Ethnic Group Differences in the Utilization of Preventive Medical Care Services Among Foreign-Born Asian and Latino Adults in the United States

Gorman, Bridget K.; Dinh, Cindy

doi:10.1108/s0275-4959(2013)0000031008

Cited by 1 publication

(2 citation statements)

References 49 publications

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“…We accounted for several covariates in regression models based on theoretical relevance and evidence of their association with preventive care utilization in other studies (9–11). All were assessed on the survey: gender, race/ethnicity (Hispanic, non-Hispanic white, non-Hispanic black, mixed race/other) age at survey (divided into 10-year categories: 30 or younger, 31–40, 41–50, 51 or older), job title (staff nurse, patient care associate, other), and typical shifts worked (day, evening, night, rotating).…”

Section: Methodsmentioning

confidence: 99%

“…Aside from the impact of insurance coverage status, several studies have examined other correlates of preventive care utilization. Utilization is lower among men (9), younger people (10), African-American people, and immigrants (11). But beyond these fixed factors, little is known about modifiable social factors, especially those at the group or community level, that may contribute to or inhibit utilization of preventive care services among those who are insured.…”

Section: Introductionmentioning

confidence: 99%

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Preventive care utilization: Association with individual- and workgroup-level policy and practice perceptions

Sabbath

Sparer

Boden

et al. 2018

Preventive Medicine

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Preventive medical care may reduce downstream medical costs and reduce population burden of disease. However, although social, demographic, and geographic determinants of preventive care have been studied, there is little information about how the workplace affects preventive care utilization. This study examines how four types of organizational policies and practices (OPPs) are associated with individual workers' preventive care utilization. We used data collected in 2012 from 838 hospital patient care workers, grouped in 84 patient care units at two hospitals in Boston. Via survey, we assessed individuals' perceptions of four types of OPPs on their work units. We linked the survey data to a database containing detailed information on medical expenditures. Using multilevel models, we tested whether individual-level perceptions, workgroup-average perceptions, and their combination were associated with individual workers' preventive care utilization (measured by number of preventive care encounters over a two-year period). Adjusting for worker characteristics, higher individual-level perceptions of workplace flexibility were associated with greater preventive care utilization. Higher average unit-level perceptions of people-oriented culture, ergonomic practices, and flexibility were associated with greater preventive care utilization. Overall, we find that workplace policies and practices supporting flexibility, ergonomics, and people-oriented culture are associated with positive preventive care-seeking behavior among workers, with some policies and practices operating at the individual level and some at the group level. Improving the work environment could impact employers' health-related expenditures and improve workers' health-related quality of life.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%