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Social risk factors influence the likelihood of receiving preventive services such as mammograms, Papanicolaou (Pap) tests, influenza or pneumococcal vaccines, and colonoscopies, according to research published online Oct. 4 in JAMA Network Open. associated with a decline in
Tamara Schroeder, M.D., Ph.D., of the University of California, Davis, et al. We investigated the relationship between , colonoscopy (adults 45 to 75 and older), influenza vaccine (adults 18 and older), pneumococcal vaccine (adults 65 and older). The analysis included data from 82,432 people identified in the National Health Interview Survey (2016-2018).
The researchers found that all outcomes were associated with educational deficits (mammography: odds ratio (OR), 0.73; Pap test: OR, 0.78; influenza vaccine: OR, 0.71; pneumococcal vaccine: OR). , 0.68; colonoscopy: OR, 0.82). lack of access to care (mammography: OR, 0.32; Pap test: OR, 0.49; influenza vaccine: OR, 0.44; pneumococcal vaccine: OR, 0.30; colonoscopy: OR, 0.35). A unit increase in social risk count in adjusted analyzes was associated with decreased odds of receiving mammography (OR, 0.74), Pap test (OR, 0.84), influenza vaccine (OR, 0.81), and pneumococcal vaccine (OR, 0.80) was significantly associated with , or colonoscopy (OR, 0.88).
“This study suggests that social risk factors need to be addressed to optimize receipt of recommended preventive services,” the authors wrote. “Future prospective studies are needed to investigate the mechanisms underlying these associations.”
Further information: Tamara Schroeder et al. Social Risk Factor Domains and Preventive Care Services in U.S. Adults, JAMA Network Open (2024). DOI: 10.1001/jamanetworkopen.2024.37492
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