title: Cardio-Vascular Disease and Cancer: A Dichotomy in Utilization of Clinical Preventive Services by Older Adults in a Developing Country.
abstract: Objective:To report the level of utilization of clinical preventive services by older adults in Jamaica and to identify independent factors associated with utilization.Method:A nationally representative, community-based survey of 2,943 older adults was undertaken. Utilization frequency for six preventive, cardiovascular or cancer-related services was calculated. Logistic regression models were used to determine the independent factors associated with each service.Results:A dichotomy in annual utilization rates exists with cardiovascular services having much higher uptake than those for cancer (83.1% for blood pressure, 76.7% blood glucose, 68.1% cholesterol, 35.1% prostate, 11.3% mammograms, and 9.6% papanicolaou smears). Age, source of routine care, and having a chronic disease were most frequently associated with uptake.Discussion:Education of providers and patients on the need for utilizing preventive services in older adults is important. Improved access to services in the public sector may also help increase uptake of services.
authors.affiliation: The University of the West Indies, Kingston, Jamaica.
authors.forename: K
authors.initials: K
authors.lastname: Mitchell-Fearon
authors.affiliation: The University of the West Indies, Kingston, Jamaica.
authors.forename: D
authors.initials: D
authors.lastname: Willie-Tyndale
authors.affiliation: The University of the West Indies, Kingston, Jamaica.
authors.forename: N
authors.initials: N
authors.lastname: Waldron
authors.affiliation: The University of the West Indies, Kingston, Jamaica.
authors.forename: D
authors.initials: D
authors.lastname: Holder-Nevins
authors.affiliation: The University of the West Indies, Kingston, Jamaica.
authors.forename: K
authors.initials: K
authors.lastname: James
authors.affiliation: The University of the West Indies, Kingston, Jamaica.
authors.forename: H
authors.initials: H
authors.lastname: Laws
authors.affiliation: The University of the West Indies, Kingston, Jamaica.
authors.forename: D
authors.initials: D
authors.lastname: Eldemire-Shearer
keywords: Jamaican older adults; cancer; cardiovascular health; clinical preventive service utilization; screening