JAMA & ARCHIVES
Arch Fam Med
SEARCH
GO TO ADVANCED SEARCH
HOME  PAST ISSUES  TOPIC COLLECTIONS  CME  PHYSICIAN JOBS  CONTACT US  HELP
Institution: STANFORD Univ Med Center  | My Account | E-mail Alerts | Access Rights | Sign In
  Vol. 9 No. 3, March 2000 TABLE OF CONTENTS
  Archives
  •  Online Features
  Original Contribution
 This Article
 •Full text
 •PDF
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Citation map
 •Citing articles on HighWire
 •Citing articles on Web of Science (18)
 •Contact me when this article is cited
 Related Content
 •Similar articles in this journal

Preventive Services for Rural and Urban African American Adults

William J. Hueston, MD; Elizabeth T. Hubbard, BA

Arch Fam Med. 2000;9:263-266.

Background  Studies have shown that African Americans and rural patients receive fewer preventive services than other patients.

Objective  To compare the use of preventive services by African Americans in urban and rural settings to determine if race and rural residence were additive risks for not obtaining preventive services.

Methods  Three hundred African American patients seeking care in family practices in South Carolina were surveyed about preventive health care.

Results  Rural and urban African Americans were equally likely to know about preventive services and be up-to-date on receiving these services. In both practices, those with lower incomes were less likely to be up-to-date. Patients seen in the urban setting were more likely to receive counseling regarding exercise and smoking than those in the rural practice (87% vs 71%, P= .003).

Conclusions  For both urban and rural African American patients with access to primary care physicians, preventive service use is high. The best predictor of poor compliance with preventive service recommendations was low income, suggesting that a lack of access to care is the primary reason why rural and African American populations do not receive adequate preventive health care.


From the Department of Family Medicine, Medical University of South Carolina, Charleston.



THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Help on the Line: Telephone-Triage Use, Outcomes, and Satisfaction Within an Uninsured Population
Wetta-Hall et al.
Eval Health Prof 2005;28:414-427.
ABSTRACT  

Soul Food Light: Culturally Competent Diabetes Education
Anderson-Loftin et al.
The Diabetes Educator 2005;31:555-563.
ABSTRACT | FULL TEXT  

Recruitment and Retention of Rural African Americans in Diabetes Research: Lessons Learned
Loftin et al.
The Diabetes Educator 2005;31:251-259.
ABSTRACT | FULL TEXT  




HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | PHYSICIAN JOBS | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 2000 American Medical Association. All Rights Reserved.