5014.0: Wednesday, October 24, 2001 - 9:30 AM

Abstract #21962

Whether and where community health center users obtain screening services

Kevin D. Frick, PhD, Department of Health Policy and Management, Johns Hopkins University, 624 N. Broadway, Rm. 606, Baltimore, MD 21205, 410-614-4018, kfrick@jhsph.edu and Jerrilynn Regan, RN, MS, MPA, Bureau of Primary Health Care, East West Towers, 4350 East West Highway, Bethesda, MD 20814.

Objective: This study measures associations between minority and low socioeconomic status and the use of screening services for secondary prevention among adult Community Health Center (CHC) users. Additionally, among those who obtained timely screening services, the study measures associations between minority and low socioeconomic status and obtaining these preventive services at a CHC.

Data: The data include 1175 individuals ages 18 and older from a 1995 survey of CHC users. This survey asked questions similar to those in the National Health Interview Survey. The screening services about which respondents were asked included a clinical breast exam, mammogram, Pap smear, testicular exam, and cholesterol measurement.

Methods: Bivariate analyses and multivariate logistic regressions were run in SUDAAN because of the complex sampling design. All users (of the appropriate sex) were included in the analysis of any use. Those who had obtained a screening were then included in an analysis of whether this had occurred at the community health center.

Results: Minority and lower socioeconomic status adult CHC users were not less likely to obtain timely screening services than other adult CHC users, which is different than the trend in the general population. Minority and lower socioeconomic status CHC users who utilized timely screening services were more likely to obtain them at a CHC.

Conclusion: CHCs appear to facilitate the use of timely screening services for minority and low socioeconomic status users.

Learning Objectives: At the conclusion of this session, participants will be able to:

  1. Describe the relationship between demographic characteristics of community health center users and the likelihood of obtaining preventive screening services; and
  2. Describe the relationship between demographic characteristics of community health center users and the likelihood of obtaining preventive screening services at the community health center.

Keywords: Access and Services, Community Health Centers

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
Disclosure not received
Relationship: Not Received.

The 129th Annual Meeting of APHA