1186/s12913-018-3512-010.1186/s12913-018-3512-0 [pii]

Mboi, N., Murty Surbakti, I., Trihandini, I., Elyazar, I., Houston Smith, K., Bahjuri Ali, P., . . . Hay, S. I. (2018). On the road to universal health care in Indonesia, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet, 392(10147), 581-591. doi:S0140-6736(18)30595-6 [pii]10.1016/S0140-6736(18)30595-6

Muscat, D. M., Smith, S., Dhillon, H. M., Morony, S., Davis, E. L., Luxford, K., . . . McCaffery, K. (2016). Incorporating health literacy in education for socially disadvantaged adults: an Australian feasibility study. Int J Equity Health, 15, 84. doi:10.1186/s12939-016-0373-110.1186/s12939-016-0373-1 [pii]

Noveria, M. (2006). Challenges of Population Ageing in Indonesia. Paper presented at the Conference on Impact of Ageing: A Common Challenge for Europe and Asia, Vienna.

Pratono, A. H., & Maharani, A. (2018). Long-Term Care in Indonesia: The Role of Integrated Service Post for Elderly. J Aging Health, 30(10), 1556-1573. doi:10.1177/0898264318794732

Rahmawati, R., & Bajorek, B. (2015). A Community Health Worker-Based Program for Elderly People With Hypertension in Indonesia: A Qualitative Study, 2013. Prev Chronic Dis, 12, E175. doi:10.5888/pcd12.140530E175 [pii]

Setiawan, E., JK, P., & Ms, T. (2017). The Health-Care Needs among Older Persons in an Indonesian Urban Setting. Asian Journal of Pharmaceutical and Clinical Research, 10(7), 233. doi:10.22159/ajpcr.2017.v10i7.18300

Sutarjo, U. S., & Budijanto, D. (2017). Indonesia Health Profile 2016. Jakarta: Ministry of Health.

Van der Heide, I., Wang, J., Droomers, M., Spreeuwenberg, P., Rademakers, J., & Uiters, E. (2013). The relationship between health, education, and health literacy: results from the Dutch Adult Literacy and Life Skills Survey. J Health Commun, 18 Suppl 1, 172-184. doi:10.1080/10810730.2013.825668

Article Statistic

Abstract view : 45 times
Fulltext (Bahasa Indonesia) views : 21 times

Dimensions Metrics

How To Cite This :


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.