Table 1.

Characteristics of Measures of Healthcare Access and Use of Clinical Preventive Services*

Measure	Definition	Age group, years	Years
Healthcare access
Health insurance coverage	Had any kind of healthcare coverage	18–64	2002, 2003, 2004, 2005, 2007, 2008, 2009, 2010
Usual source of healthcare	Had personal doctor(s) or healthcare provider(s)	18–64	2002, 2003, 2004, 2005, 2007, 2008, 2009, 2010
Cost barrier to healthcare	Had unmet needed healthcare in the past 12 months because of cost	18–64	2003, 2004, 2005, 2007, 2008, 2009, 2010
Routine medical checkup	Received routine checkup in past year	18–64	2005, 2007, 2008, 2009, 2010
Clinical preventive services
Breast cancer screening†	Received mammogram in past 2 years	50–64	2002, 2004, 2008, 2010
Cervical cancer screening	Received Papanicolaou test in past 3 years (women with an intact uterus)	21–64	2002, 2004, 2008, 2010
Colorectal cancer screening	Received fecal occult blood test in past year or sigmoidoscopy or colonoscopy in past 5 years	50–64	2002, 2004, 2008, 2010
Cholesterol screening	Received cholesterol screening in past 5 years	men, 35–64; women, 45–64	2003, 2005, 2007, 2009
Influenza immunization‡	Received influenza vaccine in past year	50–64	2002, 2003, 2004, 2005, 2007, 2008, 2009, 2010

^*Affordable care act preventive services mandate (PL 111–148; PL 111–152)

^†The affordable care act will require coverage of mammograms beginning at age 40 years

^‡In 2004, a question was added to capture introduction of the nasal influenza vaccine. In 2005, the introductory wording for the influenza injection question changed and wording was added to define the nasal influenza vaccine as FluMist™. The introductory wording was changed on both influenza questions in 2010