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Dan Culica, MD, PhD, James Rohrer, PhD, Marcia Ward, PhD, Peter Hilsenrath, PhD and Paul Pomrehn, MD, MS

Dan Culica is with the Southwestern Medical Center Program, University of Texas Health Science Center at Houston, School of Public Health, Dallas, Tex. James Rohrer is with the Department of Health Services Research and Management, Texas Tech University, Lubbock, Tex. Marcia Ward is with the Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City. Peter Hilsenrath is with the Department of Health Management and Policy, School of Public Health, University of North Texas Health Science Center, Fort Worth, Tex. Paul Pomrehn is with the Department of Preventive Medicine, College of Public Health, University of Iowa, Iowa City.

Correspondence: Requests for reprints should be sent to Dan Culica, MD, PhD, UT Health Science Center at Houston, School of Public Health, UT-Southwestern MPH Program, 5323 Harry Hines Blvd, V8.112N, Dallas, TX 75390-9128 (e-mail: dan.culica{at}utsouthwestern.edu).

Objectives. This study determined which predisposing, enabling, need, behavioral, and disease factors predict the use of medical checkups.

Methods. The Behavioral Risk Factor Surveillance System was used to obtain state estimates in Iowa.

Results. A decreased likelihood of recent checkups was noted for persons aged 25 to 44, men, and those who faced cost barriers. An increased likelihood of recent checkups was associated with married people, highest household income, health insurance, fair and poor health status, physical exercise, occasional smoking, and some chronic diseases.

Conclusions. A profile of persons not having a checkup in the past 12 months emerged from the investigation.

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