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Journal of Urban Health
Published in: Journal of Urban Health 4/2016

01-08-2016

Psychosocial Factors Related to Underuse of Medical Services

Authors: Chenshu Zhang, Judith S. Brook, Carl G. Leukefeld, David W. Brook

Published in: Journal of Urban Health | Issue 4/2016

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Abstract

In this longitudinal study, we applied structural equation modeling (SEM) to examine the historical, predisposing, enabling/barrier, and need factors as related to the underuse of medical services during early midlife. We gathered longitudinal data on a prospective cohort of community-dwelling men and women (N = 548) followed from adolescence to early midlife. The findings supported a mediational model: A mutually affectionate parent–child relationship in early adolescence was inversely related to underuse of medical services in early midlife via the mediational roles played by later predisposing factors (i.e., depressive mood and cigarette smoking), need factor (i.e., physical health problems), barriers (i.e., financial difficulty), and enabling factors (i.e., social support for health services in early midlife). In addition, satisfaction with medical services in the neighborhood had an association with less underuse of medical services in early midlife. Family therapy focused on an increase in the affectionate relationship between the adolescents and his/her parents and cognitive-behavioral treatment of depressive mood may lead to a decrease in the underuse of medical services.
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Metadata
Title
Psychosocial Factors Related to Underuse of Medical Services
Authors
Chenshu Zhang
Judith S. Brook
Carl G. Leukefeld
David W. Brook
Publication date
01-08-2016
Publisher
Springer US
Published in
Journal of Urban Health / Issue 4/2016
Print ISSN: 1099-3460
Electronic ISSN: 1468-2869
DOI
https://doi.org/10.1007/s11524-016-0067-4

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