+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

The association between health care coverage and the use of cancer screening tests. Results from the 1992 National Health Interview Survey



The association between health care coverage and the use of cancer screening tests. Results from the 1992 National Health Interview Survey



Medical Care 36(3): 257-270



The authors investigated whether utilization of six different cancer screening tests (mammography, clinical breast exam, Pap smear, Fecal Occult Blood Test, and Digital rectal exam) varied according to type of health care coverage. Data on the use of cancer screening tests and coverage in two age groups from a 1992 nationally representative cross-sectional survey of approximately 9,400 adults were analyzed. Multiple logistic regression analysis was used to estimate proportions of persons screened according to type and extent of coverage, adjusted for socioeconomic, demographic, and health status characteristics. Persons aged 40 to 64 years with Medicaid coverage were equally as likely to receive five of six cancer screening tests as those with private fee-for-service coverage, and both groups were much more likely to be screened (70% higher for all six tests) than those who had no coverage. In contrast, persons aged 65 years and older who had supplemental private fee-for-service insurance in addition to Medicare were more likely to receive five of six tests than those with Medicare and Medicaid or those with Medicare only. For all six screening tests, managed care enrollees at all ages were approximately 10% more likely to be screened than persons enrolled in private fee-for-service plans. Fecal Occult Blood Test (25% versus 20%) and digital rectal exams (44% versus 38%) in persons aged 40 to 64 years and mammography (59% versus 48%) and Fecal Occult Blood Test screening (38% versus 30%) in the elderly were significantly more frequent for persons in managed care plans. The extent of fee-for-service insurance coverage in the traditional indemnity US health care system was positively associated with the use of cancer screening tests. The authors found less difference in use of cancer screening between managed care and fee-for-service care in 1992 than we expected based on earlier research comparing use of preventive services in health maintenance organizations with fee-for-service care.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 047582598

Download citation: RISBibTeXText

PMID: 9520952

DOI: 10.2307/3767321


Related references

Use of lung cancer screening tests in the United States: results from the 2010 National Health Interview Survey. Cancer Epidemiology, Biomarkers and Prevention 21(7): 1049-1059, 2012

Progress in cancer screening over a decade: results of cancer screening from the 1987, 1992, and 1998 National Health Interview Surveys. Journal of the National Cancer Institute 93(22): 1704-1713, 2001

The lack of paid sick leave as a barrier to cancer screening and medical care-seeking: results from the National Health Interview Survey. Bmc Public Health 12: 520, 2012

National assessment of HPV and Pap tests: Changes in cervical cancer screening, National Health Interview Survey. Preventive Medicine 100: 243-247, 2017

Assessing Eligibility for Lung Cancer Screening Among Women Undergoing Screening Mammography: Cross-Sectional Survey Results From the National Health Interview Survey. Journal of the American College of Radiology 2019, 2019

Acculturation and cancer screening among Latinas: results from the National Health Interview Survey. Annals of Behavioral Medicine 29(1): 22-28, 2005

The knowledge and use of screening tests for colorectal and prostate cancer: data from the 1987 National Health Interview Survey. Preventive Medicine 19(5): 562-574, 1990

Screening mammography: a missed clinical opportunity? Results of the NCI Breast Cancer Screening Consortium and National Health Interview Survey Studies. JAMA 264(1): 54-58, 1990

The association between regular use of aspirin and the prevalence of prostate cancer: Results from the National Health Interview Survey. Medicine 95(25): E3909, 2017

Data and trends in cancer screening in the United States: results from the 2005 National Health Interview Survey. Cancer 116(20): 4872-4881, 2010

Progress in cancer screening practices in the United States: results from the 2000 National Health Interview Survey. Cancer 97(6): 1528-1540, 2003

Vaccination coverage of health care personnel working in health care facilities in France: results of a national survey, 2009. Vaccine 30(31): 4648-4654, 2012

Changes among US Cancer Survivors: Comparing Demographic, Diagnostic, and Health Care Findings from the 1992 and 2010 National Health Interview Surveys. Isrn Oncology 2013: 238017, 2013

Skin cancer screening among Hispanic adults in the United States: results from the 2010 National Health Interview Survey. Archives of Dermatology 148(7): 861-863, 2012

Prayer for health and primary care: results from the 2002 National Health Interview Survey. Family Medicine 40(9): 638-644, 2008