Factors Affecting the Utilization of Preventive Health Services by Middle-Aged Population: A Scoping Review
Abstract
Background: Access to health care, or ultimately health care utilization, by all groups of population is a critical goal of health systems around the world. Several studies have examined factors affecting preventive health services utilization among middle-aged population none of systematic review exist. Therefore, we aimed to explore the factors affecting the preventive health services utilization by middle-aged population.
Methods: Drawing on PRISMA protocol, this scoping review explored articles in PubMed, Scopus, Web of Science, and Cochran by using combinations of relevant keywords. All studies that have investigated factors affecting health service utilization among middle-aged population (40–60 yrs. old), published from 1990 to 2024, were included. The identified studies were screened and narratively synthesized.
Results: Overall, 3314 articles were retrieved, of which 16 met the inclusion criteria. The factors were categorized into three main groups including personal, institutional and social factors. Such factors as the aboriginal status, ethnicity, age, religious salience, employment status, having chronic disease, disabilities, numeracy skill levels, knowledge regarding the services, housing insecurity, and urbanization of the residence areas affected the preventive health services utilization by middle-aged population.
Conclusion: Various factors appeared to affect the utilization of middle-aged groups from preventive services, which need to be addressed vigorously in an effort towards universal health coverage. Policymakers ought to understand and bring to the fore these correlated factors in their health system as these de facto signify the place on which the potentially effective interventions should focus and target.
1. Peters DH, Garg A, Bloom G, et al (2008). Poverty and access to health care in developing countries. Ann N Y Acad Sci, 1136:161-71.
2. Yoshizu M (2017). World Bank and WHO: Half the world lacks access to essential health services, 100 million still pushed into extreme poverty because of health expenses. World Health Organization. Geneva: World Health Organization, pp: 40-9
3. Kieny MP, Bekedam H, Dovlo D, et al (2017). Strengthening health systems for universal health coverage and sustainable development. Bull World Health Organ, 95 (7):537-39.
4. Levesque JF, Harris MF, Russell G (2013). Patient-centred access to health care: conceptualising access at the interface of health systems and populations. Int J Equity Health, 12:18.
5. Nyengidiki T, Inimgba N, Bassey G, et al (2019). Does introduction of user fees affect the utilization of cervical cancer screening services in Nigeria? Niger J Clin Pract, 22 (6):745-9.
6. Bastani P, Mohammadpour M, Samadbeik M, et al (2021). Factors influencing access and utilization of health services among older people during the COVID− 19 pandemic: a scoping review. Arch Public Health, 79 (1):190.
7. Verlenden JV, Zablotsky B, Yeargin-Allsopp M, et al (2022). Healthcare Access and Utilization for Young Adults with Disability: US, 2014–2018. J Adolesc Health, 70 (2):241-8.
8. Andersen RM (1995). Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav, 36 (1):1-10.
9. Trevino FM, Moyer ME, Valdez RB, et al (1991). Health insurance coverage and utilization of health services by Mexican Americans, mainland Puerto Ricans, and Cuban Americans. JAMA, 265 (2): 233-237.
10. Fu X, Sun N, Xu F, et al (2018). Influencing factors of inequity in health services utilization among the elderly in China. Int J Equity Health, 17 (1):144.
11. Zhang X, Yu B, He T, et al (2018). Status and determinants of health services utilization among elderly migrants in China. Glob Health Res Policy, 3:8.
12. Sporinova B, Manns B, Tonelli M, et al (2019). Association of mental health disorders with health care utilization and costs among adults with chronic disease. JAMA Netw Open, 2 (8): e199910.
13. Tesfaye G, Chojenta C, Smith R, et al (2018). Application of the Andersen-Newman model of health care utilization to understand antenatal care use in Kersa District, Eastern Ethiopia. PLoS One, 13 (12): e0208729.
14. Bradley EH, McGraw SA, Curry L, et al (2002). Expanding the Andersen model: the role of psychosocial factors in long-term care use. Health Serv Res, 37 (5):1221-42.
15. National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Care Services; Committee on Health Care Utilization and Adults with Disabilities. (2018). Health-Care Utilization as a Proxy in Disability Determination. National Academies Press (US). Washington (DC), pp:158-161.
16. Sanogo NdA, Yaya S (2020). Wealth status, health insurance, and maternal health care utilization in Africa: evidence from Gabon. Biomed Res Int, 2020: 4036830.
17. Borràs JM (1994). [Utilization of health services]. Gac Sanit, 8 (40):30-49.
18. Hajizadeh A, Babaei Aghbolagh M, Babaei G, et al (2024). Strategies to Enhance Access and Utilization of Health Services by Older Population: A Comprehensive Scoping Review. Health Soc Care Community, 2024: 3645115.
19. Ward PR, Noyce PR, St Leger AS (2007). How equitable are GP practice prescribing rates for statins?: an ecological study in four primary care trusts in North West England. Int J Equity Health, 6:2.
20. World Health Organization. (2010). Increasing access to health workers in remote and rural areas through improved retention: global policy recommendations. World Health Organization. Geneva: World Health Organization, pp:18-25.
21. SoleimanvandiAzar N, Mohaqeqi Kamal SH, Sajjadi H, et al (2020). Determinants of Outpatient Health Service Utilization according to Andersen’s Behavioral Model: A Systematic Scoping Review. Iran J Med Sci, 45 (6):405-24.
22. Cifaldi M (2001). Factors affecting health services utilization in the medicare population: Would providing prescription drug coverage to medicare recipients affect their use of health care resources? In: Farquhar I, Summers K, Sorkin A, editors. Investing in Health: The Social and Economic Benefits of Health Care Innovation. Res Hum Cap Dev, 14: 119-141.
23. Acharya S, Ghimire S, Jeffers EM, et al (2019). Health care utilization and health care expenditure of Nepali older adults. Front Public Health, 7:24.
24. Willging CE, Sommerfeld DH, Jaramillo ET, et al (2018). Improving Native American elder access to and use of health care through effective health system navigation. BMC Health Serv Res, 18 (1):464.
25. Wulandari RD, Qomarrudin M, Supriyanto S, et al (2019). Socioeconomic disparities in hospital utilization among elderly people in Indonesia. Indian J Public Health Res Dev, 10 (11):2192.
26. Sim SZ, Koh HL, Lee SPS, et al (2020). How does multimorbidity affect middle-aged adults? A cross-sectional survey in the Singapore primary healthcare setting. BMC Fam Pract, 21 (1):190.
27. Kanesarajah J, Waller M, Whitty JA, et al (2018). Multimorbidity and quality of life at mid-life: A systematic review of general population studies. Maturitas, 109 (4):53-62.
28. Bao XY, Xie YX, Zhang XX, et al (2019). The association between multimorbidity and health-related quality of life: a cross-sectional survey among community middle-aged and elderly residents in southern China. Health Qual Life Outcomes, 17 (1):107.
29. Bawazir AA, Aslam M, Osman AF (2020). Demographic change and economic growth: empirical evidence from the Middle East. Econ Chang Restruct, 53 (3), 429-450.
30. Bucci A (2008). Population growth in a model of economic growth with human capital accumulation and horizontal R&D. Journal of Macroeconomics, 30 (3):1124-47.
31. Valtorta NK, Moore DC, Barron L, et al (2018). Older adults’ social relationships and health care utilization: A systematic review. Am J Public Health, 108 (4): e1-e10.
32. Titus Skpmsnrn, Kataoka-Yahiro Mdmsa (2019). A Systematic Review of Barriers to Access-to-Care in Hispanics With Type 2 Diabetes. J Transcult Nurs, 11 (3):280-290.
33. Alizadeh M, Zamiran B, Eslamian A, et al (2023). Scoping review of outpatient health services utilization among women. Prim Health Care Res Dev, 24:e38.
34. Adams GC, Wrath AJ, Meng X (2018). The Relationship between Adult Attachment and Mental Health Care Utilization: A Systematic Review. Can J Psychiatry, 63 (10):651-60.
35. Lombardo AP, Angus JE, Lowndes R, et al (2014). Women's strategies to achieve access to healthcare in Ontario, Canada: a meta-synthesis.Health Soc Care Community, 22 (6):575-587.
36. Arksey H, O'Malley L (2005). Scoping studies: towards a methodological framework. Int J Soc Res Methodol, 8 (1):19-32.
37. Tricco AC, Lillie E, Zarin W, et al (2018). PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med, 169 (7):467-73.
38. Grant MJ, Booth A (2009). A typology of reviews: an analysis of 14 review types and associated methodologies. Health Info Libr J, 26 (2):91-108.
39. Gilbert E, Turner M, Viggiani Nd, et al (2022). Developing a typology of models of palliative care delivery in prisons in high-income countries: protocol for a scoping review with narrative synthesis. BMJ Open, 12 (4): e060886.
40. Martin P, Liaw W, Bazemore A, et al (2019). Adults with Housing Insecurity Have Worse Access to Primary and Preventive Care. J Am Board Fam Med, 32 (4):521-30.
41. Green DC, Goldbach JT, Raymond HF (2018). Age Cohort and Health Service Utilization Among Gay Men. Am J Mens Health, 12 (4):1058-67.
42. Shao S, Wang M, Jin G, et al (2018). Analysis of health service utilization of migrants in Beijing using Anderson health service utilization model. BMC Health Serv Res, 18 (1) ):462.
43. Kroll T, Jones GC, Kehn M, et al (2006). Barriers and strategies affecting the utilisation of primary preventive services for people with physical disabilities: A qualitative inquiry. Health Soc Care Community, 14 (4):284-93.
44. Beckman A, Anell A (2013). Changes in health care utilisation following a reform involving choice and privatisation in Swedish primary care: A five-year follow-up of GP-visits. BMC Health Serv Res, 13:452.
45. Matsui N, Sakane A, Omori Y, et al (2009). Correlates of Community Health Service Utilization for Menopausal Symptoms among Urban Japanese Women. Public Health Nurs, 26 (3):229-39.
46. Gorman LA, Sripada RK, Ganoczy D, et al (2016). Determinants of National Guard Mental Health Service Utilization in VA versus Non-VA Settings. Health Serv Res, 51 (5):1814-37.
47. Seo JY, Kuerban A, Bae SH, et al (2019). Disparities in Health Care Utilization between Asian Immigrant Women and Non-Hispanic White Women in the United States. J Womens Health (Larchmt), 28 (10):1368-77.
48. Ko KD, Lee KY, Cho B, (2011). Disparities in health-risk behaviors, preventive health care utilizations, and chronic health conditions for people with disabilities: The korean national health and nutrition examination survey. Arch Phys Med Rehabil, 92 (8):1230-7.
49. Kim S, Song JH, Oh YM, Park SM (2018). Disparities in the utilisation of preventive health services by the employment status: An analysis of 2007-2012 South Korean national survey. PLoS One, 13 (12): e0207737.
50. Tian M, Wang H, Tong X, et al (2015). Essential Public Health Services' Accessibility and its Determinants among Adults with Chronic Diseases in China. PLoS One, 10 (4): e0125262.
51. Yen SM, Kung PT, Tsai WC (2014). Factors associated with free adult preventive health care utilization among physically disabled people in Taiwan: Nationwide population-based study. BMC Health Serv Res, 14:610.
52. Yamashita T, Bardo AR, Millar RJ, et al (2020). Numeracy and Preventive Health Care Service Utilization among Middle-Aged and Older Adults in the US. Clin Gerontol, 43 (2):221-32.
53. Benjamins MR (2007). Predictors of preventive health care use among middle-aged and older adults in Mexico: the role of religion. J Cross Cult Gerontol, 22 (2):221-34.
54. Fadaei Dehcheshmeh N, Emamian Fard SM, Roghani T, et al (2022). Challenges of middle-aged men in utilizing new health services from primary health care providers' perspective: a qualitative study. BMC Prim Care, 23 (1):318.
55. Smith ML, Bergeron CD, Sherman LD, et al (2022). Contextualizing the chronic care model among non-Hispanic Black and Hispanic men with chronic conditions. Int J Environ Res Public Health, 19 (6):3655.
56. Lijuan L, Kun S, Weimin R, et al (2013). Living alone, health and preventive care use among the elderly in Shanghai, China. Journal of Medical Colleges of Pla, 28 (4):219-27.
57. Zhang X, Wu Q, Shao Y, et al (2015). Socioeconomic inequities in health care utilization in China. Asia Pac J Public Health, 27 (4):429-38.
58. Hall KS, Dalton V, Johnson TR (2014). Social disparities in women's health service use in the United States: a population-based analysis. Ann Epidemiol, 24 (2):135-43.
59. Gorman, B., et al. (2016). Women Go and Men Stay Home? Gender and the Utilization of Preventive Medical Care among Asian and Latino Adults. Special Social Groups, Social Factors and Disparities in Health and Health Care. Emerald Group Publishing Limited, pp: 97-132.
60. Ghammari F, Jalilian H, Khodayari‐Zarnaq R, et al (2023). Health care utilization and its association with sociodemographic factors among slum‐dwellers with type 2 diabetes in Tabriz, Iran: A cross‐sectional study. Health Sci Rep, 6 (5): e1272.
61. Tabrizi JS, Farahbakhsh M, Bazargani HS, et al (2018). Health services utilization and responsiveness: a comparison of slum and Non-slum regions in Tabriz, Iran. Med Sci, 22 (94):577-82.
62. Abera Abaerei A, Ncayiyana J, Levin J (2017). Health-care utilization and associated factors in Gauteng province, South Africa. Glob Health Action, 10 (1): 1305765.
63. Rooks RN, Kapral CG, Mathis AL (2019). Chronic Conditions May Be More Important Than Race or Ethnicity in Relation to Health Information Seeking and Use. J Aging Health, 31 (4):611-30.
64. Harris A, Zhou Y, Liao H, et al (2010). Challenges to maternal health care utilization among ethnic minority women in a resource-poor region of Sichuan Province, China. Health Policy Plan, 25 (4):311-8.
65. Xu Y, Zhang T, Wang D (2019). Changes in inequality in utilization of preventive care services: Evidence on China's 2009 and 2015 health system reform.Int J Equity Health, 18 (1):172.
66. Horrell LN, Kneipp SM, Ahn S, et al (2017). Chronic disease self-management education courses: utilization by low-income, middle-aged participants. Int J Equity Health, 16 (1):114.
67. Mohamed Zaki LR, Hairi NN (2014). Chronic pain and pattern of health care utilization among Malaysian elderly population: National Health and Morbidity Survey III (NHMS III, 2006). Maturitas, 79 (4):435-41.
68. Shao S, Zhang H, Chen X, et al (2021). Health education services utilization and its determinants among migrants: a cross-sectional study in urban-rural fringe areas of Beijing, China. BMC Fam Pract, 22 (1):23.
2. Yoshizu M (2017). World Bank and WHO: Half the world lacks access to essential health services, 100 million still pushed into extreme poverty because of health expenses. World Health Organization. Geneva: World Health Organization, pp: 40-9
3. Kieny MP, Bekedam H, Dovlo D, et al (2017). Strengthening health systems for universal health coverage and sustainable development. Bull World Health Organ, 95 (7):537-39.
4. Levesque JF, Harris MF, Russell G (2013). Patient-centred access to health care: conceptualising access at the interface of health systems and populations. Int J Equity Health, 12:18.
5. Nyengidiki T, Inimgba N, Bassey G, et al (2019). Does introduction of user fees affect the utilization of cervical cancer screening services in Nigeria? Niger J Clin Pract, 22 (6):745-9.
6. Bastani P, Mohammadpour M, Samadbeik M, et al (2021). Factors influencing access and utilization of health services among older people during the COVID− 19 pandemic: a scoping review. Arch Public Health, 79 (1):190.
7. Verlenden JV, Zablotsky B, Yeargin-Allsopp M, et al (2022). Healthcare Access and Utilization for Young Adults with Disability: US, 2014–2018. J Adolesc Health, 70 (2):241-8.
8. Andersen RM (1995). Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav, 36 (1):1-10.
9. Trevino FM, Moyer ME, Valdez RB, et al (1991). Health insurance coverage and utilization of health services by Mexican Americans, mainland Puerto Ricans, and Cuban Americans. JAMA, 265 (2): 233-237.
10. Fu X, Sun N, Xu F, et al (2018). Influencing factors of inequity in health services utilization among the elderly in China. Int J Equity Health, 17 (1):144.
11. Zhang X, Yu B, He T, et al (2018). Status and determinants of health services utilization among elderly migrants in China. Glob Health Res Policy, 3:8.
12. Sporinova B, Manns B, Tonelli M, et al (2019). Association of mental health disorders with health care utilization and costs among adults with chronic disease. JAMA Netw Open, 2 (8): e199910.
13. Tesfaye G, Chojenta C, Smith R, et al (2018). Application of the Andersen-Newman model of health care utilization to understand antenatal care use in Kersa District, Eastern Ethiopia. PLoS One, 13 (12): e0208729.
14. Bradley EH, McGraw SA, Curry L, et al (2002). Expanding the Andersen model: the role of psychosocial factors in long-term care use. Health Serv Res, 37 (5):1221-42.
15. National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Care Services; Committee on Health Care Utilization and Adults with Disabilities. (2018). Health-Care Utilization as a Proxy in Disability Determination. National Academies Press (US). Washington (DC), pp:158-161.
16. Sanogo NdA, Yaya S (2020). Wealth status, health insurance, and maternal health care utilization in Africa: evidence from Gabon. Biomed Res Int, 2020: 4036830.
17. Borràs JM (1994). [Utilization of health services]. Gac Sanit, 8 (40):30-49.
18. Hajizadeh A, Babaei Aghbolagh M, Babaei G, et al (2024). Strategies to Enhance Access and Utilization of Health Services by Older Population: A Comprehensive Scoping Review. Health Soc Care Community, 2024: 3645115.
19. Ward PR, Noyce PR, St Leger AS (2007). How equitable are GP practice prescribing rates for statins?: an ecological study in four primary care trusts in North West England. Int J Equity Health, 6:2.
20. World Health Organization. (2010). Increasing access to health workers in remote and rural areas through improved retention: global policy recommendations. World Health Organization. Geneva: World Health Organization, pp:18-25.
21. SoleimanvandiAzar N, Mohaqeqi Kamal SH, Sajjadi H, et al (2020). Determinants of Outpatient Health Service Utilization according to Andersen’s Behavioral Model: A Systematic Scoping Review. Iran J Med Sci, 45 (6):405-24.
22. Cifaldi M (2001). Factors affecting health services utilization in the medicare population: Would providing prescription drug coverage to medicare recipients affect their use of health care resources? In: Farquhar I, Summers K, Sorkin A, editors. Investing in Health: The Social and Economic Benefits of Health Care Innovation. Res Hum Cap Dev, 14: 119-141.
23. Acharya S, Ghimire S, Jeffers EM, et al (2019). Health care utilization and health care expenditure of Nepali older adults. Front Public Health, 7:24.
24. Willging CE, Sommerfeld DH, Jaramillo ET, et al (2018). Improving Native American elder access to and use of health care through effective health system navigation. BMC Health Serv Res, 18 (1):464.
25. Wulandari RD, Qomarrudin M, Supriyanto S, et al (2019). Socioeconomic disparities in hospital utilization among elderly people in Indonesia. Indian J Public Health Res Dev, 10 (11):2192.
26. Sim SZ, Koh HL, Lee SPS, et al (2020). How does multimorbidity affect middle-aged adults? A cross-sectional survey in the Singapore primary healthcare setting. BMC Fam Pract, 21 (1):190.
27. Kanesarajah J, Waller M, Whitty JA, et al (2018). Multimorbidity and quality of life at mid-life: A systematic review of general population studies. Maturitas, 109 (4):53-62.
28. Bao XY, Xie YX, Zhang XX, et al (2019). The association between multimorbidity and health-related quality of life: a cross-sectional survey among community middle-aged and elderly residents in southern China. Health Qual Life Outcomes, 17 (1):107.
29. Bawazir AA, Aslam M, Osman AF (2020). Demographic change and economic growth: empirical evidence from the Middle East. Econ Chang Restruct, 53 (3), 429-450.
30. Bucci A (2008). Population growth in a model of economic growth with human capital accumulation and horizontal R&D. Journal of Macroeconomics, 30 (3):1124-47.
31. Valtorta NK, Moore DC, Barron L, et al (2018). Older adults’ social relationships and health care utilization: A systematic review. Am J Public Health, 108 (4): e1-e10.
32. Titus Skpmsnrn, Kataoka-Yahiro Mdmsa (2019). A Systematic Review of Barriers to Access-to-Care in Hispanics With Type 2 Diabetes. J Transcult Nurs, 11 (3):280-290.
33. Alizadeh M, Zamiran B, Eslamian A, et al (2023). Scoping review of outpatient health services utilization among women. Prim Health Care Res Dev, 24:e38.
34. Adams GC, Wrath AJ, Meng X (2018). The Relationship between Adult Attachment and Mental Health Care Utilization: A Systematic Review. Can J Psychiatry, 63 (10):651-60.
35. Lombardo AP, Angus JE, Lowndes R, et al (2014). Women's strategies to achieve access to healthcare in Ontario, Canada: a meta-synthesis.Health Soc Care Community, 22 (6):575-587.
36. Arksey H, O'Malley L (2005). Scoping studies: towards a methodological framework. Int J Soc Res Methodol, 8 (1):19-32.
37. Tricco AC, Lillie E, Zarin W, et al (2018). PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med, 169 (7):467-73.
38. Grant MJ, Booth A (2009). A typology of reviews: an analysis of 14 review types and associated methodologies. Health Info Libr J, 26 (2):91-108.
39. Gilbert E, Turner M, Viggiani Nd, et al (2022). Developing a typology of models of palliative care delivery in prisons in high-income countries: protocol for a scoping review with narrative synthesis. BMJ Open, 12 (4): e060886.
40. Martin P, Liaw W, Bazemore A, et al (2019). Adults with Housing Insecurity Have Worse Access to Primary and Preventive Care. J Am Board Fam Med, 32 (4):521-30.
41. Green DC, Goldbach JT, Raymond HF (2018). Age Cohort and Health Service Utilization Among Gay Men. Am J Mens Health, 12 (4):1058-67.
42. Shao S, Wang M, Jin G, et al (2018). Analysis of health service utilization of migrants in Beijing using Anderson health service utilization model. BMC Health Serv Res, 18 (1) ):462.
43. Kroll T, Jones GC, Kehn M, et al (2006). Barriers and strategies affecting the utilisation of primary preventive services for people with physical disabilities: A qualitative inquiry. Health Soc Care Community, 14 (4):284-93.
44. Beckman A, Anell A (2013). Changes in health care utilisation following a reform involving choice and privatisation in Swedish primary care: A five-year follow-up of GP-visits. BMC Health Serv Res, 13:452.
45. Matsui N, Sakane A, Omori Y, et al (2009). Correlates of Community Health Service Utilization for Menopausal Symptoms among Urban Japanese Women. Public Health Nurs, 26 (3):229-39.
46. Gorman LA, Sripada RK, Ganoczy D, et al (2016). Determinants of National Guard Mental Health Service Utilization in VA versus Non-VA Settings. Health Serv Res, 51 (5):1814-37.
47. Seo JY, Kuerban A, Bae SH, et al (2019). Disparities in Health Care Utilization between Asian Immigrant Women and Non-Hispanic White Women in the United States. J Womens Health (Larchmt), 28 (10):1368-77.
48. Ko KD, Lee KY, Cho B, (2011). Disparities in health-risk behaviors, preventive health care utilizations, and chronic health conditions for people with disabilities: The korean national health and nutrition examination survey. Arch Phys Med Rehabil, 92 (8):1230-7.
49. Kim S, Song JH, Oh YM, Park SM (2018). Disparities in the utilisation of preventive health services by the employment status: An analysis of 2007-2012 South Korean national survey. PLoS One, 13 (12): e0207737.
50. Tian M, Wang H, Tong X, et al (2015). Essential Public Health Services' Accessibility and its Determinants among Adults with Chronic Diseases in China. PLoS One, 10 (4): e0125262.
51. Yen SM, Kung PT, Tsai WC (2014). Factors associated with free adult preventive health care utilization among physically disabled people in Taiwan: Nationwide population-based study. BMC Health Serv Res, 14:610.
52. Yamashita T, Bardo AR, Millar RJ, et al (2020). Numeracy and Preventive Health Care Service Utilization among Middle-Aged and Older Adults in the US. Clin Gerontol, 43 (2):221-32.
53. Benjamins MR (2007). Predictors of preventive health care use among middle-aged and older adults in Mexico: the role of religion. J Cross Cult Gerontol, 22 (2):221-34.
54. Fadaei Dehcheshmeh N, Emamian Fard SM, Roghani T, et al (2022). Challenges of middle-aged men in utilizing new health services from primary health care providers' perspective: a qualitative study. BMC Prim Care, 23 (1):318.
55. Smith ML, Bergeron CD, Sherman LD, et al (2022). Contextualizing the chronic care model among non-Hispanic Black and Hispanic men with chronic conditions. Int J Environ Res Public Health, 19 (6):3655.
56. Lijuan L, Kun S, Weimin R, et al (2013). Living alone, health and preventive care use among the elderly in Shanghai, China. Journal of Medical Colleges of Pla, 28 (4):219-27.
57. Zhang X, Wu Q, Shao Y, et al (2015). Socioeconomic inequities in health care utilization in China. Asia Pac J Public Health, 27 (4):429-38.
58. Hall KS, Dalton V, Johnson TR (2014). Social disparities in women's health service use in the United States: a population-based analysis. Ann Epidemiol, 24 (2):135-43.
59. Gorman, B., et al. (2016). Women Go and Men Stay Home? Gender and the Utilization of Preventive Medical Care among Asian and Latino Adults. Special Social Groups, Social Factors and Disparities in Health and Health Care. Emerald Group Publishing Limited, pp: 97-132.
60. Ghammari F, Jalilian H, Khodayari‐Zarnaq R, et al (2023). Health care utilization and its association with sociodemographic factors among slum‐dwellers with type 2 diabetes in Tabriz, Iran: A cross‐sectional study. Health Sci Rep, 6 (5): e1272.
61. Tabrizi JS, Farahbakhsh M, Bazargani HS, et al (2018). Health services utilization and responsiveness: a comparison of slum and Non-slum regions in Tabriz, Iran. Med Sci, 22 (94):577-82.
62. Abera Abaerei A, Ncayiyana J, Levin J (2017). Health-care utilization and associated factors in Gauteng province, South Africa. Glob Health Action, 10 (1): 1305765.
63. Rooks RN, Kapral CG, Mathis AL (2019). Chronic Conditions May Be More Important Than Race or Ethnicity in Relation to Health Information Seeking and Use. J Aging Health, 31 (4):611-30.
64. Harris A, Zhou Y, Liao H, et al (2010). Challenges to maternal health care utilization among ethnic minority women in a resource-poor region of Sichuan Province, China. Health Policy Plan, 25 (4):311-8.
65. Xu Y, Zhang T, Wang D (2019). Changes in inequality in utilization of preventive care services: Evidence on China's 2009 and 2015 health system reform.Int J Equity Health, 18 (1):172.
66. Horrell LN, Kneipp SM, Ahn S, et al (2017). Chronic disease self-management education courses: utilization by low-income, middle-aged participants. Int J Equity Health, 16 (1):114.
67. Mohamed Zaki LR, Hairi NN (2014). Chronic pain and pattern of health care utilization among Malaysian elderly population: National Health and Morbidity Survey III (NHMS III, 2006). Maturitas, 79 (4):435-41.
68. Shao S, Zhang H, Chen X, et al (2021). Health education services utilization and its determinants among migrants: a cross-sectional study in urban-rural fringe areas of Beijing, China. BMC Fam Pract, 22 (1):23.
| Files | ||
| Issue | Vol 54 No 3 (2025) | |
| Section | Review Article(s) | |
| Keywords | ||
| Middle-aged Population Service utilization Preventive health services Scoping review | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Yarifard K, Abdi Z, Jaafaripooyan E. Factors Affecting the Utilization of Preventive Health Services by Middle-Aged Population: A Scoping Review. Iran J Public Health. 2025;54(3):554-566.
