2013
DOI: 10.1111/1475-6773.12091
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State‐Level Unemployment and the Utilization of Preventive Medical Services

Abstract: Policy makers should be aware of cyclical changes in preventive care use, particularly among disadvantaged populations, when making challenging budgetary decisions during economic downturns. As physician recommendations can have a strong impact on patients' use, health care providers could increase efforts to persuade patients to seek screening exams and necessary vaccinations during periods of high unemployment.

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Cited by 34 publications
(45 citation statements)
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“…[7][8][9]26 Further research should specifically identify the types of primary and specialty care services older veterans are reducing. It appears that higher local area unemployment imposed monetary constraints on these veterans through a reduction in enabling resources.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…[7][8][9]26 Further research should specifically identify the types of primary and specialty care services older veterans are reducing. It appears that higher local area unemployment imposed monetary constraints on these veterans through a reduction in enabling resources.…”
Section: Discussionmentioning
confidence: 99%
“…[7][8][9] Specifically, higher unemployment rates were associated with decreases in discretionary health services including preventative medical services and routine nonemergency medical care. [7][8][9] Specifically, higher unemployment rates were associated with decreases in discretionary health services including preventative medical services and routine nonemergency medical care.…”
mentioning
confidence: 99%
“…The BRFSS collects data on personal health behaviors and individual characteristics and has frequently been used to study the relationship between unemployment and health (Ruhm and Black, 2002, Ruhm, 2005, Ruhm, 2003, Dee, 2001, Tefft and Kageleiry, 2014, Helliwell et al, 2011.…”
Section: Datamentioning
confidence: 99%
“…First, cigarette use has been linked to adverse life events, including unemployment (De Vogli & Santinello, 2005), loss of health insurance coverage, and financial stress (Siahpush, Borland, & Scollo, 2003), which, in turn, may be associated with lack of preventive health behaviors. Using data from a survey of the civilian, non-institutionalized population of adults (age 18 and older) in the United States between 1987 and 2010, Tefft and Kageleiry (2014) found that a 1% point increase in the state-level unemployment rate is associated with a 1.58 percent decrease in use of preventive health services. Women and economically disadvantaged populations are particularly vulnerable to macroeconomic fluctuations.…”
Section: Discussionmentioning
confidence: 99%