Wenhui Wei|Patricia A. Findley|Usha Sambamoorthi
Disability and receipt of clinical preventive services among women
Rutgers, The State University of New Jersey|VA New Jersey Health Care System|VA New Jersey Health Care System|Rutgers, The State University of New Jersey|Rutgers, The State University of New Jersey|VA New Jersey Health Care System
background individuals surviving catastrophic injuries living longer persistent disability however receipt clinical preventive services well understood compared without disabilities given dual focus care primary prevention prevention secondary complications related disabilities methods longitudinal analyses 19992002 medical expenditure survey meps study sample consisted 3183 communitydwelling women aged 5164 years followed 2 full years women disabilities defined reported limitation area activity daily living 2 years recommended clinical preventive services defined receiving following recommended intervals colorectal cervical breast cancer cholesterol screening influenza immunization 2 tests multiple logistic regressions used examine variations use clinical preventive services results overall 23 women study n 835 disabled disabled women however less likely receive mammography pap smears within recommended intervals however disabled women likely receive influenza immunization cholesterol screening colorectal screening within recommended intervals among disabled usual source care health insurance remained significant predictors receipt clinical preventive services across types conclusions disabled women less likely receive cancer screening services suggesting need targeted interventions promote breast cancer cervical cancer screening increased access health care insurance health care providers may also help individuals surviving catastrophic injuries living longer persistent disability however receipt clinical preventive services well understood compared without disabilities given dual focus care primary prevention prevention secondary complications related disabilities longitudinal analyses 19992002 medical expenditure survey meps study sample consisted 3183 communitydwelling women aged 5164 years followed 2 full years women disabilities defined reported limitation area activity daily living 2 years recommended clinical preventive services defined receiving following recommended intervals colorectal cervical breast cancer cholesterol screening influenza immunization 2 tests multiple logistic regressions used examine variations use clinical preventive services overall 23 women study n 835 disabled disabled women however less likely receive mammography pap smears within recommended intervals however disabled women likely receive influenza immunization cholesterol screening colorectal screening within recommended intervals among disabled usual source care health insurance remained significant predictors receipt clinical preventive services across types disabled women less likely receive cancer screening services suggesting need targeted interventions promote breast cancer cervical cancer screening increased access health care insurance health care providers may also help