title: Insurance coverage and usage of preventive health services.
abstract: The 1991 Florida Behavioral Risk Factor Survey which included 2,246 respondents to a random-digit-dial telephone survey, showed that 19.2% of Florida residents aged 18 and older reported they had no health insurance, and 24.7% reported they had no insurance covering outpatient services. Lack of insurance coverage was reported more frequently by younger adults (70% under age 40 vs 93% over age 60), by those with less than a high-school education (69% vs 85% for those with some college), by members of racial-ethnic minority groups (Hispanics 67.5%, Blacks 71.5%, whites 85%), and by residents of southeastern Florida. Persons without insurance coverage were less likely to report having had a check-up by a physician in the last year, more likely to report they needed to see a physician but could not because of cost (37% vs 9%), and less likely to have received a mammogram (33% vs 56%) or Pap smear (51.6% vs 67.8%) in the last year. These findings support the need for health-care reform to include assurance that health insurance covers preventive services.
authors.affiliation: Disease Control and AIDS Prevention, State Health Office, Department of Health and Rehabilitative Services, Tallahassee.
authors.forename: R S
authors.initials: RS
authors.lastname: Hopkins
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American; D000367:Age Factors; D000368:Aged; D003365:Costs and Cost Analysis; D004522:Educational Status; D005260:Female; D005431:Florida / Q000453:epidemiology; D006297:Health Services Accessibility / Q000191:economics; D006630:Hispanic or Latino; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data; D007350:Insurance, Hospitalization / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D011314:Preventive Health Services / Q000706:statistics & numerical data*; D012737:Sex Factors; D044465:White People