ArticlePloS one2026
Examining the role of social factors in the utilization of preventive cardiovascular clinical services: An analysis using Andersen's behavioral health model.
Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCardiovascular disease (CVD) remains the leading cause of mortality in Saudi Arabia, mainly influenced by multiple lifestyle risk factors. Addressing this challenge requires a comprehensive evaluation of preventive services, particularly Preventive Cardiovascular Clinical Services (PCCS), which are essential for early detection and management. Hence, studying the utilization of PCCS is crucial to assess uptake and inform strategies to combat CVD burden.
methodsA survey-based cross-sectional study was conducted at the largest primary healthcare center under the Armed Forces Healthcare Services (AFHS) in Riyadh, Saudi Arabia. We surveyed 384 respondents to assess predisposing, enabling, and need factors that influence the utilization of nine PCCS using Andersen's Behavioral Model of Health Services Use. Descriptive statistics and logistic regression models were employed to explore predictors of service utilization.
resultsThe study revealed a notably high prevalence of both positive family history (90%) and self-reported diagnosis (53%) of CVD among participants, highlighting significant disparities in the utilization of PCCS across different service types and participant characteristics. Predisposing factors, including sex, age, parenthood, and educational attainment, consistently influenced the utilization of various PCCS. Sex-specific disparities were observed, with female individuals engaging in more PCCS, while gaps persisted in services such as smoking-cessation counseling. Personal and organizational enabling factors, including vehicle ownership and proximity to the nearest primary healthcare center, were crucial in facilitating access to healthcare. Finally, need factors, such as family history of CVD, the presence of CVD risk factors, and perceived health status, strongly influenced individuals' motivations for seeking PCCS.
conclusionThe complex intertwining of multiple personal, structural, and contextual factors further underscores the need to enhance PCCS user experience by designing, implementing, and monitoring targeted interventions, particularly for high-risk groups, based on their predisposing, enabling, and need profiles.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.