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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Sociodemographic differences in use of preventive services by women enrolled in Medicare+Choice plans.
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Sociodemographic differences in use of preventive services by women enrolled in Medicare+Choice plans.

机译：参加Medicare + Choice计划的妇女在使用预防服务方面的社会人口统计学差异。

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Background. We examined the effect of sociodemographic factors on the receipt of mammography, colorectal cancer screening, and influenza vaccinations by women enrolled in two Medicare+Choice health plans. Methods. Administrative and survey data for 2,698 female health plan members was analyzed using multivariate logistic and ordinal logistic regression to assess the effects of enrollee characteristics on use of preventive services. Results. Age, race and wealth were associated with the receipt of one or more preventive services. Older women were less likely to receive mammograms, wealthier women were more likely to receive mammograms and CRC screening, and Black women were more likely to receive CRC screening but less likely to receive influenza vaccinations. Wealthier women received a greater number of preventive services, other things equal, while older women received fewer preventive services. Conclusions. Race and wealth continue to be important factors in the receipt of preventive services by elderly women, though not always consistent with historical trends. Medicare+Choice plans should consider strategies to further reduce racial and wealth disparities in the use of preventive services.
机译：背景。我们研究了参加两个Medicare + Choice健康计划的妇女的社会人口统计学因素对乳房X线照片接收，结肠直肠癌筛查和流感疫苗接种的影响。方法。使用多元逻辑和序数逻辑回归分析了2698名女性健康计划成员的行政和调查数据，以评估入选者特征对预防服务使用的影响。结果。年龄，种族和财富与获得一项或多项预防服务有关。年龄较大的妇女不太可能接受乳房X光检查，较富有的妇女更可能接受乳房X光检查和CRC筛查，黑人妇女则更可能接受CRC筛查，但不太可能接受流感疫苗接种。在其他条件相同的情况下，富裕妇女获得了更多的预防服务，而老年妇女获得了较少的预防服务。结论。种族和财富仍然是老年妇女接受预防服务的重要因素，尽管并不总是与历史趋势保持一致。 Medicare + Choice计划应考虑在预防服务的使用中进一步减少种族和财富差异的策略。

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