Disparities in Utilization of Preventive Care Services By Insurance Type In The United States
Abstract
Preventive care services reduce disease burden, lower healthcare costs, and improve overall population health. However, variations in the use of these services persist across types of insurance coverage. This study examines differences in routine check-ups and cholesterol screenings among those 18-64 years of age, based on insurance type – Private, Public, and Medicaid Insurance using Andersen’s Behavioral Health Model as a theoretical framework. This cross-sectional study utilized 2023 Behavioral Risk Factor Surveillance System (BRFSS) data studying 262,500 adults aged 18 -64 years across the United States. Among the study population, 51.50% were females and 48.50% males. Approximately 56.90 % were non-Hispanic white, 11.9% non-Hispanic black, and 19.79% of Hispanic ethnicity. Routine check-ups were reported by 77.74% of the population, while 87.62% had cholesterol screenings. Utilization varied by insurance type, 78.84% of Medicaid enrollees had a routine check-up, compared to 77.21% of private insurers and 87.54% of those with public insurance (p < 0.0001). For cholesterol screening, 84.93% of Medicaid enrollees had a cholesterol screening, compared to 88.93% of private insurers and 93.47% of those with public insurance (p < 0.0001). When adjusting for covariates, Medicaid enrollees showed 13.00 % higher odds of a routine check-up (AOR:1.131 95% CI 1.038-1.233) while public insurance showed 35.50% higher odds (AOR:1.355 95% CI 1.262- 1.454), compared to private insurers. However, the association between Medicaid and Cholesterol screening was not significant. The relationship between public insurance and cholesterol screening remained significant with individuals having 21.20% higher odds of cholesterol screening compared to those with private insurance (AOR: 1.212, 95% CI1.108 1.325). Moreover, regional disparities impacted preventive care utilization. Although more visits among Medicaid enrollees were observed, cholesterol screening remained lower. Future research should explore factors contributing to these disparities to improve access to preventive care services.
Start Time
16-4-2025 10:00 AM
End Time
16-4-2025 11:00 AM
Room Number
311
Presentation Type
Oral Presentation
Presentation Subtype
Grad/Comp Orals
Presentation Category
Health
Faculty Mentor
Nathan Hale
Disparities in Utilization of Preventive Care Services By Insurance Type In The United States
311
Preventive care services reduce disease burden, lower healthcare costs, and improve overall population health. However, variations in the use of these services persist across types of insurance coverage. This study examines differences in routine check-ups and cholesterol screenings among those 18-64 years of age, based on insurance type – Private, Public, and Medicaid Insurance using Andersen’s Behavioral Health Model as a theoretical framework. This cross-sectional study utilized 2023 Behavioral Risk Factor Surveillance System (BRFSS) data studying 262,500 adults aged 18 -64 years across the United States. Among the study population, 51.50% were females and 48.50% males. Approximately 56.90 % were non-Hispanic white, 11.9% non-Hispanic black, and 19.79% of Hispanic ethnicity. Routine check-ups were reported by 77.74% of the population, while 87.62% had cholesterol screenings. Utilization varied by insurance type, 78.84% of Medicaid enrollees had a routine check-up, compared to 77.21% of private insurers and 87.54% of those with public insurance (p < 0.0001). For cholesterol screening, 84.93% of Medicaid enrollees had a cholesterol screening, compared to 88.93% of private insurers and 93.47% of those with public insurance (p < 0.0001). When adjusting for covariates, Medicaid enrollees showed 13.00 % higher odds of a routine check-up (AOR:1.131 95% CI 1.038-1.233) while public insurance showed 35.50% higher odds (AOR:1.355 95% CI 1.262- 1.454), compared to private insurers. However, the association between Medicaid and Cholesterol screening was not significant. The relationship between public insurance and cholesterol screening remained significant with individuals having 21.20% higher odds of cholesterol screening compared to those with private insurance (AOR: 1.212, 95% CI1.108 1.325). Moreover, regional disparities impacted preventive care utilization. Although more visits among Medicaid enrollees were observed, cholesterol screening remained lower. Future research should explore factors contributing to these disparities to improve access to preventive care services.