Association of Primary Site of Care (civilian or military) with the Use of Preventive Services among Female MHS Beneficiaries

Objective: The primary objective of this study was to determine if type of treatment of facility affected the likelihood of women in the US Military Health System receiving: 1) mammograms, 2) clinical breast examinations, and 3) cervical screening examinations within the time periods recommend by the US Preventive Services Task Force. The secondary objective is to identify factors that contribute to the likelihood of women not receiving preventive screening within the recommended guidelines.

Results: Women who had most of their care in a Military Treatment Facility were more likely to have been within the United State Preventive Services Task Force (USPSTF) recommendations on mammography screenings (OR=1.49 [1.18, 1.88]). Additional analysis found that females who reported a positive health status were more likely to comply with screening recommendations on all screening measures. Age was also a significant predictor on all screening measures. Race/ethnicity, the length of time an individual was in their current health plan, and type of insurance coverage also had significant effects in some models.

Status: Complete

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