Family Health Services Division, Hawaii State Department of Health, 3652 Kilauea Avenue, Honolulu, HI 96816, USA.
Matern Child Health J. 2012 Dec;16 Suppl 2(0 2):203-12. doi: 10.1007/s10995-012-1096-6.
To examine the associations among social-emotional support, life satisfaction, and mental health with not having a routine checkup among women of reproductive age in the US, data from the 2009 Behavioral Risk Factor Surveillance System, a population-based telephone survey of health behaviors, were analyzed among reproductive aged (18-44 years) women in the US. Prevalence estimates were calculated for not having a routine checkup in the past year with measures of social-emotional support, life satisfaction, and mental distress. Independent multivariable logistic regressions for each measure assessed not having a routine checkup within the past year with adjustment for age, race/ethnicity, education level, and health care coverage. Among women of reproductive age, 33.7 % (95 % CI 33.0-34.4) did not have a routine checkup within the past year. Factors associated with not having a routine checkup included: having social-emotional support most of the time (AOR = 1.29, 95 % CI 1.20-1.38) or sometimes or less (AOR = 1.47, 95 % CI 1.34-1.61) compared to those who reported always having the social-emotional support they need; reporting life satisfaction as being satisfied (AOR = 1.27, 95 % CI 1.19-1.36) or dissatisfied (AOR = 1.65, 95 % CI 1.43-1.91) compared to being very satisfied; and frequent mental distress (AOR = 1.19, 95 % CI 1.09-1.30) compared to those without. Women who report lower levels of social-emotional support, less life satisfaction, and frequent mental distress are less likely to see a doctor for a routine checkup. Targeted outreach that provides appropriate support are needed so these women can access clinical services to increase exposure to preventive health opportunities and improve overall health.
为了研究美国育龄女性（18-44 岁）中社会情感支持、生活满意度和心理健康与未定期进行体检之间的关联，对基于人群的健康行为电话调查——2009 年行为风险因素监测系统的数据进行了分析。使用社会情感支持、生活满意度和精神困扰的衡量标准，计算了过去一年未进行常规体检的流行率估计值。针对每个衡量标准的独立多变量逻辑回归，评估了在过去一年中没有进行常规体检的情况，并对年龄、种族/民族、教育程度和医疗保险覆盖范围进行了调整。在育龄女性中，33.7%（95%CI 33.0-34.4）在过去一年中没有进行常规体检。与未进行常规体检相关的因素包括：大多数时候（AOR=1.29，95%CI 1.20-1.38）或有时或更少（AOR=1.47，95%CI 1.34-1.61）有社会情感支持，而不是那些报告总是有他们需要的社会情感支持的人；报告生活满意度为满意（AOR=1.27，95%CI 1.19-1.36）或不满意（AOR=1.65，95%CI 1.43-1.91）与非常满意相比；以及经常感到精神困扰（AOR=1.19，95%CI 1.09-1.30）与没有感到精神困扰的人相比。报告社会情感支持水平较低、生活满意度较低和经常感到精神困扰的女性不太可能去看医生进行常规体检。需要有针对性的外展服务，提供适当的支持，以便这些女性能够获得临床服务，增加获得预防保健机会的机会，并改善整体健康状况。
