Having a Primary Care Provider and Receipt of Recommended Preventive Care Among Men in New York City

被引:12
作者
Jasek, John P. [1 ]
机构
[1] New York City Dept Hlth & Mental Hyg, Bur Epidemiol Serv, New York, NY 10013 USA
关键词
health screening; quantitative research; health care utilization; health policy issues; population-based; HEALTH-CARE; COLORECTAL-CANCER; NONRESPONSE BIAS; INSURANCE; MASCULINITY; DETERMINANTS; PROSTATE; ACCESS; ADULTS; IMPACT;
D O I
10.1177/1557988310375606
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
To assess the role of having a primary care provider (PCP) in men's up-to-date receipt of recommended preventive services (colonoscopy, pneumococcal and seasonal influenza vaccination, cholesterol and blood pressure screenings), data from the 2005 and 2006 New York City Community Health Surveys (N = 3,728 [2006], 2,810 [2005]) were analyzed. PCP prevalence and men's uptake of each service, overall and by age, race/ethnicity, education, income, insurance status, marital status, and nativity, were evaluated. After controlling for insurance status and other factors, having a PCP significantly predicted receipt of each service (adjusted prevalence ratio from 1.12 [1.08, 1.16] to 1.72 [1.35, 2.22]) and total services. Colonoscopy and seasonal influenza and pneumococcal vaccination receipt were below 70% with or without a PCP. Efforts to increase the proportion of men having a PCP are needed to improve receipt of recommended services. Maximizing awareness and provision of low-use preventive services may be useful.
引用
收藏
页码:225 / 235
页数:11
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