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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 men

Background: Thailand continues to attract an increasing number of migrant workers (MW) from neighboring countries including mainly Myanmar, Cambodia, and Laos; however, little is known about the extent to which MWs from these countries have access to HIV prevention, treatment, and care services. We used data from the baseline survey of the Prevention of HIV/ AIDS among MWs in Thailand (PHAMIT-2) project to document the prevalence of, and factors associated with, HIV testing among MWs from Myanmar, the largest group of MWs in Thailand. Methods and Findings: The baseline survey of PHAMIT-2 was conducted in 2010 among MWs from Myanmar, Cambodia, and Laos in 10 purposely-selected provinces of Thailand. Of the 1, 034 participants who qualified for the analysis to identify correlates of HIV testing, only 5. 3% reported ever having been tested for HIV. Factors associated with HIV testing included having a secondary or higher education level (AOR, 2. 58; CI, 1. 36-4. 90; P = 0. 004), being female (AOR, 1. 96; CI, 1. 05-3. 66; P = 0. 033), knowing someone who died of AIDS (AOR, 1. 81; CI, 1. 00- 3. 27; P = 0. 048), working in the fishery sector (AOR, 2. 51; CI, 1. 28-4. 92; P = 0. 007), and not having a work permit (AOR, 3. 71; CI, 1. 36-10. 13; P = 0. 010). Conclusion: Our study, in addition to revealing significantly low HIV testing among MWs from Myanmar, identifies important barriers to HIV testing which could be addressed through interventions that promote migrants' culturally-sensitive and friendly service, for example by facilitating flow of information about places for HIV testing, availability of language assistance, and ensuring confidentiality of HIV testing.

Background: Thailand continues to attract an increasing number of migrant workers (MW) from neighboring countries including mainly Myanmar, Cambodia, and Laos; however, little is known about the extent to which MWs from these countries have access to HIV prevention, treatment, and care services. We used data from the baseline survey of the Prevention of HIV/ AIDS among MWs in Thailand (PHAMIT-2) project to document the prevalence of, and factors associated with, HIV testing among MWs from Myanmar, the largest group of MWs in Thailand. Methods and Findings: The baseline survey of PHAMIT-2 was conducted in 2010 among MWs from Myanmar, Cambodia, and Laos in 10 purposely-selected provinces of Thailand. Of the 1, 034 participants who qualified for the analysis to identify correlates of HIV testing, only 5. 3% reported ever having been tested for HIV. Factors associated with HIV testing included having a secondary or higher education level (AOR, 2. 58; CI, 1. 36-4. 90; P = 0. 004), being female (AOR, 1. 96; CI, 1. 05-3. 66; P = 0. 033), knowing someone who died of AIDS (AOR, 1. 81; CI, 1. 00- 3. 27; P = 0. 048), working in the fishery sector (AOR, 2. 51; CI, 1. 28-4. 92; P = 0. 007), and not having a work permit (AOR, 3. 71; CI, 1. 36-10. 13; P = 0. 010). Conclusion: Our study, in addition to revealing significantly low HIV testing among MWs from Myanmar, identifies important barriers to HIV testing which could be addressed through interventions that promote migrants' culturally-sensitive and friendly service, for example by facilitating flow of information about places for HIV testing, availability of language assistance, and ensuring confidentiality of HIV testing.