Are rural residents less likely to obtain recommended preventive healthcare services?
Are rural residents less likely to obtain recommended preventive healthcare services?
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DOI：
10.1016/s0749-3797(01)00349-x
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发表时间：
2001-10-01
影响因子：
5.5
通讯作者：
Klingner, JM
中科院分区：
文献类型：
--
作者：
Casey, MM;Call, KT;Klingner, JM
背景资料：本研究调查了预防性医疗服务利用的城乡差异，并评估了农村居住、人口因素、健康保险状况和卫生系统特征对获得每种服务的可能性的影响。方法：1997年行为风险因素监测系统的国家数据和1999年地区资源档案被用来评估农村和城市妇女和男子获得预防服务的充分性，使用美国癌症协会的三套全国公认的预防服务指南，美国预防服务工作组，健康的人2010年。Logistic回归模型控制人口学因素、医疗保险状况和卫生系统特征的影响。结果：农村居民获得某些预防保健服务的可能性低于城市居民，在实现“健康人2010”目标方面更落后于城市居民。提高农村预防服务利用率的努力需要建立在联邦、州和社区的基础上，并认识到农村地区存在的特殊挑战。
Background: This study examined rural-urban differences in utilization of preventive healthcare services and assessed the impact of rural residence, demographic factors, health insurance status, and health system characteristics on the likelihood of obtaining each service.Methods: National data from the 1997 Behavioral Risk Factor Surveillance System (BRFSS) and the 1999 Area Resource File were used to evaluate the adequacy of preventive services obtained by rural and urban women and men, using three sets of nationally accepted preventive services guidelines from the American Cancer Society, U.S. Preventive Services Task Force, and Healthy People 2010. Logistic regression models were developed to control for the effect of demographic factors, health insurance status, and health system characteristics.Results: Rural residents are less likely than urban residents to obtain certain preventive health services and are further behind urban residents in meeting Healthy People 2010 objectives.Conclusions: Efforts to increase rural preventive services utilization need to build on federal, state, and community-based initiatives and to recognize the special challenges that rural areas present.