title: Health insurance status, psychological processes, and older African Americans' use of preventive care.
abstract: The current study examined the influence of health insurance, psychological processes (i.e. psychological competency and vulnerability), and the interaction of these two constructs on older African Americans' utilization of five preventive care services (e.g. cholesterol screening and mammogram/prostate examination) using data from 211 older African Americans (median age = 60). In addition to direct effects, the influence of health insurance sometimes varied depending on respondents' psychological competency and/or vulnerability. Policies and interventions to increase older African Americans' use of preventive health services should consider structural (e.g. health insurance) and psychological (e.g. psychological competency and vulnerability) factors along with the interaction between these factors.
authors: University of Georgia, USA.
authors: Catherine W
authors: CW
authors: O'Neal
authors: K A S
authors: KA
authors: Wickrama
authors: Penny A
authors: PA
authors: Ralston
authors: Jasminka Z
authors: JZ
authors: Ilich
authors: Cynthia M
authors: CM
authors: Harris
authors: Catherine
authors: C
authors: Coccia
authors: Iris
authors: I
authors: Young-Clark
authors: Jennifer
authors: J
authors: Lemacks
mesh_terms: D000223:Adaptation, Psychological; D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D005431:Florida / Q000453:epidemiology; D006801:Humans; D019458:Insurance Coverage / Q000706:statistics & numerical data*; D007348:Insurance, Health / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D011314:Preventive Health Services / Q000706:statistics & numerical data*; D012649:Self Concept; D013315:Stress, Psychological / Q000453:epidemiology / Q000523:psychology
keywords: African Americans; control; health insurance; preventive care; vulnerability