need, enabling, predisposing, and behavioral determinants of access to preventative care in argentina analysis of the national survey of risk factors的需要,使、诱发和行为决定因素在阿根廷获得预防保健的全国性调查分析风险因素.pdfVIP

Need, Enabling, Predisposing, and Behavioral Determinants of Access to Preventative Care in Argentina: Analysis of the National Survey of Risk Factors 1,2 1 1 Eiman Jahangir *, Vilma Irazola , Adolfo Rubinstein 1 Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina, 2 Department of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America Abstract Introduction: Health care utilization is an important step to disease management, providing opportunities for prevention and treatment. Anderson’s Health Behavior Model has defined utilization by need, predisposing, and enabling determinants. We hypothesize that need, predisposing, and enabling, highlighting behavioral factors are associated with utilization in Argentina. Methods: We performed a logistic regression analysis of the 2005 and 2009 Argentinean Survey of Risk Factors, a cohort of 41,392 and 34,732 individuals, to explore the association between need, enabling, predisposing, and behavioral factors to blood pressure measurement in the last year. Results: In the 2005 cohort, blood pressure measurement was associated with perception of health, insurance coverage, basic needs met, and income. Additionally, female sex, civil state, household type, older age groups, education, and alcohol use were associated with utilization. The 2009 cohort showed similar associations with only minor differences between the models. Conclusions: We explored the association between utilization of clinical preventive services with need, enabling, predisposing, and behavioral factors. While predisposing and need determinants are associated with utilization, enabling factors such as insurance coverage provi