Factors Associated With First-Time Use of Preventive Services in the United States
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.
Document Type: Research Article
Affiliations: 1: Economics Division, Babson College, Babson Park, MA, USA. firstname.lastname@example.org 2: Department of Finance and Economics, McCoy College of Business Administration, Texas State University-San Marcos, San Marcos, TX, USA
Publication date: 2013-03-01
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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