Identifying Barriers to Access and Utilization of Preventive Health-Care Services by Young Adults in Vermont

DeVoe, Stephen G; Roberts, Linda L.; Wallace-Brodeur, Rachel

doi:10.1016/j.jadohealth.2017.12.018

Cited by 7 publications

(9 citation statements)

References 17 publications

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“…Previous studies have reported various barriers and facilitators associated with regular check-ups, including socio-demographic characteristics (e.g., age, gender, income) [7][8][9], accessibility to health care services (e.g., health insurance, primary doctor, and living area) [10][11][12][13], personal cancer history [14,15], and family cancer history [16]. For instance, individuals in rural areas were less likely to have physical check-ups because obtaining a primary care doctor was difficult as physicians are typically in cities and more affluent suburbs, and having low income was associated with not seeing a doctor for check-ups because of cost [17].…”

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confidence: 99%

“…For instance, individuals in rural areas were less likely to have physical check-ups because obtaining a primary care doctor was difficult as physicians are typically in cities and more affluent suburbs, and having low income was associated with not seeing a doctor for check-ups because of cost [17]. On the other hand, young adults between the ages of 18-26 with a usual source of care were more likely to utilize physical checkups [18], and having health insurance increased the likelihood of routine check-ups [13]. Another facilitating factor includes having a history of physical check-ups.…”

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confidence: 99%

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Does health literacy affect the uptake of annual physical check-ups?: Results from the 2017 US health information national trends survey

et al. 2021

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Background Little is known about how health literacy is linked to physical check-ups. This study aimed to examine the levels of physical check-ups (self-reported check-ups within the last year) by age group (those aged 18–59 years and those aged = ≥ 60 years) and the role of health literacy regarding physical check-ups in the United States. Methods Data for the study were obtained from the 2017 Health Information National Trends Survey. The original sample included 3,285 respondents, but only 3,146 surveys were used for this study. Andersen’s Behavioral Model of Health Services Use guided this study, and a binomial logistic regression model was conducted using Stata 12.0 software package. Results While 82.0 % of the older group had an annual check-up, 67.3 % of the younger group had one. Both groups had similar ratios for health literacy-related item reporting. Study results show that annual check-up was positively associated with confidence in getting health information, having health insurance, and having a primary doctor for both age groups. However, getting a regular check-up was negatively associated with frustration while searching for information among the younger group. In comparison, it was positively associated with difficulty understanding information for the older group. Conclusions To increase annual physical check-ups, health literacy-related interventions should be developed and address the barriers most associated with health check-ups. One way of addressing this barrier is to improve communication from healthcare professionals to consumers through the use of easy-to-understand explanations appropriate for the consumer.

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confidence: 99%

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confidence: 99%

Does health literacy affect the uptake of annual physical check-ups?: Results from the 2017 US health information national trends survey

et al. 2021

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“…The outcome variable is self‐reported annual physical checkups or examinations, which was not a medical examination for injury or illness, or other medical conditions (DeVoe et al., 2018; Lee et al., 2021). The respondents were asked “How long has it been since you last visited a doctor for a routine checkup?” and then were provided with responses from which to choose (CDC, 2021).…”

Section: Methodsmentioning

confidence: 99%

Health literacy and uptake of annual physical checkups among emerging adults in the United States: Findings from the Behavioral Risk Factor Surveillance System

Alawode

Nicholson

2023

Sociology Compass

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Public health literature is replete with evidence on the determinants of preventive healthcare utilization. However, gap exists in the relationship between health literacy, a key social determinant of health, and annual physical checkups, especially among younger adults in the United States. This age group is one of the least likely to utilize such services for screening and prevention of diseases, which can have a significant impact on their long-term health as they progress through the life course. Using the Andersen Healthcare Utilization framework, this study investigated the association between health literacy, an enabling factor, and uptake of annual physical checkups among emerging adults aged 18-29. A binary logistic regression model was employed to achieve the study objective using data from the 2016

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“…Statistics indicate that the number of young people in this age group is rapidly increasing, with a high burden of disease accounting for 15.5% of the global burden of disease [1,2]. A primary concern is that YP are at a point of transition that can often be challenging and confusing for them with vulnerabilities unique to their age [3]. Dissonance between culture and constructs of health service delivery can undermine and deter their service utilisation especially in highly sensitive and stigmatised areas such as sexual and reproductive health and mental health [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Behavioural and socio-ecological factors that influence access and utilisation of health services by young people living in rural KwaZulu-Natal, South Africa: Implications for intervention

Ngwenya¹,

Nkosi²,

Mchunu³

et al. 2020

PLoS ONE

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Background Young people's health service utilisation (the number accessing a facility) has been the focus of guidelines and health systems strengthening policies. This is due to young people being at an increased health risk because of inequitable access and utilisation of health services, which is more pronounced in rural settings with limited service availability. This is a major concern as globally, youth constitute a considerable and increasing part of the population in Sub-Saharan Africa. Objective The objective of this paper is to present a comprehensive approach for the exploration of health service utilisation by young people in rural KwaZulu-Natal, South Africa. We examined barriers and facilitators conceptualised by the constructs of the Theory of Planned Behaviour, framed within a socio-ecological model. Methods Data were collected in January to June 2017 from two sites using in-depth interviews, spiral transect walks and community mapping with young people (aged 10 to 24 years), primary care health providers, school health professionals, community stakeholders and young people's parents. Results Socio-ecological and behavioural factors influenced young people's intention to use services. Barriers included perceived negative attitudes of health providers and perceived poor staff competencies. Facilitators included an appreciation of receiving health education and assumed improved health. At social and community levels, normative beliefs hindered

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Identifying Barriers to Access and Utilization of Preventive Health-Care Services by Young Adults in Vermont

Cited by 7 publications

References 17 publications

Does health literacy affect the uptake of annual physical check-ups?: Results from the 2017 US health information national trends survey

Does health literacy affect the uptake of annual physical check-ups?: Results from the 2017 US health information national trends survey

Health literacy and uptake of annual physical checkups among emerging adults in the United States: Findings from the Behavioral Risk Factor Surveillance System

Behavioural and socio-ecological factors that influence access and utilisation of health services by young people living in rural KwaZulu-Natal, South Africa: Implications for intervention

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