About one-third of U.S. women with annual household incomes over $60,000 say they are having trouble getting health care because of concerns about out-of-pocket costs.

Researchers affiliated with the Commonwealth Fund, New York, have published that figure in a summary of results from a 2007 telephone survey of 2,616 U.S. adults ages 19 to 64.

The researchers identified survey participants who had trouble getting needed care by asking whether they had failed to fill prescriptions, failed to see specialists when needed, skipped recommended medical tests or procedures, or had failed to seek medical attention for a medical problem.

About 52% of the women and 39% of the men interviewed reporting have problems with access to health care, researchers report.

Participants with lower income were more likely to report care access problems, but 34% of the women and 23% of the men with annual household incomes over $60,000 reported access problems.

About 41% of the women and 32% of the men with annual household incomes of $40,000 to $60,000 per year reported spending more than 10% of their income on out-of-pocket health costs.

About 45% of the female survey participants delayed or skipped a cancer or dental screening because of concerns about cost, compared with 36% of the male participants, the researchers report.