IMPACT OF SOCIODEMOGRAPHIC FACTORS TO PATIENTS UTILIZATION OF BLOOD CHOLESTEROL SCREENING

Author(s)

Althemery AU*1, Lai L2 1Nova Southeastern University, Plantation, FL, USA, 2Nova Southeastern University, Ft. Lauderdale, FL, USA

OBJECTIVES: The National Cholesterol Education Program advices adults over age of nineteen to have their blood cholesterol checked every five years. The study aimed to exam the impact of sociodemographic factors to blood cholesterol screening. METHODS: This study conducted a cross-sectional secondary data analysis using 2009 Medical Expenditures panel Survey (MEPS).  Study sample consisted of US. civilian, non-institutionalized adults who reported having high blood cholesterol. Cholesterol screening identified by patient’s self-report.  A series of descriptive statistics and weighted logistic regression analyses were used to evaluate the effect of sociodemographics (age, gender, race, ethnicity, insurance status, health status, smoking, metropolitan area, marital status, and body type) on cholesterol screening. SAS 9.2 statistical software was used for all analyses including sample weights and standard errors adjustments. RESULTS: Approximately 71 million patients reported having high blood cholesterol in 2009.  5.8 million (8.17 %) reported screening for blood cholesterol at least once in the past three years. Most of the respondents that reported not to have blood cholesterol screening were females (60%). Black were 54% more likely than White not to have blood cholesterol screening (OR: 1.542, 95% CI: 1.094-1.57). Moreover being uninsured increase the lack of cholesterol screening twice as much than someone insured (OR: 2.027, 95% CI: 1.151-3.570). There were no significant differences in age, ethnicity, reported health status, metropolitan area, smoking, marital status, and body type (P>0.001). CONCLUSIONS: The study found a significant race difference in the report of blood cholesterol screening. Also insurance status was another factor in blood cholesterol screening. Increase awareness of cholesterol screening for minority groups and finding inexpensive alternatives for cholesterol screening for uninsured would help patients utilizing preventive care services for blood cholesterol.

Conference/Value in Health Info

2013-05, ISPOR 2013, New Orleans, LA, USA

Value in Health, Vol. 16, No. 3 (May 2013)

Code

PHS131

Topic

Health Service Delivery & Process of Care

Topic Subcategory

Health Care Research

Disease

Cardiovascular Disorders

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