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A Structural Equation Modeling Approach to Exploring the Determinants of Regular Medical Checkups in a United
Jeong-Hui Park1, Christine C Blackburn, Arturo Rodriguez
1Author Affiliations: School of Public Health, Texas A&M Health Science Center, College Station, Texas (Park, Blackburn, Prochnow); Center for Health Equity and Evaluation Research, Texas A&M University, College Station, Texas (Park, Prochnow); Brownsville Department of Health, Wellness, and Animal Services, Brownsville, Texas (Rodriguez, Roma, Sanchez, Garcia, Gonzales); and Center for Community Health and Aging, Texas A&M University, College Station, Texas (Prochnow).
Background And Objectives:
Regular medical checkups are essential for preventing and managing chronic diseases. However, significant disparities in the utilization of these checkups exist, particularly in the US-Mexico border communities. This study applies to Andersen's Behavioral Model of Health Service Use to explore the factors influencing regular medical checkups utilization among residents in Brownsville, Texas.
Methods:
A total of 144 adult participants from Brownsville, Texas, completed a bilingual (English/Spanish) survey from March to September 2024. The survey assessed demographic characteristics, health status, enabling resources (eg, income, insurance), and need factors (eg, mental health status, chronic conditions). Structural Equation Modeling was used to analyze the relationships between these factors and the likelihood of receiving regular medical checkups.
Results:
The study found significant positive associations between predisposing characteristics and regular medical checkups ( P < .001), and between enabling resources and regular checkups ( P < .001). However, need factors did not show a significant relationship with regular checkups. In addition, there was a negative interrelationship between predisposing characteristics and enabling resources ( P < .001), whereas there was a positive association between enabling resources and need factors ( P = .001).
Conclusions:
The findings highlight the importance of predisposing characteristics and enabling resources in influencing the utilization of regular medical checkups.
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