title: Factors associated with free adult preventive health care utilization among physically disabled people in Taiwan: nationwide population-based study.
abstract: BACKGROUND
  Few previous studies have specifically addressed the health care utilization situation of the physically disabled. This study aimed to investigate the utilization of free adult preventive health care for physically disabled people and its' affecting factors.
  
  
  METHODS
  The data was obtained from three nationwide databases from 2006 to 2008. This study comprised 329,264 physically disabled people in Taiwan above the age of 40 who had eligible health checks during 2008. We employed descriptive statistics to analyze the use and rate of free preventive health care use by physically disabled adults. Logistic regression analysis was used to explore the factors that affect physically disabled adults' use of free adult preventive health care.
  
  
  RESULTS
  16.37% of the physically disabled adults used free adult preventive health care. Women (17.66%), married (17.16%), a junior high education level (17.89%), and mildly disabled adults (18.77%) had the highest use rate among various participant subgroups. The variables that significantly influenced the use of free adult preventive health care by the physically disabled included gender, age, education, marital status, urbanization of the residence areas, monthly payroll, aboriginal status, catastrophic illnesses status, relevant chronic diseases, and severity of disability.
  
  
  CONCLUSIONS
  Physically disabled using preventive health care tend to be low. Governments should use the media to reinforce propagation and education of these services to specific, low-utilization groups, and encourage doctors to actively provide preventive health care to communities.
authors.affiliation: Department of Health Services Administration, China Medical University, No. 91 Hsueh-Shih Road, Taichung, 40402, Taiwan. suhmayyen@yahoo.com.tw.|Department of Public Health, China Medical University, Taichung, Taiwan. suhmayyen@yahoo.com.tw.|Department of Chinese Medicine, Nantou Hospita, Nantou, Taiwan. suhmayyen@yahoo.com.tw.
authors.forename: Suh-May
authors.initials: SM
authors.lastname: Yen
authors.affiliation: Department of Healthcare Administration, Asia University, Taichung, Taiwan. ptkung@asia.edu.tw.
authors.forename: Pei-Tseng
authors.initials: PT
authors.lastname: Kung
authors.affiliation: Department of Health Services Administration, China Medical University, No. 91 Hsueh-Shih Road, Taichung, 40402, Taiwan. wtsai@mail.cmu.edu.tw.
authors.forename: Wen-Chen
authors.initials: WC
authors.lastname: Tsai
mesh_terms: D000328:Adult; D000368:Aged; D016208:Databases, Factual; D006233:Persons with Disabilities / Q000706:statistics & numerical data; D005260:Female; D005382:Financing, Personal; D006801:Humans; D008297:Male; D017533:Marital Status; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011314:Preventive Health Services / Q000191:economics* / Q000706:statistics & numerical data*; D012107:Research Design; D013624:Taiwan; D014507:Urbanization