title: Preventive health services received by minority women aged 45-64 and the goals of healthy people 2000.
abstract: We attempted to evaluate the preventive health services received by minority women aged 45-64 in an underserved region of Boston. We compared two surveys of disease burden and preventive health services to national data sets and the goals of Healthy People 2000. We found that minority women seen both in community health centers and within the community had many cardiovascular risk factors (41-45% had hypertension, 24-29% had cholesterol > 200 mg/dL, and 49-56% had a body mass index of >27.3 kg/m(2)). Women reported that they received low rates of counseling on healthy behaviors but generally received breast and cervical cancer screening. Forty-three percent of women who were interviewed in the community had no health insurance and these women were less likely to have received a Papanicolaou test or mammogram than insured women. Lack of insurance did not predict cancer screening for women already being seen in the community health clinic.
authors.affiliation: Departments of Obstetrics and Gynecology at Beth Israel Deaconess Medical Center Harvard Medical School, Boston, Massachusetts, USA.
authors.forename: R C
authors.initials: RC
authors.lastname: Fretts
authors.forename: G
authors.initials: G
authors.lastname: Rodman
authors.forename: Y
authors.initials: Y
authors.lastname: Gomez-Carrion
authors.forename: R
authors.initials: R
authors.lastname: Goldberg
authors.forename: B P
authors.initials: BP
authors.lastname: Sachs
authors.forename: E
authors.initials: E
authors.lastname: Myers
authors.forename: B
authors.initials: B
authors.lastname: Kessel
mesh_terms: D001900:Boston / Q000453:epidemiology; D005260:Female; D019538:Health Care Surveys; D006292:Health Priorities; D006801:Humans; D008507:Medically Underserved Area; D017057:Medically Uninsured / Q000706:statistics & numerical data; D008875:Middle Aged; D008913:Minority Groups / Q000706:statistics & numerical data*; D009017:Morbidity; D011314:Preventive Health Services / Q000706:statistics & numerical data*; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014932:Women's Health Services / Q000706:statistics & numerical data*