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Related Experiment Videos

Preventive screening. What factors influence testing?

Murray M Finkelstein1

  • 1Family Medicine Centre, Mount Sinai Hospital, Toronto, Ont. murray.finkelstein@utoronto.ca

Canadian Family Physician Medecin De Famille Canadien
|October 10, 2002
PubMed
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Preventive screening tests for Ontario women are linked to socioeconomic factors like income and education. Regular physician visits and periodic health exams significantly increase screening rates, unlike episodic care.

Area of Science:

  • Public Health
  • Health Services Research
  • Preventive Medicine

Background:

  • Preventive screening tests are crucial for early disease detection and management.
  • Understanding factors influencing screening uptake is vital for improving population health outcomes.

Purpose of the Study:

  • To identify factors associated with the uptake of preventive screening tests among women in Ontario.
  • To analyze the relationship between socioeconomic status, geographic location, and physician interactions with screening rates.

Main Methods:

  • Secondary analysis of the National Population Health Survey linked with Ontario Health Insurance Plan data.
  • Inclusion of 2232 Ontario women aged 20+ who consented to data linkage.
  • Logistic regression analysis to determine factors associated with Pap smears, mammography, bone densitometry, and cholesterol testing.

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Main Results:

  • Screening uptake was significantly associated with age, income, education, and place of residence.
  • Women with regular physicians showed higher odds for Pap smears (OR 4.4), densitometry (OR 22), and cholesterol testing (OR 8.0).
  • Periodic health examinations were linked to increased screening for Pap smears (OR 6.7), mammograms (OR 3.7), densitometry (OR 3.7), and cholesterol testing (OR 3.0).

Conclusions:

  • Socioeconomic factors, including income and education, play a significant role in women's access to preventive screening.
  • Patients receiving periodic health examinations are more likely to undergo preventive screening compared to those with episodic care.
  • Healthcare utilization patterns, particularly regular physician contact, are strong predictors of screening test adherence.