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J Prim Prev. 2009 Sep;30(5):531-47. doi: 10.1007/s10935-009-0190-z. Epub 2009 Aug 19.

Psychological distress as a barrier to preventive healthcare among U.S. women.

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1
Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin, Office 503, Madison, WI 53726, USA. wwitt@wisc.edu

Abstract

To examine the role of psychological distress in accessing routine periodic health examinations among U.S. women of reproductive age, we examined data on 9,166 women aged 18-49 years from the 1998 National Health Interview Survey. In multivariate regression, women with psychological distress were more likely than non-distressed women to report delayed routine care, not having insurance, and lack of a usual source of care. Among women without a usual source of care, distressed women were more than six and one-half times more likely to delay care compared with non-distressed women. Women with psychological distress report delays in receiving routine care. EDITORS' STRATEGIC IMPLICATIONS: The findings suggest that, for distressed women in particular, continuity of care is vital in accessing routine care and obtaining timely and effective preventive services.

PMID:
19690962
DOI:
10.1007/s10935-009-0190-z
[Indexed for MEDLINE]
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