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Racial and Ethnic Health Disparities"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Preventive care, like cancer screenings, is an effective tool to reduce the risk of morbidity and mortality. Despite these benefits, preventive care is underutilized in the United States and disparities are well-documented. However, preventive care research has largely been limited to Black, Latino, and White populations, and a better understanding of preventive care use across all racial and\/or ethnic populations is needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study used data from the PREVentive Care AdheREnce in Diverse Populations (PREV-CARE) study, a nationally representative, online survey of American Indian or Alaska Native (AIAN), Asian, Black, Latino (English- and Spanish-speaking), Middle Eastern or North African (MENA), Native Hawaiian or Pacific Islander (NHPI), White, and multiracial adults aged \u226535 years (6\/2023-8\/2023, N=4,111). Preventive care measures included blood pressure screening; cholesterol screening; breast, cervical, and colorectal cancer screening; and influenza, shingles vaccination, and pneumococcal vaccination. Multivariable Poisson regression was used to estimate the association between race and\/or ethnicity and adherence to preventive services guidelines. Ethnicity-stratified analyses among Asian, Latino, and NHPI participants were also performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Several disparities in vaccination adherence were observed when compared to White adults, among AIAN (influenza PR: 0.82 [95% CI:0.69-0.98]; shingles PR: 0.76, [0.54-1.08]), Black (shingles PR: 0.75, [0.54-1.06]), Spanish-speaking Latino (pneumococcal PR: 0.78 [0.51-1.19]), MENA (influenza PR: 0.75 [0.62-0.92]), and multiracial adults (influenza PR: 0.84 [0.71-1.00]; shingles PR: 0.53 [0.34-0.81]). MENA females were also less likely to undergo cervical cancer screening (PR: 0.85 [0.62-0.92]). Almost all racial and\/or ethnic populations were below Healthy People 2030 targets.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Future research should assess how health beliefs and barriers to care contribute to racial and\/or ethnic disparities in preventive care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s40615-026-03159-9","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T15:21:12Z","timestamp":1787325672000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Racial and\/or Ethnic Differences in Adherence to Preventive Care Guidelines among US Adults Using a Nationally Representative Survey of All Eight Major Racial and\/or Ethnic Populations"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1072-1560","authenticated-orcid":false,"given":"Paula D.","family":"Strassle","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9036-8500","authenticated-orcid":false,"given":"Ria A.","family":"Warrier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9050-897X","authenticated-orcid":false,"given":"Aidan McGrath","family":"Craver","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7889-9480","authenticated-orcid":false,"given":"Megan E.","family":"Trangsrud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie A.","family":"Ponce","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian S.","family":"Alvarez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine E.","family":"Goodman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cher M.","family":"Dallal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,21]]},"reference":[{"key":"3159_CR1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-023-09738-4","volume":"23","author":"TJ Philipson","year":"2023","unstructured":"Philipson TJ, Durie T, Cong Z, Fendrick AM. 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Both the National Institutes of Health Office of Institutional Review Board Operations (IRB# 001550) and University of Maryland (IRB# 2239331-1) determined that this study does not qualify as human subjects research because data were de-identified by YouGov before sending to the research team. The YouGov research protocol was approved for Federalwide Assurance by the Department of Health and Human Services (FWA00010960).","order":1,"name":"Ethics","label":"Ethics Approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The YouGov panel members consented to being contacted for potential surveys when recruited to the panel. Panel members are recruited through a variety of methods to ensure diversity, including Web advertising, permission-based email campaigns, partner-sponsored solicitations, telephone-to-Web recruitment, and mail-to-Web recruitment. Informed consent for this survey (PREVentive Care AdheREnce in Diverse Populations) from eligible participants was implied if the survey was completed and returned.","order":2,"name":"Ethics","label":"Consent to Participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":3,"name":"Ethics","label":"Consent to Publish","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors have no relevant financial or non-financial interests to disclose.","order":4,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}]}}