title: Psychological distress as a barrier to preventive healthcare among U.S. women.
abstract: To examine the role of psychological distress in accessing routine periodic health examinations among U.S. women of reproductive age, we examined data on 9,166 women aged 18-49 years from the 1998 National Health Interview Survey. In multivariate regression, women with psychological distress were more likely than non-distressed women to report delayed routine care, not having insurance, and lack of a usual source of care. Among women without a usual source of care, distressed women were more than six and one-half times more likely to delay care compared with non-distressed women. Women with psychological distress report delays in receiving routine care. EDITORS' STRATEGIC IMPLICATIONS: The findings suggest that, for distressed women in particular, continuity of care is vital in accessing routine care and obtaining timely and effective preventive services.
authors.affiliation: Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin, Office 503, Madison, WI 53726, USA. wwitt@wisc.edu
authors.forename: Whitney P
authors.initials: WP
authors.lastname: Witt
authors.forename: Robert
authors.initials: R
authors.lastname: Kahn
authors.forename: Lisa
authors.initials: L
authors.lastname: Fortuna
authors.forename: Jonathan
authors.initials: J
authors.lastname: Winickoff
authors.forename: Karen
authors.initials: K
authors.lastname: Kuhlthau
authors.forename: Paul A
authors.initials: PA
authors.lastname: Pirraglia
authors.forename: Timothy
authors.initials: T
authors.lastname: Ferris
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011314:Preventive Health Services / Q000706:statistics & numerical data*; D013315:Stress, Psychological; D014481:United States; D055815:Young Adult
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