Table 4.

Summary of Integrated Results from Qualitative and Quantitative Analyses

Interview Theme	Summary of Survey Results	Integrated Results
Facilitators of Preventive Care Use
Most women used preventive care regularly or obtained curative care when needed. System factors like ease of getting appointments, ability to see desired providers, positive relationships and satisfaction with providers, and affordable insurance or costs facilitated women’s use of preventive care.	• Women who received counseling on 7 or more services were more likely to have obtained a WWV, flu vaccine, or mammogram. • Most women had strong, positive communication with providers and these women were also more likely to use services.	Convergence – • Positive provider relationships and communication facilitates women’s use of preventive care
Barriers to Preventive Care Use
Women had few barriers to accessing preventive care; however, many had past or current challenges associated with health insurance, healthcare costs, and discomfort or dissatisfaction with providers.	• 17% of women reported having current barriers to preventive care use • 93% had strong positive communication with providers • 94% were insured • Women with barriers had lower odds of WWV, flu vaccine, and mammogram use	Convergence, Expansion, & Divergence – • Women had few current barriers to preventive care use; but those with barriers had lower rates of preventive services use • Women’s access to insurance was facilitated by the ACA and private insurance • Barriers reported via survey and interviews were similar • Women reported discrimination in the healthcare system based on race or socioeconomic status during interviews, but differential treatment based on race was not a statistically significant factor reported by women in survey.
Beliefs and Knowledge about Prevention and Preventive Services
Women were moderately confident in their knowledge about chronic conditions, screenings, and immunizations recommended for their gender and age; however, there was confusion regarding recommendation timeframes and several misperceptions regarding influenza vaccinations, which resulted in avoidance for some women.	• Women whose beliefs about the frequency of obtaining specific clinical preventive services were highly consistent with recommendation guidelines had almost 4 – 7 times higher odds of past WWV, flu vaccine, and mammogram use • 58% of women with high knowledge consistency obtained a flu vaccine in past year and only 24% with low knowledge consistency obtained a flu vaccine within past year	Convergence & Expansion – • More knowledge of preventive care is associated with greater use of preventive care services • Low rates of flu vaccine use might be explained by misperceptions regarding flu vaccine