Oguntuase Feyisayo O, Uzzi Consolata, Okahia Tochukwu W, Adetifa Opemipo, Eziechi Chinonso F, Okobi Okelue E, Nwoagbe Omamuyovbi F, Dare Oluwatayo A
General Medicine, National Pirogov Memorial Medical University, Vinnytsia, UKR.
Family Medicine, American University of Antigua, New York, USA.
Cureus. 2025 Jul 13;17(7):e87847. doi: 10.7759/cureus.87847. eCollection 2025 Jul.
Routine medical checkups are essential for early disease detection and prevention. However, disparities in utilization persist across sociodemographic groups, particularly in relation to health insurance coverage in the US population.
This study aims to examine the relationship between health insurance status and recent routine medical checkups among US adults, using nationally representative survey data.
This cross-sectional study analyzed data from the 2019 Behavioral Risk Factor Surveillance System (BRFSS) (n = 329,549; weighted population = 198,183,089). Descriptive statistics, chi-square tests, and survey-weighted logistic regression were employed to examine the associations between recent checkup status and various variables, including insurance coverage, age, sex, education, income, and race/ethnicity.
Individuals with health insurance had nearly four times the odds of having had a recent checkup compared to those without insurance (OR = 3.90, 95% CI: 3.69-4.12). Female sex, older age, and Hispanic or Black race/ethnicity were also positively associated with recent checkups. Conversely, lower income and educational attainment were linked to reduced utilization.
Health insurance coverage is a strong predictor of routine healthcare utilization. Expanding access to insurance may substantially improve the uptake of preventive services, particularly among underserved populations.
常规体检对于早期疾病检测和预防至关重要。然而，不同社会人口群体在体检利用率上仍存在差异，在美国人群中尤其与医疗保险覆盖情况相关。
本研究旨在利用具有全国代表性的调查数据，探讨美国成年人的医疗保险状况与近期常规体检之间的关系。
这项横断面研究分析了2019年行为风险因素监测系统（BRFSS）的数据（n = 329,549；加权人口 = 198,183,089）。采用描述性统计、卡方检验和调查加权逻辑回归来检验近期体检状况与各种变量之间的关联，这些变量包括保险覆盖情况、年龄、性别、教育程度、收入以及种族/族裔。
与没有保险的人相比，有医疗保险的人近期进行体检的几率几乎是其四倍（OR = 3.90，95%置信区间：3.69 - 4.12）。女性、年龄较大以及西班牙裔或黑人种族/族裔也与近期体检呈正相关。相反，较低的收入和教育程度与体检利用率降低有关。
医疗保险覆盖是常规医疗保健利用的有力预测指标。扩大保险覆盖范围可能会大幅提高预防性服务的接受率，特别是在服务不足人群中。
