title: Social-emotional support, life satisfaction, and mental health on reproductive age women's health utilization, US, 2009.
abstract: To examine the associations among social-emotional support, life satisfaction, and mental health with not having a routine checkup among women of reproductive age in the US, data from the 2009 Behavioral Risk Factor Surveillance System, a population-based telephone survey of health behaviors, were analyzed among reproductive aged (18-44 years) women in the US. Prevalence estimates were calculated for not having a routine checkup in the past year with measures of social-emotional support, life satisfaction, and mental distress. Independent multivariable logistic regressions for each measure assessed not having a routine checkup within the past year with adjustment for age, race/ethnicity, education level, and health care coverage. Among women of reproductive age, 33.7 % (95 % CI 33.0-34.4) did not have a routine checkup within the past year. Factors associated with not having a routine checkup included: having social-emotional support most of the time (AOR = 1.29, 95 % CI 1.20-1.38) or sometimes or less (AOR = 1.47, 95 % CI 1.34-1.61) compared to those who reported always having the social-emotional support they need; reporting life satisfaction as being satisfied (AOR = 1.27, 95 % CI 1.19-1.36) or dissatisfied (AOR = 1.65, 95 % CI 1.43-1.91) compared to being very satisfied; and frequent mental distress (AOR = 1.19, 95 % CI 1.09-1.30) compared to those without. Women who report lower levels of social-emotional support, less life satisfaction, and frequent mental distress are less likely to see a doctor for a routine checkup. Targeted outreach that provides appropriate support are needed so these women can access clinical services to increase exposure to preventive health opportunities and improve overall health.
authors.affiliation: Family Health Services Division, Hawaii State Department of Health, 3652 Kilauea Avenue, Honolulu, HI 96816, USA.
authors.forename: Michelle N
authors.initials: MN
authors.lastname: Willet
authors.forename: Donald K
authors.initials: DK
authors.lastname: Hayes
authors.forename: Rebecca L
authors.initials: RL
authors.lastname: Zaha
authors.forename: Loretta J
authors.initials: LJ
authors.lastname: Fuddy
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D040343:Behavioral Risk Factor Surveillance System; D003430:Cross-Sectional Studies; D004644:Emotions; D005260:Female; D015438:Health Behavior; D006296:Health Services / Q000706:statistics & numerical data*; D006297:Health Services Accessibility; D006801:Humans; D016015:Logistic Models; D008603:Mental Health; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D010549:Personal Satisfaction; D011159:Population Surveillance; D060728:Reproductive Health; D012944:Social Support; D012959:Socioeconomic Factors; D013315:Stress, Psychological; D013689:Telephone; D055815:Young Adult