IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0045053.html
   My bibliography  Save this article

Need, Enabling, Predisposing, and Behavioral Determinants of Access to Preventative Care in Argentina: Analysis of the National Survey of Risk Factors

Author

Listed:
  • Eiman Jahangir
  • Vilma Irazola
  • Adolfo Rubinstein

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 provides an area for public intervention. These are important findings where policies should be focused to improve utilization of preventive services in Argentina.

Suggested Citation

  • Eiman Jahangir & Vilma Irazola & Adolfo Rubinstein, 2012. "Need, Enabling, Predisposing, and Behavioral Determinants of Access to Preventative Care in Argentina: Analysis of the National Survey of Risk Factors," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-6, September.
    • Handle: RePEc:plo:pone00:0045053
    DOI: 10.1371/journal.pone.0045053
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0045053
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0045053&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0045053?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Kempen, G.I.J.M. & Suurmeijer, Th.P.B.M., 1991. "Professional home care for the elderly: An application of the Andersen-Newman model in The Netherlands," Social Science & Medicine, Elsevier, vol. 33(9), pages 1081-1089, January.
    2. Padgett, Deborah K. & Brodsky, Beth, 1992. "Psychosocial factors influencing non-urgent use of the emergency room: A review of the literature and recommendations for research and improved service delivery," Social Science & Medicine, Elsevier, vol. 35(9), pages 1189-1197, November.
    3. de Boer, Angela G. E. M. & Wijker, Wouter & de Haes, Hanneke C. J. M., 1997. "Predictors of health care utilization in the chronically ill: a review of the literature," Health Policy, Elsevier, vol. 42(2), pages 101-115, November.
    4. Mapelli, Vittorio, 1993. "Health needs, demand for health services and expenditure across social groups in Italy: An empirical investigation," Social Science & Medicine, Elsevier, vol. 36(8), pages 999-1009, April.
    5. Dutton, Diana, 1986. "Financial, organizational and professional factors affecting health care utilization," Social Science & Medicine, Elsevier, vol. 23(7), pages 721-735, January.
    6. José A. Pagán & Andrea Puig & Beth J. Soldo, 2007. "Health insurance coverage and the use of preventive services by Mexican adults," Health Economics, John Wiley & Sons, Ltd., vol. 16(12), pages 1359-1369.
    7. José A. Pagán & Andrea Puig & Beth J. Soldo, 2007. "Health insurance coverage and the use of preventive services by Mexican adults," Health Economics, John Wiley & Sons, Ltd., vol. 16(12), pages 1359-1369, December.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Fernando Trujillo-Olea & Julián Alfredo Fernández-Niño & Jorge Salmerón & Katia Gallegos-Carrillo, 2018. "Prospective patterns of modifiable health risk behaviors and the utilization of healthcare services in the “Health Workers Cohort Study” in Mexico," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-18, December.
    2. Prakash Shakya & Masako Tanaka & Akira Shibanuma & Masamine Jimba, 2018. "Nepalese migrants in Japan: What is holding them back in getting access to healthcare?," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-13, September.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. de Boer, Angela G. E. M. & Wijker, Wouter & de Haes, Hanneke C. J. M., 1997. "Predictors of health care utilization in the chronically ill: a review of the literature," Health Policy, Elsevier, vol. 42(2), pages 101-115, November.
    2. Nshakira-Rukundo, Emmanuel & Mussa, Essa Chanie & Gerber, Nicolas & von Braun, Joachim, 2020. "Impact of voluntary community-based health insurance on child stunting: Evidence from rural Uganda," Social Science & Medicine, Elsevier, vol. 245(C).
    3. Man Jiang & Guang Yang & Lvying Fang & Jin Wan & Yinghua Yang & Ying Wang, 2018. "Factors associated with healthcare utilization among community-dwelling elderly in Shanghai, China," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-22, December.
    4. Helmut Farbmacher & Martin Huber & Lukáš Lafférs & Henrika Langen & Martin Spindler, 2022. "Causal mediation analysis with double machine learning [Mediation analysis via potential outcomes models]," The Econometrics Journal, Royal Economic Society, vol. 25(2), pages 277-300.
    5. Jürgen Maurer, 2007. "Assessing Horizontal Equity in Medication Treatment Among Elderly Mexicans: Which Socioeconomic Determinants Matter Most?," MEA discussion paper series 07143, Munich Center for the Economics of Aging (MEA) at the Max Planck Institute for Social Law and Social Policy.
    6. Emmanuel Nshakira-Rukundo & Essa Chanie Mussa & Nathan Nshakira & Nicolas Gerber & Joachim von Braun, 2021. "Impact of community-based health insurance on utilisation of preventive health services in rural Uganda: a propensity score matching approach," International Journal of Health Economics and Management, Springer, vol. 21(2), pages 203-227, June.
    7. STANCIOLE Anderson, 2007. "Health Insurance and Life Style Choices: Identifying the Ex Ante Moral Hazard," IRISS Working Paper Series 2007-10, IRISS at CEPS/INSTEAD.
    8. Wanyue Dong & Jianmin Gao & Zhongliang Zhou & Ruhai Bai & Yue Wu & Min Su & Chi Shen & Xin Lan & Xiao Wang, 2018. "Effects of China’s urban basic health insurance on preventive care service utilization and health behaviors: Evidence from the China Health and Nutrition Survey," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-14, December.
    9. van Gameren, Edwin, 2010. "Health insurance and use of alternative medicine in Mexico," Health Policy, Elsevier, vol. 98(1), pages 50-57, November.
    10. Fernando Riosmena & Rebeca Wong & Alberto Palloni, 2013. "Migration Selection, Protection, and Acculturation in Health: A Binational Perspective on Older Adults," Demography, Springer;Population Association of America (PAA), vol. 50(3), pages 1039-1064, June.
    11. Shigute, Zemzem & Strupat, Christoph & Burchi, Francesco & Alemu, Getnet & Bedi, Arjun S., 2017. "The Joint Effects of a Health Insurance and a Public Works Scheme in Rural Ethiopia," IZA Discussion Papers 10939, Institute of Labor Economics (IZA).
    12. Christian T. Braun & Cornelia R. Gnägi & Jolanta Klukowska-Rötzler & Sufian S. Ahmad & Meret E. Ricklin & Aristomenis K. Exadaktylos, 2017. "Trends and Weekly Cycles in a Large Swiss Emergency Centre: A 10 Year Period at the University Hospital of Bern," IJERPH, MDPI, vol. 14(10), pages 1-12, October.
    13. Refael Hassin & Ricky Roet-Green, 2017. "The Impact of Inspection Cost on Equilibrium, Revenue, and Social Welfare in a Single-Server Queue," Operations Research, INFORMS, vol. 65(3), pages 804-820, June.
    14. Martina Michaelis & Christine Preiser & Susanne Voelter-Mahlknecht & Nicole Blomberg & Monika A. Rieger, 2022. "Uptake of Voluntary Occupational Health Care—Assessments of German Occupational Health Physicians and Employees," IJERPH, MDPI, vol. 19(15), pages 1-22, August.
    15. van der Meer, Joost B. W. & van den Bos, Johannes & Mackenbach, Johan P., 1996. "Socioeconomic differences in the utilization of health services in a Dutch population: the contribution of health status," Health Policy, Elsevier, vol. 37(1), pages 1-18, July.
    16. Jailani Anis-Syakira & Suhana Jawahir & Nurul Salwana Abu Bakar & Sarah Nurain Mohd Noh & Nurul Iman Jamalul-Lail & Normaizira Hamidi & Sondi Sararaks, 2022. "Factors Affecting the Use of Private Outpatient Services among the Adult Population in Malaysia," IJERPH, MDPI, vol. 19(20), pages 1-17, October.
    17. Veazie, Peter & Denham, Alina, 2021. "Understanding how psychosocial factors relate to seeking medical care among older adults using a new model of care seeking," Social Science & Medicine, Elsevier, vol. 281(C).
    18. Paul McNamee, 2004. "A comparison of the grade of membership measure with alternative health indicators in explaining costs for older people," Health Economics, John Wiley & Sons, Ltd., vol. 13(4), pages 379-395, April.
    19. Hélène Colineaux & Fanny Le Querrec & Laure Pourcel & Jean-Christophe Gallart & Olivier Azéma & Thierry Lang & Michelle Kelly-Irving & Sandrine Charpentier & Sébastien Lamy, 2018. "Is the use of emergency departments socially patterned?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(3), pages 397-407, April.
    20. Genevieve E O'Connor, 2016. "Investigating the significance of insurance and income on health service utilization across generational cohorts," Journal of Financial Services Marketing, Palgrave Macmillan, vol. 21(1), pages 19-33, March.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0045053. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.