ArticleHealth services research2014
State-level unemployment and the utilization of preventive medical services.
Article in Health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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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
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Who cites it
15 citing papers in PubMed, 94 citations in OpenAlex.
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- Public Health Impacts of Underemployment and Unemployment in the United States: Exploring Perceptions, Gaps and Opportunities.International journal of environmental research and public health · 2021Review
- Regional market factors and patient experience in primary care.The American journal of managed care · 2020Article
- Insurance patterns and instability from 2006 to 2016.BMC health services research · 2020Article
- Development and content validity of the Abilitator: a self-report questionnaire on work ability and functioning aimed at the population in a weak labour market position.BMC public health · 2020Article
- The Contextual Effect of Area-Level Unemployment Rate on Lower Back Pain: A Multilevel Analysis of Three Consecutive Surveys of 962,586 Workers in Japan.International journal of environmental research and public health · 2019Article
- Potentially Avertable Premature Deaths Associated with Jail Incarceration in New York City.Journal of community health · 2019Article
- Impact of Cardiovascular Disease on Health Insurance Coverage and Healthcare Use under Economic Stress: The National Health and Nutrition Examination Survey, 2003-2012.Osong public health and research perspectives · 2019Article
- Lack of Preventive Health Behaviors in the Early Forties: The Role of Earlier Trajectories of Cigarette Smoking From Adolescence to Adulthood.Substance use & misuse · 2017Article
- Unemployment and HIV mortality in the countries of the Organisation for Economic Co-operation and Development: 1981-2009.JRSM open · 2017Article
- Cost inefficiency under financial strain: a stochastic frontier analysis of hospitals in Washington State through the Great Recession.Health care management science · 2017Article
- Article
- Assessment of trends in socioeconomic inequalities in cancer screening services in Korea, 1998-2012.International journal for equity in health · 2016Article
- Unemployment, public-sector health care expenditure and HIV mortality: An analysis of 74 countries, 1981-2009.Journal of global health · 2015Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo study the association between macroeconomic conditions and preventive medical service utilization. DATA SOURCES/STUDY
settingSecondary data collection of a survey of the civilian, non-institutionalized population of adults (age 18 and older) in the United States between 1987 and 2010. STUDY
designRegression analyses that adjust for individual-level demographic and socioeconomic determinants, state and time-fixed effects, and state-specific time trends. DATA COLLECTION/EXTRACTION
methodsState health departments, with technological and methodological assistance from the Centers for Disease Control and Prevention, conducted a cross-sectional yearly telephone survey using a standardized questionnaire. PRINCIPAL
findingsThe use of preventive medical services is procyclical: a 1 percentage point increase in the state-level unemployment rate is associated with a 1.58 percent decrease in the quantity of distinct preventive care services utilized. Women and economically disadvantaged populations are shown to be especially sensitive to macroeconomic fluctuations.
conclusionsPolicy makers should be aware of cyclical changes in preventive care use, particularly among disadvantaged populations, when making challenging budgetary decisions during economic downturns. As physician recommendations can have a strong impact on patients' use, health care providers could increase efforts to persuade patients to seek screening exams and necessary vaccinations during periods of high unemployment.
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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.