Higher Prevalence of Health-Risk Factors Among US Adults With Unmet Health Care Needs Due to Cost, 2016

Details

• Alternative Title:
  J Public Health Manag Pract
• Personal Author:
  Xu, Fang ; Wheaton, Anne G. ; Liu, Yong ; Lu, Hua ; Greenlund, Kurt J.
• Description:
  Context:
  
  Adults with unmet health care needs (UHCN) due to cost have fewer opportunities to receive behavioral counseling in clinical settings, which may be associated with a higher likelihood of having health-risk behaviors.
  
  Objective:
  
  This study assessed associations between UHCN and health-risk factors.
  
  Design/Setting:
  
  We used 2016 Behavioral Risk Factor Surveillance System data to calculate age-adjusted weighted prevalence of 5 health-risk factors by UHCN and insurance status and to assess the association of UHCN with these factors using multivariable logistic regression.
  
  Participants:
  
  US adults aged 18 to 64 years who participated in the survey (N = 301 035).
  
  Main Outcome Measures:
  
  Five health-risk factors: obesity, current cigarette smoking, excessive alcohol use, sleeping less than 7 hours per 24-hour period, and no leisure-time physical activity within the past month.
  
  Results:
  
  In 2016, among adults aged 18 to 64 years, 11.2% of those with insurance and 40.1% of those without insurance (both age-adjusted) had UHCN. In both study populations, compared with adults with no UHCN, adults reporting UHCN were more likely to be a current cigarette smoker, report excessive alcohol use, and sleep less than 7 hours per 24-hour period. The prevalence of 3 or more health-risk factors was higher among adults with UHCN than among adults without UHCN (adults with insurance: adjusted prevalence ratio = 1.40; 95% confidence interval = 1.33-1.48; adults without insurance: adjusted prevalence ratio = 1.39; 95% confidence interval = 1.27-1.53).
  
  Conclusions:
  
  Unmet health care needs was associated with more health-risk factors regardless of insurance status. Addressing cost barriers to behavioral counseling may be one approach to consider when seeking to reduce health-risk behaviors among high-risk populations.
  
  
• Subjects:
  Adult Article Behavioral Risk Factor Surveillance System Delivery Of Health Care Health Behavior Health Care Costs Health Insurance Humans Insurance Coverage Population Surveillance Prevalence Risk Factors United States

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• Source:
  J Public Health Manag Pract. 27(1):E19-E27
• Pubmed ID:
  31305323
• Pubmed Central ID:
  PMC10498391
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Place as Subject:
  United States
• Volume:
  27
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:7b93b22c0247ad9b4a1c3c18734e93e882e14e06782844e3c958efa3f707bcf8
• Download URL:
  https://stacks.cdc.gov/view/cdc/133031/cdc_133031_DS1.pdf
• File Type:
  [PDF - 253.10 KB ]