Use of Preventive Care by the Working Poor in the United States

TitleUse of Preventive Care by the Working Poor in the United States
Publication TypeJournal Article
Year of Publication2007
AuthorsRoss, JS, Bernheim, SM, Bradley, EH, Teng, H-M, Gallo, W
JournalPreventive Medicine
Call Numbernewpubs20070403_Ross_etal
KeywordsHealth Conditions and Status, Healthcare, Income

Objective. Examine the association between poverty and preventive care use among older working adults. Method. Cross-sectional analysis of the pooled 1996, 1998 and 2000 waves of the Health and Retirement Study, a nationally representative sample of older community-dwelling adults, studying self-reported use of cervical, breast, and prostate cancer screening, as well as serum cholesterol screening and influenza vaccination. Adults with incomes within 200 of the federal poverty level were defined as poor. Results. Among 10,088 older working adults, overall preventive care use ranged from 38 (influenza vaccination) to 76 (breast cancer screening). In unadjusted analyses, the working poor were significantly less likely to receive preventive care. After adjustment for insurance coverage, education, and other socio-demographic characteristics, the working poor remained significantly less likely to receive breast cancer (RR 0.92, 95 CI, 0.86 0.96), prostate cancer (RR 0.89, 95 CI, 0.81 0.97), and cholesterol screening (RR 0.91, 95 CI, 0.86 0.96) than the working non-poor, but were not significantly less likely to receive cervical cancer screening (RR 0.96, 95 CI, 0.90 1.01) or influenza vaccination (RR 0.92, 95 CI, 0.84 1.01). Conclusion. The older working poor are at modestly increased risk for not receiving preventive care. 2006 Elsevier Inc. All rights reserved.

Endnote Keywords

Poverty/Health Care Utilization/screening

Endnote ID


Citation Key7129