264571 Use of USPSTF Prevention and Screening Services among Working-Age and Older Adults with Disabilities

Monday, October 29, 2012 : 10:42 AM - 10:54 AM

Nancy A. Miller, PhD , Public Policy, University of Maryland Baltimore County, Baltimore, MD
Adele Kirk, PhD , Public Policy, University of Maryland, Baltimore County, Baltimore, MD
Lukas Glos , Public Policy, UMBC, Baltimore, MD
Brandy Alston , Public Policy, UMBC, Baltimore, MD
Background: This study examines potential disparities among working-age (i.e., 18-64) and older adults (i.e., 65+) with disabilities in their receipt of US Preventive Services Task Force (USPSTF) screening measures. Methods: We pool data from five panels of the Medical Expenditure Panel Survey. Following Andersen's Behavioral Model of Health Care Access, we model measures of use (e.g., blood pressure screening, mammography) as functions of predisposing (e.g.., race, ethnicity, age, gender), enabling (i.e., income, usual source of care), need (i.e., presence of a disability) and contextual (e.g., MSA) factors. We examine models by age and test whether the occurrence of screening activities differs by age. Findings: On most measures, individuals with disabilities were more likely to receive the service than those without disabilities; this finding held across age groups. Working-age and older women with disabilities were less likely to receive a recommended pap smear. While working-age women with disabilities were no more or less likely to receive a clinical breast examination or mammogram than women without a disability, older women with disabilities were significantly less likely to receive these services. A usual source of care was strongly related to receipt of screening services, and evidenced a larger effect on older adults' receipt of services. Discussion and Implications: Financial support for USPSTF A and B recommended services under the Affordable Care Act may reduce the disparities we observed for women with disabilities. Research exploring the effects of factors such as patient-provider interactions and gender concordance on disparities among women with disabilities is warranted.

Learning Areas:
Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related public policy
Social and behavioral sciences

Learning Objectives:
1) Describe differences in use of prevention and screening services among working-age and older adults. 2) Assess the role of a usual source of care in receipt of prevention and screnning services.

Keywords: Health Promotion, Disability

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the PI on the grant. I teach and conduct research related to adults with disabilities.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.