ArticleMedical care2012
Depressive symptoms and reduced preventive care use in older adults: the mediating role of perceived access.
Article in Medical care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed.
- The preventive services use self-efficacy (PRESS) scale in older women: development and psychometric properties.BMC health services research · 2016Trial
- Association of Intimate Partner Violence Exposure with Health Checkup Participation and Unmet Medical Needs: A Longitudinal Study of Married Adults.Journal of general internal medicine · 2026Article
- Association of depressive symptoms, gait and dynamic balance with risk of falling in older adults discharged from the emergency department after a fall: a prospective observational study.BMC geriatrics · 2026Observational
- Perceived Barriers to Care Among People Who Use Drugs in Vietnam.Drug and alcohol review · 2026Article
- Correlates of annual health check-up among community-dwelling persons 60 years and older: Longitudinal national evidence from the health, aging, and retirement in Thailand study, 2015-2022.Preventive medicine reports · 2025Article
- Cardiovascular disease and preventive care service utilization among midlife adults: The roles of diagnosis and depression.American journal of preventive cardiology · 2024Article
- Age and sex differences in the association between access to medical care and health outcomes among older Chinese.BMC health services research · 2018Article
- Profound Hearing Loss: Addressing Barriers to Hearing Healthcare.Seminars in hearing · 2018Review
- Urban-rural differences in the association between access to healthcare and health outcomes among older adults in China.BMC geriatrics · 2017Article
- Comparing Health Care Financial Burden With an Alternative Measure of Unaffordability.Inquiry : a journal of medical care organization, provision and financing · 2017Article
- Informal Caregiver Disability and Access to Preventive Care in Care Recipients.American journal of preventive medicine · 2015Article
- Caregiver depression and perceptions of primary care predict clinic attendance in head start children with asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2015Article
- Purpose in life and use of preventive health care services.Proceedings of the National Academy of Sciences of the United States of America · 2014Article
- Diagnosed prevalence and health care expenditures of mental health disorders among dual eligible older people.The Gerontologist · 2013Article
- The influence of stress, depression, and anxiety on PSA screening rates in a nationally representative sample.Medical care · 2012Article
- Patterns of perceived barriers to medical care in older adults: a latent class analysis.BMC health services research · 2011Article
- Access to Preventive Health Care in Severely Disabled Women with Multiple Sclerosis.International journal of MS careArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
backgroundDepressive symptomatology is common in older adults and is associated with reduced adherence to recommended preventive care, but little is known as to why. Understanding how depressive symptoms may interfere with adherence can help to identify leverage points for interventions to increase preventive service use.
objectiveThis study examined perceived access to medical care as a possible mediator linking depressive symptomatology to reduced preventive service use in older adults.
methodsWe analyzed data from 5465 respondents completing the 1993 and 2003/2004 waves of the Wisconsin Longitudinal Study. Depressive symptomatology was assessed using the Center for Epidemiologic Studies Depression Scale. Perceived access survey items were organized through factor analysis to represent key dimensions of access: availability/accessibility, affordability, acceptability, and accommodation. The primary outcome was the total number of 7 recommended preventive services that respondents received. Multivariate path analysis was used to estimate direct and indirect effects between depressive symptomatology, perceived access, and preventive service use.
resultsOlder adults with depressive symptomatology received fewer recommended services. Depressive symptomatology reduced preventive service use by adversely affecting 2 dimensions of perceived access: (1) acceptability, pertaining to poor patient-provider trust and communication, and (2) accommodation, pertaining to inconveniently organized services.
conclusionsDepressive symptomatology may negatively alter older adults' perceptions of access and, in turn, negatively impact their preventive service use. In addition to treating depression, interventions designed to mitigate the impact of depression on the patient-provider relationship, and organizational changes to practice that better accommodate the needs of depressed patients, may increase adherence to preventive care guidelines in depressed older adults.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.