Use of preventive care by the working poor in the United States
| Autor: | William T. Gallo, Hsun-Mei Teng, Joseph S. Ross, Susannah M. Bernheim, Elizabeth H. Bradley |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2006 |
| Předmět: |
Employment
Male Epidemiology Cross-sectional study Working poor Health Promotion Risk Assessment Vulnerable Populations Article Health Services Accessibility Breast cancer screening Breast cancer Cost of Illness Environmental health Preventive Health Services Medicine Humans Mass Screening Poverty Health Services Needs and Demand medicine.diagnostic_test business.industry Public Health Environmental and Occupational Health Health and Retirement Study Middle Aged Patient Acceptance of Health Care medicine.disease United States Vaccination Prostate cancer screening Cross-Sectional Studies Socioeconomic Factors Female business Risk assessment Demography |
| Popis: | Objective. Examine the association between poverty and preventive care use among older working adults. Method. Cross-sectional analysis of the pooled 1996, 1998 and 2000 waves of the Health and Retirement Study, a nationally representative sample of older community-dwelling adults, studying self-reported use of cervical, breast, and prostate cancer screening, as well as serum cholesterol screening and influenza vaccination. Adults with incomes within 200% of the federal poverty level were defined as poor. Results. Among 10,088 older working adults, overall preventive care use ranged from 38% (influenza vaccination) to 76% (breast cancer screening). In unadjusted analyses, the working poor were significantly less likely to receive preventive care. After adjustment for insurance coverage, education, and other socio-demographic characteristics, the working poor remained significantly less likely to receive breast cancer (RR 0.92, 95% CI, 0.86–0.96), prostate cancer (RR 0.89, 95% CI, 0.81–0.97), and cholesterol screening (RR 0.91, 95% CI, 0.86–0.96) than the working non-poor, but were not significantly less likely to receive cervical cancer screening (RR 0.96, 95% CI, 0.90–1.01) or influenza vaccination (RR 0.92, 95% CI, 0.84–1.01). Conclusion. The older working poor are at modestly increased risk for not receiving preventive care. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|