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Receipt of Preventive Care Services Among US Adults with Inflammatory Bowel Disease, 2015–2016

  • Fang XuEmail author
  • James M. Dahlhamer
  • Emily P. Terlizzi
  • Anne G. Wheaton
  • Janet B. Croft
Original Article

Abstract

Background

Previous reports suggest that adults with inflammatory bowel disease (IBD) receive suboptimal preventive care.

Aims

The population-based study compared the receipt of these services by US adults with and without IBD.

Methods

Adults aged ≥ 18 years with IBD (1.2%) and without IBD were identified from the 2015 and 2016 National Health Interview Survey (n = 66,610). Age-standardized prevalence of doctor visits, receipt of medical advice, and selected preventive care was calculated for adults with and without IBD. The model-adjusted prevalence ratios were estimated for receipt of preventive care associated with IBD.

Results

The prevalence of a doctor visit in the past 12 months was significantly higher among adults with IBD than those without. IBD was also associated with significantly higher prevalence of receiving medical advice about smoking cessation (83.9% vs. 66.4%) and diet (42.9% vs. 32.1%), having colon cancer screening in the past 12 months (44.0% vs. 26.7%), having ever had an HIV test (51.5% vs. 45.4%) or pneumococcal vaccine (75.3% vs. 64.0%), having received a tetanus vaccine in the past 10 years (72.0% vs. 61.8%), and having received a flu vaccine in the past 12 months (48.4% vs. 41.0%), but was not significantly associated with receiving cervical cancer screening and hepatitis A and B vaccines.

Conclusions

Adults with IBD were more likely to receive many types of preventive care than adults without IBD. The findings can inform healthcare policy makers to make strategic decisions that enhance multidisciplinary coordination from various medical specialties to ensure optimal preventive care for IBD patients.

Keywords

Inflammatory bowel disease Crohn’s disease Ulcerative colitis Preventive care services 

Notes

Acknowledgments

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Author’s contribution

FX drafted the paper. JMD and EPT conducted data analyses. FX, JMD, EPT, AGW, and JBC participated in the study design, interpreted the results, reviewed and edited the paper, and approved the final version.

Compliance with ethical standards

Conflict of interest

The authors have no conflict of interest to disclose.

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Copyright information

© This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2019

Authors and Affiliations

  • Fang Xu
    • 1
    Email author
  • James M. Dahlhamer
    • 2
  • Emily P. Terlizzi
    • 2
  • Anne G. Wheaton
    • 1
  • Janet B. Croft
    • 1
  1. 1.Division of Population Health, National Center for Chronic Disease Prevention and Health PromotionCenters for Disease Control and PreventionAtlantaUSA
  2. 2.Division of Health Interview Statistics, National Center for Health StatisticsCenters for Disease Control and PreventionHyattsvilleUSA

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