?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.relation=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F10344%2F&rft.title=One+Thing+Leads+to+Another--Examining+the+relationship+between+health+insurance+status+and+access+to+selected+screening+services+by+women%2C+aged+45+to+64.&rft.creator=McGeary%2C+Anne-Elizabeth&rft.description=Being+without+health+insurance+or+being+%22underinsured%22+creates+a+variety+of+special+problems+for+women+aged%2C+45+to+64%2C+which+is+perhaps+the+most+complex+of+all+developmental+periods+in+the+lives+of+American+women.+%22One+Thing+Leads+to+Another.+.+.%22+explored+the+relationship+between+health+insurance+status+and+the+utilization+of+primary+screening+services+among+women%2C+aged+45+to+64.+Secondary+data+drawn+from+the+1996+BRFSS+was+used+to+develop+a+non-experimental+study+that+examined+the+association+between+health+insurance+status%2C+and+access+to+selected+primary+screening+services+as+measured+by+their+responses+to+the+BRFSS+and+as+compared+to+demographic+covariates+of+interest.+Several+key+findings+emerged%3A+1.+Health+insurance+significantly+affects+a+woman's+use+of+primary+health+care+services%3B+2.+While+insurance+status+or+lack+of+coverage+matters+tremendously+for+women%2C+it+alone+does+not+guarantee+access+to+health+care.+Othe+determinants%2C+such+as+income+and+educational+levels%2C+are+important+forces+affecting+health+behaviors%3B+3.+The+rate+of+being+uninsured+in+the+45-64+females+cohort+was+slightly+higher+than+national+averages+in+1996%3B+4.+Reduced+rates+of+access+were+observed+across+all+covariates+when+women+did+not+have+insurance+but+higher+rates+of+poor+outcomes+were+more+consistently+associated+with+uninsured+women+who+were+of+a+race+or+ethnicity+other+than+%22White+Non-Hispanic%2C%22+were+unmarried%2C+were+unemployed+and+had+lower+levels+of+income+and+less+years+of+education+completed.+The+public+health+significance+of+the+study+directly+relates+to+one+of+the+%22Year+2010+National+Health+Objectives--to+increase+the+proportion+of+persons+with+health+insurance+to+100+percent.%22+To+meet+that+goal%2C+all+Americans+should+be+included+in+a+comprehensive+health+care+system+that+guarantees+timely+access+to+health+care%2C+assures+a+high+quality+of+health+services+with+adequate+and+stable+reimbursement+for+health+care+providers+and+rationally+apportions+the+costs+of+care.+A+major+focus+of+that+process+should+include+curretn+and+immediate+attention+toward+improving+the+health+care+of+all+women%2C+with+a+special+emphasis+on+those+aged+45+to+64%2C+who+have+inadequate+insurance+coverage.+The+final+chapter+includes+a+review+of+current+state+health+care+reform+initiatives+and+several+major+approaches+to+extending+coverage+to+midlife+women.+Public+health+and+social+policy+implications+along+with+suggestions+for+future+research+and+the+study's+limitations+are+also+provided.&rft.date=2008-06-25&rft.type=University+of+Pittsburgh+ETD&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.language=en&rft.identifier=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F10344%2F1%2FFinal_march_madness_2.pdf&rft.identifier=++McGeary%2C+Anne-Elizabeth++(2008)+One+Thing+Leads+to+Another--Examining+the+relationship+between+health+insurance+status+and+access+to+selected+screening+services+by+women%2C+aged+45+to+64.++Doctoral+Dissertation%2C+University+of+Pittsburgh.++++(Unpublished)++