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NOTE: Women ages 18-64 years.
SOURCE: Kaiser Family Foundation, 2013 Kaiser Women’s Health Survey.
Most women have had rec...
NOTE: Counseling among women ages 18-44 years.
SOURCE: Kaiser Family Foundation, 2013 Kaiser Women’s Health Survey.
Counse...
NOTE: Women ages 18-44 years.
SOURCE: Kaiser Family Foundation, 2013 Kaiser Women’s Health Survey.
Majority of women repor...
Uninsured women have much lower screening rates than
insured women
73%
79%
74%
42% 43%
54%
Blood Cholesterol Mammogram Pap...
13% 13%
52% 50%
Put off or postponed preventive services due
to cost
Skipped recommended medical test or
treatment due to ...
Cancer Chronic
Conditions
Vaccines Healthy Behaviors Pregnancy Reproductive
Health
Breast Cancer
– Mammography for
women ...
Share of women who report the health reform law requires
most private plans to cover the full cost of many preventive
serv...
43%
32%
16%
9%
Your doctor or nurse
Your local pharmacist
Friends and family
The news media*
NOTE: *The news media include...
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Preventive Services for Women and the ACA - JAMA May 2014

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Preventive Services for Women and the ACA - JAMA May 2014

  1. 1. NOTE: Women ages 18-64 years. SOURCE: Kaiser Family Foundation, 2013 Kaiser Women’s Health Survey. Most women have had recent checkups, but the opportunity to receive preventive counseling is often missed 82% 18% No general checkup in past 2 years Had general checkup in past 2 years 41% 31% 44% 70% Mental Health Issues such as anxiety or depression Alcohol or drug use Smoking Diet, exercise and nutrition Share of women reporting they discussed topic with provider in past three years:
  2. 2. NOTE: Counseling among women ages 18-44 years. SOURCE: Kaiser Family Foundation, 2013 Kaiser Women’s Health Survey. Counseling on some sexual health issues among reproductive-age women is very low 23% 30% 34% 50% 61% Domestic or Dating Violence Other Sexually Transmitted Infections HIV Sexual History or Relationships Contraception or Birth Control Discussed with health care provider in the past three years:
  3. 3. NOTE: Women ages 18-44 years. SOURCE: Kaiser Family Foundation, 2013 Kaiser Women’s Health Survey. Majority of women reporting sexually transmitted infection tests incorrectly believe tests are routine Under Impression Test was Routine Doctor or Provider Recommended Test Asked to be Tested Don’t Know 43% 1% 56% Share of women ages 18-44 reporting STI tests in the past two years Did not receive an STI Test Received an STI Test 31% 14% 54% More than half of women who reported receiving an STI test incorrectly thought it was a routine part of exam
  4. 4. Uninsured women have much lower screening rates than insured women 73% 79% 74% 42% 43% 54% Blood Cholesterol Mammogram Pap Test Insured Uninsured NOTE: Mammogram among women ages 40-64 years. Blood cholesterol and pap tests among women ages 18-64 years. *Significantly different from insured, p<.05. SOURCE: Kaiser Family Foundation, 2013 Kaiser Women’s Health Survey. Percentage of women reporting they received screening tests in the past two years: * * *
  5. 5. 13% 13% 52% 50% Put off or postponed preventive services due to cost Skipped recommended medical test or treatment due to cost Insured Uninsured NOTE: Among women ages 18-64 years. SOURCE: Kaiser Family Foundation, 2013 Kaiser Women’s Health Survey. Costs can be a barrier for both uninsured and insured women
  6. 6. Cancer Chronic Conditions Vaccines Healthy Behaviors Pregnancy Reproductive Health Breast Cancer – Mammography for women 40+* – Genetic (BRCA) screening and counseling – Preventive medication Cervical Cancer ‒ Pap testing (women 21+ ) ‒ High-risk HPV DNA testing ♀ Colorectal Cancer ⁻ One of following: fecal occult blood testing, colonoscopy, sigmoidoscopy Cardiovascular health ⁻ Hypertension screening ⁻ Lipid disorders screenings ⁻ Aspirin Type 2 Diabetes screening (adults w/ elevated blood pressure) Depression screening (adults, when follow up supports available) Osteoporosis screening (all women 65+, women 60+ at high risk) Obesity Screening (all adults) Counseling and behavioral interventions (obese adults) Td booster, Tdap MMR Meningococcal  Hepatitis A, B Pneumococcal Zoster Influenza, Varicella HPV (women and men 19- 26) Alcohol misuse screening and counseling (all adults) Diet counseling (adults w/high cholesterol, CVD risk factors, diet-related chronic disease) Tobacco counseling and cessation interventions (all adults) Interpersonal and domestic violence screening and counseling (women 18-64)♀ Well-woman visits (women 18-64) ♀ Tobacco and cessation interventions Alcohol misuse screening/counseling Rh incompatibility screening  Gestational diabetes screenings♀ ⁻ 24-28 weeks gestation ⁻ First prenatal visit (women at high risk for diabetes) Screenings ⁻ Hepatitis B ⁻ Chlamydia (<24, hi risk) ⁻ Gonorrhea ⁻ Syphilis ⁻ Bacteriurea Folic acid supplements (women w/repro capacity) Iron deficiency anemia screening Breastfeeding Supports ⁻ Counseling , Consultations and Equipment rental♀ STI and HIV counseling (adults at high risk; all sexually- active women♀) Screenings: ⁻ Chlamydia (sexually active women <24y/o, older women at high risk) ⁻ Gonorrhea (sexually active women at high risk) ⁻ Syphilis (adults at high risk) ⁻ HIV (adults at high risk; all sexually active women♀) Contraception (women w/repro capacity) ♀ ⁻ All FDA approved methods as prescribed, ⁻ Sterilization procedures ⁻ Patient education and counseling Adult Preventive Services to be Covered by Private Plans Without Cost Sharing SOURCE:U.S. DHHS, “Recommended Preventive Services.” Available at http://www.healthcare.gov/center/regulations/prevention/recommendations.html. More information about each of the services in this table, including details on periodicity, risk factors, and specific test and procedures are available at the following websites: USPSTF: http://www.uspreventiveservicestaskforce.org/recommendations.htm ACIP: http://www.cdc.gov/vaccines/pubs/ACIP-list.htm#comp HRSA Women’s Preventive Services: http://www.hrsa.gov/womensguidelines/
  7. 7. Share of women who report the health reform law requires most private plans to cover the full cost of many preventive services, such as mammograms and pap tests 57% Yes NOTE: Women ages 18-64 years. Totals do not add to 100% due to rounding. SOURCE: Kaiser Family Foundation, 2013 Kaiser Women’s Health Survey. Four in ten women are unaware of new preventive services coverage 32% Don’t Know 10% No 42% do not know of ACA policy
  8. 8. 43% 32% 16% 9% Your doctor or nurse Your local pharmacist Friends and family The news media* NOTE: *The news media includes cable TV news, national or local TV news, radio news or talk radio, online news sources, and newspapers/magazines. For full question wording see topline: http://www.kff.org/health-reform/poll-finding/kaiser-health-tracking-poll- august-2013/ SOURCE: Kaiser Family Foundation Health Tracking Poll (conducted August 13-19, 2013) Clinicians are the most trusted source for information on the ACA Share of women reporting that they trust each source “a lot” for information on the ACA:

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