Differentials by Socioeconomic Status and Institutional Characteristics in Preventive Service Utilization by Older Persons in Costa Rica
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2009-08Autor
Brenes Camacho, Gilbert
Rosero Bixby, Luis
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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.
External link to the item
10.1177/0898264309338299
artículo (arbitrado)--Universidad de Costa Rica, Instituto de Investigaciones en Salud (INISA). 2009. Este documento es privado debido a limitaciones de derechos de autor