Matern Child Health J

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\uc2\ua0years) 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\uc2\ua0% (95\uc2\ua0%\uc2\ua0CI 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\uc2\ua0=\uc2\ua01.29, 95\uc2\ua0%\uc2\ua0CI 1.20-1.38) or sometimes or less (AOR\uc2\ua0=\uc2\ua01.47, 95\uc2\ua0%\uc2\ua0CI 1.34-1.61) compared to those who reported always having the social-emotional support they need; reporting life satisfaction as being satisfied (AOR\uc2\ua0=\uc2\ua01.27, 95\uc2\ua0%\uc2\ua0CI 1.19-1.36) or dissatisfied (AOR\uc2\ua0=\uc2\ua01.65, 95\uc2\ua0%\uc2\ua0CI 1.43-1.91) compared to being very satisfied; and frequent mental distress (AOR\uc2\ua0=\uc2\ua01.19, 95\uc2\ua0%\uc2\ua0CI 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.IGC4/Intramural CDC HHS/United StatesU60/CCU007277/PHS HHS/United States2015-08-22T00:00:00Z22956364PMC454552