Women's Preventive Services Utilization in Illinois in the Aftermath of the ACA and the COVID-19 Pandemic

This study explores the association between health system changes over the last decade and women's preventive care utilization in Illinois. A cross- sectional analysis using Illinois Behavioral Risk Factor Surveillance System (BRFSS) data from 2012- 2020 among women aged 21- 75 (n=21,258) examined well- woman visit (WWV) receipt and breast and cervical cancer screening overall and over several time periods. There was an increase in the prevalence of receiving a WWV for Illinois women overall from 2012- 2020. However, the overall adjusted prevalence difference was only significant for the 2020 versus 2015- 2019 comparison and not for 2015- 2019 versus 2012- 2014. The COVID-19 pandemic was not associated with a decrease in the prevalence of mammogram use but was manifest for cervical cancer screening, particularly for Black women. Finally, those reporting having a WWV in the past year had a significantly higher prevalence of being up to date with screening compared with those not reporting a WWV.