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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Use of preventive care by the working poor in the United States.
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Use of preventive care by the working poor in the United States.

机译：美国的工作穷人使用预防保健。

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OBJECTIVE: Examine the association between poverty and preventive care use among older working adults. METHOD: Cross-sectional analysis of the pooled 1996, 1998 and 2000 waves of the Health and Retirement Study, a nationally representative sample of older community-dwelling adults, studying self-reported use of cervical, breast, and prostate cancer screening, as well as serum cholesterol screening and influenza vaccination. Adults with incomes within 200% of the federal poverty level were defined as poor. RESULTS: Among 10,088 older working adults, overall preventive care use ranged from 38% (influenza vaccination) to 76% (breast cancer screening). In unadjusted analyses, the working poor were significantly less likely to receive preventive care. After adjustment for insurance coverage, education, and other socio-demographic characteristics, the working poor remained significantly less likely to receive breast cancer (RR 0.92, 95% CI, 0.86-0.96), prostate cancer (RR 0.89, 95% CI, 0.81-0.97), and cholesterol screening (RR 0.91, 95% CI, 0.86-0.96) than the working non-poor, but were not significantly less likely to receive cervical cancer screening (RR 0.96, 95% CI, 0.90-1.01) or influenza vaccination (RR 0.92, 95% CI, 0.84-1.01). CONCLUSION: The older working poor are at modestly increased risk for not receiving preventive care.
机译：目的：检查老年人与贫穷和预防保健之间的联系。方法：对1996年，1998年和2000年“健康与退休研究”的汇总波进行横截面分析，该研究是全国性的老年人社区居民样本，同时研究了自我报告的宫颈癌，乳腺癌和前列腺癌筛查方法作为血清胆固醇筛查和流感疫苗接种。收入在联邦贫困线以下200％以内的成年人为贫困人口。结果：在10,088名老年人中，总体预防保健使用率从38％（流感疫苗接种）到76％（乳腺癌筛查）不等。在未经调整的分析中，在职穷人接受预防保健的可能性大大降低。在调整了保险覆盖范围，教育程度和其他社会人口统计学特征后，工作中的穷人患乳腺癌（RR 0.92，95％CI，0.86-0.96），前列腺癌（RR 0.89，95％CI，0.81）的可能性仍然很低-0.97）和胆固醇筛查（RR 0.91，95％CI，0.86-0.96）高于非贫困人群，但接受宫颈癌筛查的可能性不显着降低（RR 0.96，95％CI，0.90-1.01）或流感疫苗接种（RR 0.92，95％CI，0.84-1.01）。结论：工作年龄较大的穷人未得到预防保健的风险适度增加。

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