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Published Online: 10 November 2015

Increasing Receipt of Women's Preventive Services

Publication: Journal of Women's Health
Volume 24, Issue Number 11


The receipt of clinical preventive services is important for health promotion and prevention of illness, death, and disability for women in the United States. Today, the Affordable Care Act makes a variety of evidence-based preventive services available with no out-of-pocket cost to women with certain health insurance plans. Nevertheless, available service receipt data suggest receipt of the services for all American adults remains suboptimal. This article seeks to raise awareness about the critical gaps in the delivery of preventive services to women and highlight opportunities for women, primary care providers, and public health professionals to increase receipt of clinical preventive services among women.

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National Commission on Prevention Priorities. Preventive Care: A National Profile on Use, Disparities, and Health Benefits. Washington, DC: National Commission on Prevention Priorities, 2007.
Frieden TR; Centers for Disease Control and Prevention (CDC). Use of Selected Clinical Preventive Services Among Adults—United States, 2007–2010. MMWR Morb Mortal Wkly Rep 2012;5;61 Suppl:1–2.
Robertson R, Collins SR. Women at risk: Why increasing numbers of women are failing to get the health care they need and how the Affordable Care Act will help. Findings from the Commonwealth Fund Biennial Health Insurance Survey of 2010. Issue Brief (Commonw Fund) 2011;3:1–24.
Sommers BD. Number of young adults gaining insurance due to the Affordable Care Act now tops 3 million. Washington DC: U.S. Department of Health and Human Services (HHS), 2012.
Mann C. Medicaid and CHIP enrollment milestone achievement: Enrollment grows by approximately 9.7 million additional Americans. Washington DC: HHS, 2014, Available at: Accessed April 8, 2015.
Office of the Assistant Secretary for Planning and Evaluation. Health Insurance marketplaces 2015 open enrollment period: March enrollment report. Washington, DC: HHS, Office of the Assistant Secretary for Planning and Evaluation (ASPE), 2015.
Sommers BD, Musco T, Finegold K, Gunja MZ, Burke A, McDowell AM: Health reform and changes in health insurance coverage in 2014. New Engl J Med 2014;371:867–874.
Fox JB, Shaw FE. Clinical preventive services coverage and the Affordable Care Act. Am J Public Health 2015;105:e7–e10.
The Patient Protection and Affordable Care Act. Pub Law 111–148, March 2010.
Office of the Assistant Secretary for Planning and Evaluation. ASPE data point: The Affordable Care Act is improving access to preventive services for millions of Americans. Washington, DC: HHS, 2015.
Burke A, Simmons A. Increased coverage of preventive services with zero cost sharing under the Affordable Care Act. Washington, DC: HHS, 2014.
Frieden TR; Centers for Disease Control and Prevention. Use of selected clinical preventive services to improve the health of infants, children and adolescents—United States, 1999–2011. MMWR Surveill Summ 2014.
National Center for Health Statistics. LCWK10: Deaths, percent of total deaths and rank order for 113 selected causes of death and Enterocolitis due to Clostridium difficile, by race and sex, United States, 2013–2014. Atlanta, GA: Centers for Disease Control and Prevention (CDC), 2014.
U.S. Preventive Services Task Force. Aspirin for the prevention of cardiovascular disease: Recommendation statement. Ann Intern Med 2009;150:396–404.
George MG, Tong X, Sonnenfeld N, Hong Y; CDC. Recommended use of aspirin and other antiplatelet medications among adults—National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey, United States, 2005–2008. MMWR Morb Mortal Wkly Rep 2012;61 Suppl:11–18.
U.S. Preventive Services Task Force. Counseling and interventions to prevent tobacco use and tobacco-caused disease in adults and pregnant women: U.S. Preventive Services Task Force reaffirmation recommendation statement. Ann Intern Med 2009;150:551–555.
Ritchey MD, Wall HK, Gillespie C, et al. Million hearts: Prevalence of leading cardiovascular disease risk factors—United States, 2005–2012. MMWR Morb Mortal Wkly Rep 2014;63:462–467.
Long SK, Stockley K, Dahlen H. Massachusetts health reforms: Uninsurance remains low, self-reported health status improves as state prepares to tackle costs. Health Affairs 2012;31:444–451.
Baicker K, Taubman SL, Allen HL, et al. The Oregon experiment—Effects of Medicaid on clinical outcomes. N Engl J Med 2013;368:1713–1722.
Lipton BJ, Decker SL. ACA Provisions associated with increase in percentage of young adult women initiating and completing the HPV vaccine. Health Affairs 2015;34:757–764.
Markowitz LE, Dunne EF, Saraiya M, et al.; Centers for Disease Control and Prevention. Human papillomavirus vaccination: Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2014;2014:1–30.
Sabik LM, Tarazi WW, Bradley CJ. State Medicaid expansion decisions and disparities in women's cancer screening. Am J Prev Med 2015;48:98–103.
Bierman AS, Magari ES, Jette AM, Splaine M, Wasson JH. Assessing access as a first step toward improving the quality of care for very old adults. J Ambul Care Manage 1998;21:17–26.
Xierali IM, Puffer JC, Tong ST, Bazemore AW, Green LA. The percentage of family physicians attending to women's gender-specific health needs is declining. J Am Board Fam Med 2012;25:406–407.
Bodenheimer T, Pham HH. Primary care: Current problems and proposed solutions. Health Aff 2010;29:799–805.
Syed ST, Gerber BS, Sharp LK. Traveling towards disease: Transportation barriers to health care access. J Community Health 2013;38:976–993.
Office of the Assistant Secretary for Planning and Evaluation. Health insurance coverage and the Affordable Care Act. Washington, DC: HHS, 2015.
Bureau of Primary Health Care, Health Resources & Services Administration: HRSA Health Center Program. 2015; Accessed October 2, 2015.
Health Resources and Services Administration. Patient centered medical home supplemental funding. U.S. HHS, 2015. Aavilable at: Accessed March 18, 2015.
National Committee for Quality Assurance (NCQA). 2014 PCMH standards and guidelines. Washington, DC: NCQA, 2014.
U.S. Department of Health and Human Services. National Health Service Corps expands the primary care workforce in communities that need them most. Washington, DC: HHS, 2014.
U.S. Department of Health and Human Services. HHS awards $83.4 million to train new primary care providers. Washington, DC: HHS, 2014.
Collins SR, Rasmussen PW, Doty MM. The rise in health care coverage and affordability since health reform took effect: Findings from the Commonwealth Fund Biennial Health Insurance Survey, 2014. Issue Brief. 2015;2:1–16.
Hamel L, Firth J, Brodie M. Kaiser Health tracking poll: March 2014. Menlo Park, CA: Henry J. Kaiser Family Foundation, 2014.
Kaiser Family Foundation. Preventive services covered by private health plans under the Affordable Care Act. Menlo Park, CA: Hanry J. Kaiser Family Foundation, 2014.
Centers for Medicare and Medicaid. From coverage to care. June 2014. Available at: Accessed March 19, 2015.
Centers for Medicare and Medicaid. The Center for Consumer Information and Insurance Oversight: Consumer support and information. Available at: Accessed March 19, 2015.
Kamerow D. Designing a high-quality package of preventive services. Partnership for Prevention, 2008.
Moreno-Peral P, Conejo-Ceron S, Fernandez A, et al. Primary care patients' perspectives of barriers and enablers of primary prevention and health promotion-a meta-ethnographic synthesis. PloS One. 2015;10:e0125004.
Centers for Disease Control and Prevention. Human papillomavirus vaccination coverage among adolescents, 2007–2013, and postlicensure vaccine safety monitoring, 2006–2014—United States. MMWR Morb Mortal Wkly Rep 2014:620–624.
Centers for Disease Control and Prevention. CDC prevention checklist. 2014. Available at: Accessed March 19, 2015.
Why regular check-ups are still a good idea. An annual “well woman” visit has important health benefits–especially the doctor-patient relationship it fosters. Harv Womens Health Watch 2007;14:1–3.
Committee on Gynecologic Practice. Committee opinion No. 534: Well-woman visit. Obstet Gynecol. 2012;120:421–424.
Rahman M, Elam LB, Balat MI, Berenson AB. Well-woman visit of mothers and human papillomavirus vaccine intent and uptake among their 9–17 year old children. Vaccine 2013;31:5544–5548.
Yarnall KS, Pollak KI, Ostbye T, Krause KM, Michener JL. Primary care: Is there enough time for prevention? Am J Public Health 2003;93:635–641.
Yarnall KS, Ostbye T, Krause KM, Pollak KI, Gradison M, Michener JL. Family physicians as team leaders: “Time” to share the care. Prev Chronic Dis 2009;6:A59.
Community Preventive Services Task Force. Cardiovascular disease prevention and control: Interventions engaging community health workers. Guide to Community Preventive Services, 2015. Available at: Accessed April 13, 2015.
Fernandez ME, Gonzales A, Tortolero-Luna G, et al. Effectiveness of Cultivando la Salud: A breast and cervical cancer screening promotion program for low-income Hispanic women. Am J Public Health 2009;99:936–943.
Heisler M, Spencer M, Forman J, et al. Participants' assessments of the effects of a community health worker intervention on their diabetes self-management and interactions with healthcare providers. Am J Prev Med 2009;37:S270–279.
Verhagen I, Steunenberg B, de Wit NJ, Ros WJ. Community health worker interventions to improve access to health care services for older adults from ethnic minorities: A systematic review. BMC Health Serv Res 2014;14:497.
Viswanathan M, Kraschnewski JL, Nishikawa B, et al. Outcomes and costs of community health worker interventions: A systematic review. Medical Care 2010;48:792–808.
Viswanathan M, Kraschnewski J, Nishikawa B, et al. Outcomes of community health worker interventions. Evidence report/technology assessment. 2009:1–144, A141–142, B141–114, passim.
Brownstein JN, Chowdhury FM, Norris SL, et al. Effectiveness of community health workers in the care of people with hypertension. A J Prev Med 2007;32:435–447.
Lewin S, Munabi-Babigumira S, Glenton C, et al. Lay health workers in primary and community health care for maternal and child health and the management of infectious diseases. Cochrane Database Syst Rev 2010:CD004015.
Centers for Disease Control and Prevention. Policy evidence assessment report: Community health worker policy components. Atlanta, GA: HHS, CDC, 2014.
Proia KK, Thota AB, Njie GJ, et al. Team-based care and improved blood pressure control: A community guide systematic review. Am J Prev Med 2014;47:86–99.
Statereforum. State community health worker models. 2015. Available at: Accessed April 15, 2015.
Ferrante JM, Balasubramanian BA, Hudson SV, Crabtree BF. Principles of the patient-centered medical home and preventive services delivery. Ann Fam Med 2010;8:108–116.
Markovitz AR, Alexander JA, Lantz PM, Paustian ML. Patient-centered medical home implementation and use of preventive services: The role of practice socioeconomic context. JAMA Intern Med 2015;175:598–606.
Williams JW, Jackson GL, Powers BJ, et al. Closing the quality gap: Revisiting the state of the science (vol. 2: The patient-centered medical home). Evid Rep/ Technol Assess 2012:1–210.
Kassler WJ, Tomoyasu N, Conway PH. Beyond a traditional payer–CMS's role in improving population health. N Engl J Med 2015;372:109–111.
Doherty RB. Goodbye, sustainable growth rate-hello, merit-based incentive payment system. Ann Intern Med 2015;163:138–139.

Information & Authors


Published In

cover image Journal of Women's Health
Journal of Women's Health
Volume 24Issue Number 11November 2015
Pages: 875 - 881
PubMed: 26447836


Published online: 10 November 2015
Published in print: November 2015
Published ahead of print: 8 October 2015


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    Haley Stolp, MPH
    IHRC Inc., Atlanta, Georgia.
    Division for Heart Disease and Stroke Prevention, National Centers for Chronic Disease Prevention and Health Promotion, Atlanta, Georgia.
    Jared Fox, PhD, MPP
    Office of the Associate Director for Policy, Centers for Disease Control and Prevention, Atlanta, Georgia.


    Address correspondence to:Haley Stolp, MPHDivision for Heart Disease and Stroke PreventionNational Center for Chronic Disease Prevention and Health PromotionCenters for Disease Control and Prevention4770 Buford Highway Northeast, MS F72Atlanta, GA 30341E-mail: [email protected]

    Authors Disclosure Statement

    No competing financial interests exist.

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