ArticleRisk management and healthcare policy2011
Utilization of preventive care services and their effect on cardiovascular outcomes in the United States.
Article in Risk management and healthcare policy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 39 citations in OpenAlex.
- Understanding Physical Activity Demands and Reported Perceptions of Fatigue in Children with Developmental Disabilities.Behavioral sciences (Basel, Switzerland) · 2026Article
- Atherosclerotic Cardiovascular Disease Primary and Secondary Prevention in Latino Subgroups.Journal of general internal medicine · 2024Article
- Socio-economic inequalities in the use of flu vaccination in Europe: a multilevel approach.Health economics review · 2024Article
- Racial, ethnic, and language differences in screening measures for statin therapy following a major guideline change.Preventive medicine · 2022Article
- Income disparity and utilization of cardiovascular preventive care services among U.S. adults.American journal of preventive cardiology · 2021Article
- Article
- Preventive healthcare uptake in private hospitals in Nigeria: a cross-sectional survey (Nisa premier hospital).BMC health services research · 2020Article
- The utilization and barriers of Pap smear among women with visual impairment.International journal for equity in health · 2016Article
- Cholesterol testing among men and women with disability: the role of morbidity.Clinical epidemiology · 2016Article
- Validation of an Albuminuria Self-assessment Tool in the Multi-Ethnic Study of Atherosclerosis.Ethnicity & disease · 2015Article
- Type of Insurance and Use of Preventive Health Services Among Older Adults in Mexico.Journal of aging and health · 2015Article
- Characteristics affecting oral anticoagulant therapy choice among patients with non-valvular atrial fibrillation: a retrospective claims analysis.BMC health services research · 2014Article
- Screening strategies for cardiovascular disease in asymptomatic adults.Primary care · 2014Review
- Health examination utilization in the visually disabled population in Taiwan: a nationwide population-based study.BMC health services research · 2013Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe and analyze utilization of preventive care services and their effect on cardiovascular outcomes in the United States.
methodsData from the 2007 Medical Expenditure Panel Survey (MEPS) were used to analyze utilization of preventive care services and their effect on cardiovascular outcomes. Recommendations by the Seventh Report of the Joint Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure and the National Cholesterol Education Program were used to determine appropriate levels of preventive care utilization. Utilization of blood pressure screening and cholesterol checkup services were used as the dependent variable, while age, gender, race, ethnicity, insurance status, and perceived health status were used as independent variables. Since guidelines differ for people with elevated blood pressure, respondents with elevated blood pressure were identified in the MEPS database by self-reported diagnosis. Descriptive statistics were used to describe the population, while a multivariate logistic regression model was built to predict odds of utilizing appropriate levels of preventive services.
resultsTotal number of adult respondents for which data were available for blood pressure checkup and cholesterol checkup was 20,523 and 15,784, respectively. Overall, MEPS respondents were found to adhere to guideline recommendations for preventive care utilization. Multivariate logistic regression showed that odds of utilization of preventive care services were higher for elderly patients (age >65 years) for blood pressure (odds ratio [OR] = 2.39, 95% confidence interval [CI]: 1.92-2.97) and cholesterol (OR = 3.05, 95% CI: 2.18-4.27) preventive services compared with younger population (age 18-54 years). Males had much lower odds of getting blood pressure (OR = 0.33, 95% CI: 0.30-0.37) and cholesterol (OR = 0.59, 95% CI: 0.50-0.70) checks done compared with females. Odds of utilization were nearly similar for all races. Uninsured had lower odds for blood pressure (OR = 0.26, 95% CI: 0.23-0.30) and cholesterol (OR = 0.30, 95% CI: 0.24-0.39) checks compared with privately insured people. Asians had lower odds of getting blood pressure checkups compared to Whites (OR = 0.49, 95% CI: 0.39-0.63). Similar trends were recorded for other covariates such as race and perceived health status.
conclusionThe study was successful in identifying existing age, race, income, and insurance-status related disparities in preventive care utilization within a US population.
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