Psychological distress as a barrier to preventive healthcare among U.S. women.
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.
Witt
Whitney P
WP
Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin, Office 503, Madison, WI 53726, USA. wwitt@wisc.edu
Kahn
Robert
R
Fortuna
Lisa
L
Winickoff
Jonathan
J
Kuhlthau
Karen
K
Pirraglia
Paul A
PA
Ferris
Timothy
T
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
Arch Gen Psychiatry. 1997 Oct;54(10):932-40
9337774
Arch Intern Med. 1997 Jul 14;157(13):1462-70
9224225
J Gen Intern Med. 1996 May;11(5):269-76
8725975
Pediatrics. 1987 Jan;79(1):110-7
3797157
J Am Geriatr Soc. 1994 Aug;42(8):833-8
8046192
Biometrics. 1986 Mar;42(1):121-30
3719049
Health Psychol. 1995 May;14(3):274-8
7641669
Annu Rev Public Health. 1993;14:43-68
8323597
Women Health. 2001;34(3):35-51
11708686
Med Care. 2006 Feb;44(2):187-91
16434919
Arch Gen Psychiatry. 1995 Jan;52(1):11-9
7811158
J Am Acad Child Adolesc Psychiatry. 1998 Jun;37(6):602-11
9628080
JAMA. 1989 Aug 18;262(7):914-9
2754791
Breast Cancer Res. 2002;4(1):R1
11879559
Diabetes Care. 1996 Oct;19(10):1097-102
8886555
Arch Gen Psychiatry. 1996 Oct;53(10):899-904
8857866
J Abnorm Psychol. 1989 Feb;98(1):78-85
2708645
Ann Fam Med. 2003 Sep-Oct;1(3):149-55
15043376
Arch Fam Med. 1997 Jan-Feb;6(1):43-9
9003169
Med Care. 2003 Jun;41(6):716-21
12773837
N Engl J Med. 1993 Jul 29;329(5):326-31
8321261
Health Psychol. 2001 May;20(3):223-7
11403220
Breast Cancer Res Treat. 2001 Nov;70(2):145-53
11768605
Med Care. 2002 Feb;40(2):129-36
11802085
J Abnorm Child Psychol. 1983 Dec;11(4):463-85
6655148
Health Care Women Int. 2002 Sep-Nov;23(6-7):561-6
12418978
MMWR CDC Surveill Summ. 2000 Mar 24;49(2):1-60
10965781
Am J Public Health. 2003 May;93(5):786-91
12721145
Am J Public Health. 2002 Aug;92(8):1312-8
12144990
Am J Public Health. 1992 Oct;82(10):1345-51
1415857
J Psychiatr Res. 1990;24(3):231-50
2266512
Am J Public Health. 1998 Mar;88(3):364-70
9518965
J Health Care Poor Underserved. 1998 May;9(2):126-39
10073198
Arch Gen Psychiatry. 2003 Feb;60(2):184-9
12578436
J Health Soc Behav. 1995 Mar;36(1):1-10
7738325
Arch Gen Psychiatry. 1995 Oct;52(10):850-6
7575105
Br J Gen Pract. 2001 Sep;51(470):730-6
11593834
Am J Psychiatry. 1995 Mar;152(3):352-7
7864259
Am J Health Promot. 2000 Sep-Oct;15(1):29-34
11184116
Pediatrics. 2000 May;105(5):1090-5
10790467
Gen Hosp Psychiatry. 1990 Nov;12(6):355-62
2245919
Health Serv Res. 2002 Oct;37(5):1145-58
12479490
Arch Intern Med. 2000 May 22;160(10):1495-500
10826464
JAMA. 1992 Mar 18;267(11):1478-83
1538538
J Abnorm Child Psychol. 1987 Dec;15(4):559-72
3437091
Am J Psychiatry. 1999 Mar;156(3):477-9
10080569
Br J Cancer. 1998 Jun;77(11):2014-9
9667685
Arch Gen Psychiatry. 1999 Oct;56(10):897-904
10530631
J Nerv Ment Dis. 2002 Dec;190(12):799-806
12486367
Am J Epidemiol. 1982 Jan;115(1):92-106
7055134
Health Serv Res. 1998 Jun;33(2 Pt 1):275-86
9618672
Acta Odontol Scand. 2001 Dec;59(6):406-12
11831492
Diabetes Care. 2004 Sep;27(9):2154-60
15333477
Psychol Med. 2002 Jul;32(5):903-8
12171384
Arch Intern Med. 2000 Jul 24;160(14):2101-7
10904452
J Natl Cancer Inst. 2001 Nov 21;93(22):1704-13
11717331
J Gen Intern Med. 2003 May;18(5):377-84
12795737
J Womens Health (Larchmt). 2004 Jul-Aug;13(6):731-8
15333288
Child Dev. 1989 Oct;60(5):1068-75
2805884
Psychol Med. 1998 Nov;28(6):1301-10
9854271
J Chronic Dis. 1967 Apr;20(4):241-8
6023232
J Fla Med Assoc. 1993 Aug;80(8):529-32
8409905
Arch Fam Med. 1997 May-Jun;6(3):223-30
9161346
Psychol Bull. 1994 May;115(3):444-64
8016287
Psychiatr Serv. 1999 Feb;50(2):214-8
10030479
Arch Pediatr Adolesc Med. 1999 Aug;153(8):808-13
10437752
J Gen Intern Med. 1999 Aug;14(8):461-8
10491229
Psychol Med. 2003 Feb;33(2):357-62
12622315
J Psychosom Res. 2002 Oct;53(4):903-6
12377301
Cancer. 2003 Mar 15;97(6):1528-40
12627518
Am J Obstet Gynecol. 1989 May;160(5 Pt 1):1107-11
2729387
Arch Gen Psychiatry. 1987 Oct;44(10):847-53
3662741
Arch Intern Med. 2000 Nov 27;160(21):3278-85
11088090
Soc Sci Med. 1996 Jun;42(12):1691-701
8783431
Am J Public Health. 2003 Apr;93(4):618-23
12660207
CA Cancer J Clin. 2004 Jul-Aug;54(4):190-207
15253917
Med Care. 1999 Jun;37(6):547-55
10386567
Am J Public Health. 1996 Dec;86(12):1748-54
9003132
Ambul Pediatr. 2006 May-Jun;6(3):145-51
16713932
Acad Emerg Med. 2002 Sep;9(9):916-23
12208681
Health Serv Res. 2000 Feb;34(6):1307-10; discussion 1311-4
10654832
Addiction. 1999 Oct;94(10):1523-32
10790904
Ann Behav Med. 1999 Fall;21(4):317-21
10721439
JAMA. 1997 May 28;277(20):1618-23
9168292
Am J Public Health. 1998 Oct;88(10):1518-22
9772855
Am J Prev Med. 1996 Mar-Apr;12(2):82-90
8777072
Am J Public Health. 1989 Nov;79(11):1499-502
2817160
Gerontologist. 1992 Feb;32(1):33-43
1740253
JAMA. 2000 Oct 25;284(16):2061-9
11042754
Psychosom Med. 2000 Mar-Apr;62(2):188-96
10772396
JAMA. 1994 Jun 22-29;271(24):1909-12
8201734
Psychol Med. 2002 Aug;32(6):959-76
12214795
Arch Gen Psychiatry. 1992 Oct;49(10):788-94
1417431