title: Use of preventive services by men enrolled in Medicare+Choice plans.
abstract: OBJECTIVE
  We examined the effect of demographic and socioeconomic factors on use of preventive services (prostate-specific antigen testing, colorectal cancer screening, and influenza vaccination) among elderly men enrolled in 2 Medicare+Choice health plans.
  
  
  METHODS
  Data were derived from administrative files and a survey of 1915 male enrollees. We used multivariate logistic regression to assess the effects of enrollee characteristics on preventive service use.
  
  
  RESULTS
  Age, marital status, educational attainment, and household wealth were associated with receipt of one or more preventive services. However, the effects of these variables were substantially attenuated relative to earlier studies of Medicare.
  
  
  CONCLUSIONS
  Some Medicare HMOs have been successful in attenuating racial and socioeconomic disparities in the use of preventive services by older men.
authors.affiliation: RAND Health, 1700 Main Street, Santa Monica, CA 90407, USA. morales@rand.org
authors.forename: Leo S
authors.initials: LS
authors.lastname: Morales
authors.forename: Jeannette
authors.initials: J
authors.lastname: Rogowski
authors.forename: Vicki A
authors.initials: VA
authors.lastname: Freedman
authors.forename: Steven L
authors.initials: SL
authors.lastname: Wickstrom
authors.forename: John L
authors.initials: JL
authors.lastname: Adams
authors.forename: José J
authors.initials: JJ
authors.lastname: Escarce
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015179:Colorectal Neoplasms / Q000175:diagnosis; D006279:Health Maintenance Organizations / Q000706:statistics & numerical data*; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage; D016015:Logistic Models; D008297:Male; D006278:Medicare; D011314:Preventive Health Services / Q000706:statistics & numerical data*; D017430:Prostate-Specific Antigen / Q000097:blood; D012307:Risk Factors; D012959:Socioeconomic Factors
chemical_list: D007252:Influenza Vaccines; D017430:Prostate-Specific Antigen