Women's Preventive Services Utilization in Illinois in the Aftermath of the ACA and the COVID-19 Pandemic.
| Autor: | Handler, Arden |
|---|---|
| Předmět: |
BREAST tumor prevention
CROSS-sectional method MEDICAL care use CHILDBEARING age MEDICAL protocols POISSON distribution CERVIX uteri tumors SECONDARY analysis RESEARCH funding EARLY detection of cancer QUESTIONNAIRES HEALTH insurance PSYCHOLOGY of women DISEASE prevalence DESCRIPTIVE statistics RACE MAMMOGRAMS PRECONCEPTION care COMPARATIVE studies MEDICAID CONFIDENCE intervals DATA analysis software COVID-19 pandemic PREVENTIVE health services PATIENT Protection & Affordable Care Act PERINATAL period REGRESSION analysis |
| Zdroj: | Journal of Health Care for the Poor & Underserved; May2024, Vol. 35 Issue 2, p672-691, 20p |
| Abstrakt: | This study explores the association between health system changes over the last decade and women's preventive care utilization in Illinois. A cross-sectional analysis using Illinois Behavioral Risk Factor Surveillance System (BRFSS) data from 2012–2020 among women aged 21–75 (n=21,258) examined well-woman visit (WWV) receipt and breast and cervical cancer screening overall and over several time periods. There was an increase in the prevalence of receiving a WWV for Illinois women overall from 2012–2020. However, the overall adjusted prevalence difference was only significant for the 2020 versus 2015–2019 comparison and not for 2015–2019 versus 2012–2014. The COVID-19 pandemic was not associated with a decrease in the prevalence of mammogram use but was manifest for cervical cancer screening, particularly for Black women. Finally, those reporting having a WWV in the past year had a significantly higher prevalence of being up to date with screening compared with those not reporting a WWV. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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