Differentials by socioeconomic status and institutional characteristics in preventive service utilization by older pers in Costa Rica

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Fecha

2009

Director

Título de la revista

ISSN de la revista

Título del volumen

Publicador

Journal of Aging and Health 21 (5)

Páginas

730-758

Resumen

Objective: The goals of this article are to assess the level of preventive service utilization by older persons in Costa Rica and to determine whether there are differentials in utilization across socioeconomic status (SES) and institutional characteristics. Method: Using data from the Costa Rican Study on Longevity and Healthy Aging (CRELES) project, a study of healthy aging in Costa Rica, the authors use self-reported information on preventive service utilization. The SES differentials are studied using logistic regressions. Results: Preventive services linked to cardiovascular disease prevention are frequently utilized; preventive services linked to cancer screening, vaccination, and sense impairments are not so widely used. Higher SES people are more likely to utilize most preventive services. Utilization rates among uninsured seniors are lower than among their insured peers. Home visits by community health workers are positively associated with higher utilization rates. Discussion: The SES disparities in preventive service utilization exist in Costa Rica, and institutional characteristics are positively associated with increasing utilization.

Descripción

Palabras clave

SOCIOECONOMIC STATUS, COMMUNITY HEALTH WORKERS, SOCIOECONOMIC FACTORS, CONDICIONES SOCIOECONOMICAS, CARDIOVASCULAR DISEASES, HEALTH CARE SERVICES

Citación

Extensión

SIBDI, UCR - San José, Costa Rica.

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