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

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  • Viera, Anthony
    • Affiliation: Robert Wood Johnson Clinical Scholars Program
  • Thorpe, Joshua M
    • Other Affiliation: School of Nursing, Duke University, Durham, NC, USA
  • Garrett, Joanne
    • Affiliation: Robert Wood Johnson Clinical Scholars Program
Abstract
  • Background Sex and age may exert a combined influence on receipt of preventive services with differences due to number of ambulatory care visits. Methods We 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. Results Men 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. Conclusion Men 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.
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Resource type
  • Article
Rights statement
  • In Copyright
Rights holder
  • Anthony J Viera et al.; licensee BioMed Central Ltd.
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Journal title
  • BMC Health Services Research
Journal volume
  • 6
Journal issue
  • 1
Page start
  • 15
Language
  • English
Is the article or chapter peer-reviewed?
  • Yes
ISSN
  • 1472-6963
Bibliographic citation
  • BMC Health Services Research. 2006 Feb 23;6(1):15
Publisher
  • BioMed Central Ltd
Access right
  • Open Access
Date uploaded
  • September 5, 2012

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