High prevalence of forgoing healthcare for economic reasons in Switzerland: A population-based study in a region with universal health insurance coverage

► Forgoing healthcare for economic reasons is frequent in a region of Switzerland. ► Prevalence varies with reported monthly household income category from 3% to 30%. ► Data suggest an increasing 2007-10 trend among participants with the lowest income. ► Risk factors include gender, having children, being divorced, and insurance status. ► Forgoing healthcare is associated with worse self-rated health status.