Effects of sex, age, and visits on receipt of preventive healthcare services: a secondary analysis of national dataReport as inadecuate




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BMC Health Services Research

, 6:15

First Online: 23 February 2006Received: 28 September 2005Accepted: 23 February 2006DOI: 10.1186-1472-6963-6-15

Cite this article as: Viera, A.J., Thorpe, J.M. & Garrett, J.M. BMC Health Serv Res 2006 6: 15. doi:10.1186-1472-6963-6-15

Abstract

BackgroundSex and age may exert a combined influence on receipt of preventive services with differences due to number of ambulatory care visits.

MethodsWe used nationally representative data to determine weighted percentages and adjusted odds ratios of men and women stratified by age group who received selected preventive services. The presence of interaction between sex and age group was tested using adjusted models and retested after adding number of visits.

ResultsMen were less likely than women to have received blood pressure screening aOR 0.44;0.40–0.50, cholesterol screening aOR 0.72;0.65–0.79, tobacco cessation counseling aOR 0.66;0.55–0.78, and checkups aOR 0.53;0.49–0.57. In younger age groups, men were particularly less likely than women to have received these services. In adjusted models, this observed interaction between sex and age group persisted only for blood pressure measurement p = .016 and routine checkups p < .001. When adjusting for number of visits, the interaction of age on receipt of blood pressure checks was mitigated but men were still overall less likely to receive the service.

ConclusionMen are significantly less likely than women to receive certain preventive services, and younger men even more so. Some of this discrepancy is secondary to a difference in number of ambulatory care visits.

Electronic supplementary materialThe online version of this article doi:10.1186-1472-6963-6-15 contains supplementary material, which is available to authorized users.

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Author: Anthony J Viera - Joshua M Thorpe - Joanne M Garrett

Source: https://link.springer.com/







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