Mobility impairments and use of preventive services in women with multiple sclerosis: observational study

doi:10.1136/bmj.323.7319.968

BMJ 2001;323:968-969 ( 27 October )

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Mobility impairments and use of preventive services in women with multiple sclerosis: observational study

Eric Cheng, health services fellow ^a, Lawrence Myers, professor ^a, Sheldon Wolf, physician ^a, Deborah Shatin, senior researcher ^b, Xin-Ping Cui, graduate student ^c, George Ellison, professor emeritus ^a, Thomas Belin, associate professor ^c, Barbara Vickrey, associate professor ^a.

^a Department of Neurology, University of California, 650 Charles Young Drive South, Box 951736, Los Angeles, CA 90095-1769, USA, ^b Center for Health Care Policy and Evaluation, 9000 Bren Road East, Minnetonka, MN 55343, USA, ^c Department of Biostatistics, University of California, Los Angeles

Correspondence to: E M Cheng emc@ucla.edu

The first 150 words of the full text of this article appear below.

Use of preventive health services is affected by factors such as patient demographics, clinical characteristics, type of provider,and type of healthcare system.¹ Although people with multiplesclerosis may have impaired mobility, their lifespans are similarto age matched population controls. They therefore need standardpreventive services to prevent early mortality. We evaluated therelation between mobility and use of preventive services in womenwith multiplesclerosis.

Participants, methods, and results

In 1996, we sent questionnaires to 1164 adults with multiple sclerosis who had received outpatient care in 1993 or 1994 fromone of three systems of health care (two forms of managed careand fee for service insurance) in two regions of the United States.²The overall response rate was 80% (930/1164). We report here surveyanalyses from the 713 womenrespondents.

We collected self reported rates of cervical smear testing, mammography, and breast examination (if over age 50), blood pressurechecks, cholesterol screening, and physician assessment of . . . [Full text of this article]

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