Factors Affecting Decision’s for Annual Wellness Visits: Findings from the National Health Interview Survey, 2022
Abstract
Abstract
Objective: To identify social determinants of health (SDoH) associated with adult’s decision to obtain an annual wellness visit.
Methods: Data from the 2022 National Health Interview Survey were analyzed to identify barriers and facilitators of wellness visits. Our sample consisted of 2566 individuals. Logistic regression was used to obtain odds ratio and confidence intervals.
Results: Controlling for confounding effect of employment, age, sex, sexual orientation, education, race, and marital status, we found that individuals who in the last 12 months, had a usual place for care (OR = 5.7; 95% CI [4.2, 7.7]); delayed care because an appointment was not available when needed (OR = 1.3, 95% CI [1.05, 1.7]); and who had insurance coverage (OR = 2.6, 95% CI [1.9, 3.7]) have a higher odds of having a wellness visit than those who do not. Conversely, individuals who in the last 12 months, delayed care due to cost (OR = 0.73, 95% CI [0.54, 0.99]), or delayed care because they were too busy to take time off from work or other commitments (OR = 0.72, 95% CI [0.58, 0.88]) had a lower odd of having a wellness visit.
Conclusions: Annual wellness visits are associated with a usual place for care, insurance coverage, and delayed care due to an appointment not being available when needed. Whereas time commitments such as work, and the cost of care are associated with not having a wellness visit. Understanding SDoH that affects obtaining an annual wellness visit is important for implementing programs and interventions to improve health outcomes in the U.S, especially as it pertains to preventive care.
Keywords
annual wellness visits, social determinants of health, chronic diseases
Factors Affecting Decision’s for Annual Wellness Visits: Findings from the National Health Interview Survey, 2022
Abstract
Objective: To identify social determinants of health (SDoH) associated with adult’s decision to obtain an annual wellness visit.
Methods: Data from the 2022 National Health Interview Survey were analyzed to identify barriers and facilitators of wellness visits. Our sample consisted of 2566 individuals. Logistic regression was used to obtain odds ratio and confidence intervals.
Results: Controlling for confounding effect of employment, age, sex, sexual orientation, education, race, and marital status, we found that individuals who in the last 12 months, had a usual place for care (OR = 5.7; 95% CI [4.2, 7.7]); delayed care because an appointment was not available when needed (OR = 1.3, 95% CI [1.05, 1.7]); and who had insurance coverage (OR = 2.6, 95% CI [1.9, 3.7]) have a higher odds of having a wellness visit than those who do not. Conversely, individuals who in the last 12 months, delayed care due to cost (OR = 0.73, 95% CI [0.54, 0.99]), or delayed care because they were too busy to take time off from work or other commitments (OR = 0.72, 95% CI [0.58, 0.88]) had a lower odd of having a wellness visit.
Conclusions: Annual wellness visits are associated with a usual place for care, insurance coverage, and delayed care due to an appointment not being available when needed. Whereas time commitments such as work, and the cost of care are associated with not having a wellness visit. Understanding SDoH that affects obtaining an annual wellness visit is important for implementing programs and interventions to improve health outcomes in the U.S, especially as it pertains to preventive care.
