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Factors Associated With First-Time Use of Preventive Services in the United States

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Abstract:

Objective: To examine factors associated with first-time use of preventive services based on the Behavioral Model of Health Services Use. Methods: Nine panels of the Medical Expenditure Panel Survey were merged to identify first-time users of 8 preventive services: blood pressure check, cholesterol screening, colonoscopy, flu vaccination, routine physical, Pap smear, mammogram, and clinical breast examination. Multivariate logistic regressions and sample weights were used. Results: Insurance coverage, access to care, and racial/ethnic minorities are associated with higher odds of first-time use. Findings based on cross-sectional data may not be valid for first-time use. Conclusions: Increased insurance coverage, better access to care, and a focus on minority population can help nonusers of preventive care to make the transition.

Keywords: ACCESS TO CARE; BEHAVIORAL MODEL OF HEALTH SERVICES; INSURANCE COVERAGE; MEDICAL EXPENDITURE PANEL SURVEY; PREVENTIVE SERVICES; SOCIOECONOMIC FACTORS

Document Type: Research Article

DOI: http://dx.doi.org/10.5993/AJHB.37.2.13

Affiliations: 1: Economics Division, Babson College, Babson Park, MA, USA. ygai@babson.edu 2: Department of Finance and Economics, McCoy College of Business Administration, Texas State University-San Marcos, San Marcos, TX, USA

Publication date: March 1, 2013

More about this publication?
  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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