Complexity-related avoidance was predicted by having a chronic illness (OR = 3.77) and a low perception of healthcare value (OR = 2.80). Respondents who were uninsured were almost 6-times more likely to endorse avoiding healthcare due to cost (OR = 5.98) and those who had a chronic illness were 3-times as likely to report cost-related avoidance (OR = 3.01). ResultsĪmong 946 respondents, a quarter of the sample (N = 240) had not visited a doctor within the past year. Bivariate logistic regression was employed to investigate the predictors of cost, complexity, and privacy-related avoidance. MethodsĪ cross-sectional, regional survey of rural residents from Eastern North Carolina was conducted with questions focused on self-perceived health, healthcare utilization, and healthcare avoidance. This study extends prior work by examining the antecedents to these barriers and determining the extent to which they contribute to healthcare avoidance in a rural population. Previous research has identified three common reasons for healthcare avoidance, cost, complexity, and privacy.
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