Medical Checkups: Who Does Not Get Them?

Culica, Dan; Rohrer, James E.; Ward, Marcia M.; Hilsenrath, Peter E.; Pomrehn, Paul R.

doi:10.2105/ajph.92.1.88

Cited by 78 publications

(115 citation statements)

References 10 publications

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“…The percentage of Hispanics increased over the study period from 10.2% (95% CI 9. 8 Table 1 shows the prevalence of selected chronic disease-related risk behaviors and conditions among women aged 18-44 years. The prevalence of overweight and obesity, cigarette smoking, and being diagnosed with diabetes and high blood pressure increased between 1991-1992 and 2000-2001.…”

Section: Resultsmentioning

confidence: 99%

“…[3][4][5][6] Women, however, are more likely than men to seek medical care during their reproductive years, which provides them with multiple opportunities to seek and receive advice to promote the adoption of healthful behaviors. [7][8][9] There are specific recommendations for periodic screenings and assessments to monitor the overall health of women and to guide the interactions between women and their healthcare providers. 10 Because early intervention can increase opportunities for long-term adoption of healthful behaviors and effective management of chronic disease-related conditions, there is a need to monitor women's health during early and middle adulthood.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Report from the CDC. Changes in Selected Chronic Disease-Related Risks and Health Conditions for Nonpregnant Women 18–44 Years Old BRFSS

Ahluwalia

Mack

Mokdad

2005

Journal of Women's Health

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We examined changes in the prevalence of selected chronic disease-related indicators among women aged 18-44 years using the Behavioral Risk Factor Surveillance System (BRFSS) data for two time periods, 1991-1992 and 2000-2001. We examined alcohol use, cigarette smoking, leisure time physical activity, body mass index (BMI), having had Pap smear screening, and having been diagnosed with hypertension, diabetes, high cholesterol, and asthma. We created a multicondition index by combining multiple chronic disease-related conditions. Younger women, <25 years of age, reported a higher prevalence of cigarette smoking and binge drinking. Black women and women with lower educational levels had a higher prevalence of obesity, and higher proportions were diagnosed with hypertension and diabetes. About 35% of the women had been diagnosed with at least one chronic disease-related condition. More than 10% of black women reported being diagnosed with two chronic disease-related conditions, compared with 7% in white women and 8% in Hispanic women. The BRFSS data can be used for monitoring the prevalence of multiple chronic disease-related behaviors and conditions.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Report from the CDC. Changes in Selected Chronic Disease-Related Risks and Health Conditions for Nonpregnant Women 18–44 Years Old BRFSS

Ahluwalia

Mack

Mokdad

2005

Journal of Women's Health

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“…Men also generally utilize health care less and have less access to health care and health insurance than women, although in the present study nearly all of the participants were uninsured at the time of diagnosis. 27,28 Interventions to promote HIV testing may need to more aggressively target men, especially in environments other than the health care setting.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Delayed HIV Diagnosis in a Recently Diagnosed Cohort

Mayben

Kramer

Kallen

et al. 2007

AIDS Patient Care and STDs

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Delayed diagnosis of HIV is associated with a worse prognosis despite highly active antiretroviral therapy. Many persons with HIV infection are diagnosed late in the disease process. We conducted a study of 119 persons recently diagnosed with HIV infection to determine the association of health literacy and other factors with delayed diagnosis. Patients were recruited from four publicly funded facilities in Houston, Texas. Health literacy was measured with the Test of Functional Health Literacy in Adults (TOFHLA). Delayed diagnosis was assessed by CD4 cell count at diagnosis. Sixty-five percent of patients had CD4 cell counts 350 cells/mm(3) or less. Twenty-eight percent had inadequate health literacy, but literacy was not associated with CD4 cell count. Thirty-eight percent were tested because they "felt sick." In multivariable analysis, female gender (p = 0.005), reason tested other than "felt sick" (p < 0.001), and marijuana use (p = 0.004) and other illicit drug use (p = 0.01) were predictors of having a higher CD4 cell count at diagnosis. These results confirm that late diagnosis of HIV is common among users of public health care facilities. Expanded routine testing for HIV infection is needed with attention directed to men and persons who may not recognize that they are at risk for contracting HIV infection.

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“…This contrasts with findings in adult populations in which those with fair/poor health status are more likely to have physical examinations. 27 Alternatively, it may be that children in poor health use greater levels of acute or specialty care, perhaps at the expense of needed preventive services.…”

Section: Discussionmentioning

confidence: 99%

Factors That Influence Receipt of Recommended Preventive Pediatric Health and Dental Care

Yu¹,

Bellamy²,

Kogan³

et al. 2002

Pediatrics

130

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ABSTRACT.Objective. This study examined the factors that affect children's receipt of recommended wellchild and dental visits using nationally representative data.Methods. We analyzed the Child Public Use File of the 1999 National Survey of America's Families, including 35 938 children who were younger than 18 years. Bivariate and multivariate analyses were conducted to examine the relationship between dependent variables, including receipt of well-child visits as recommended by the American Academy of Pediatrics' periodicity schedule and dental visits as recommended by the American Academy of Pediatric Dentistry and Bright Futures, and independent variables, including health status and sociodemographic and economic indicators.Results. Overall, 23.4% of children did not receive the recommended well-child visits, whereas 46.8% did not receive the recommended number of dental visits. The factors that predict nonreceipt of care differed for wellchild and dental care and with child's age. Logistic regression reveals that children who were young (<10 years old), uninsured, non-Hispanic white, had a parent who was less than college educated, or in poor health were least likely to meet the recommendations for wellchild care. Children who did not meet the dental recommendation were more likely to be black, uninsured, from families with low incomes, have a parent who was less than college educated, and have postponed dental care in the last year. These risk factors increased with children's age.Conclusions. A substantial proportion of US children do not receive preventive care according to professionally recommended standards, particularly dental care. Publicly insured children experience higher rates of recommended well-child visits; however, much improvement is needed among public programs in providing recommended dental care, especially among adolescents and children in poor general health. Pediatrics 2002;110(6). URL: http://www.pediatrics.org/cgi/content/ full/110/6/e73; child, dental health services, multivariate analysis, preventive health services, professional organizations.

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Medical Checkups: Who Does Not Get Them?

Abstract: A profile of persons not having a checkup in the past 12 months emerged from the investigation.

Cited by 78 publications

References 10 publications

Report from the CDC. Changes in Selected Chronic Disease-Related Risks and Health Conditions for Nonpregnant Women 18–44 Years Old BRFSS

Report from the CDC. Changes in Selected Chronic Disease-Related Risks and Health Conditions for Nonpregnant Women 18–44 Years Old BRFSS

Predictors of Delayed HIV Diagnosis in a Recently Diagnosed Cohort

Factors That Influence Receipt of Recommended Preventive Pediatric Health and Dental Care

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