TY - JOUR
T1 - Adherence to preventive recommendations
T2 - Experience of a cohort presenting for executive health care
AU - Shippee, Nathan D.
AU - Mullan, Rebecca J.
AU - Nabhan, Mohammed
AU - Kermott, Cindy A.
AU - Hagen, Philip T.
AU - Rhodes, Deborah J.
AU - Montori, Victor M.
AU - Murad, M. Hassan
PY - 2012/4/1
Y1 - 2012/4/1
N2 - Adherence to recommended preventive services and immunizations in adults is suboptimal and often associated with socioeconomic status, race, and access to care. The aim of this study is to evaluate adherence in a cohort without these barriers to ascertain realistically optimal adherence rates and to examine remaining barriers among relatively advantaged individuals. Specifically, it employed a sample of 6889 patients presenting for executive health care from 2005 to 2009. Adherence varied across colorectal cancer screening (79%), mammography (89%), cervical cancer screening (91%), tetanus immunization (82%), and pneumococcal vaccination (62%). Multivariate logistic regressions revealed that age, education, alcohol use concerns, and being married were positively associated with adherence to certain services. Individuals without the usual barriers to care have variable, less-than-ideal rates of adherence to preventive services, which correlate with some health behaviors and demographics. Understanding the predictors of adherence may inform quality improvement processes aimed at optimizing disease prevention.
AB - Adherence to recommended preventive services and immunizations in adults is suboptimal and often associated with socioeconomic status, race, and access to care. The aim of this study is to evaluate adherence in a cohort without these barriers to ascertain realistically optimal adherence rates and to examine remaining barriers among relatively advantaged individuals. Specifically, it employed a sample of 6889 patients presenting for executive health care from 2005 to 2009. Adherence varied across colorectal cancer screening (79%), mammography (89%), cervical cancer screening (91%), tetanus immunization (82%), and pneumococcal vaccination (62%). Multivariate logistic regressions revealed that age, education, alcohol use concerns, and being married were positively associated with adherence to certain services. Individuals without the usual barriers to care have variable, less-than-ideal rates of adherence to preventive services, which correlate with some health behaviors and demographics. Understanding the predictors of adherence may inform quality improvement processes aimed at optimizing disease prevention.
UR - http://www.scopus.com/inward/record.url?scp=84859990705&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84859990705&partnerID=8YFLogxK
U2 - 10.1089/pop.2011.0029
DO - 10.1089/pop.2011.0029
M3 - Article
C2 - 22092188
AN - SCOPUS:84859990705
SN - 1942-7891
VL - 15
SP - 65
EP - 70
JO - Population health management
JF - Population health management
IS - 2
ER -