Preventive Health Care among Older Women: Missed Opportunities and Poor Targeting
Preventive Health Care among Older Women: Missed Opportunities and Poor Targeting
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DOI：
10.1016/j.amjmed.2008.05.042
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发表时间：
2008-11-01
影响因子：
5.9
通讯作者：
Marcantonio, Edward R.
中科院分区：
文献类型：
--
作者：
Schonberg, Mara A.;Leveille, Suzanne G.;Marcantonio, Edward R.
BACKGROUND: Experts recommend that clinicians target mammography and colon cancer screening to individuals with at least 5 years life expectancy. Generally, immunizations and exercise counseling are recommended for all women aged >= 65 years, while Pap smears are generally not encouraged for these women.METHODS: We used the 2005 National Health Interview Survey to examine receipt of several preventive health measures simultaneously among community dwelling US women aged >= 65 years by age and health status. We used functional status, significant diseases, and perceived health to categorize women into those most likely to be in above-average, average, or below-average health status. We used age and health status to estimate life expectancy.RESULTS: Of 4683 participants, 25.8% were >= 80 years; 81.8% were non-Hispanic white; 21% were in above-average and 20% were in below-average health status. Receipt of mammography and colon cancer screening decreased with age and was not associated with health status for women aged >= 80 years. Nearly half (49%) of women aged >= 80 years in below-average health received mammography screening, while 19% of women aged 65-79 years in above-average health did not report receiving mammography. Nearly half of women aged 65-79 years (49%) in above-average health did not report receiving colon cancer screening. Pap smear screening was common among older women. Few (34%) reported receiving exercise counseling. Many did not report receiving pneumococcal (43%) or flu vaccinations (40%).CONCLUSIONS: In our comprehensive review of preventive health measures for older women, we found evidence to suggest a need to improve delivery and targeting of preventive health services. (C) 2008 Elsevier Inc. All rights reserved.
