Health Insurance Status, Psychological Processes, and Older African Americans\u27 Use of Preventive Care

Abstract

The current study examined the influence of health insurance, psychological processes (i.e. psychological competency and vulnerability), and the interaction of these two constructs on older African Americans\u27 utilization of five preventive care services (e.g. cholesterol screening and mammogram/prostate examination) using data from 211 older African Americans (median age = 60). In addition to direct effects, the influence of health insurance sometimes varied depending on respondents\u27 psychological competency and/or vulnerability. Policies and interventions to increase older African Americans\u27 use of preventive health services should consider structural (e.g. health insurance) and psychological (e.g. psychological competency and vulnerability) factors along with the interaction between these factors

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