AbstractObjective Preventive health service use is relatively low among older age groups. We hypothesized that aging satisfaction would be associated with increased use of preventive health services four years later. Method We conducted multiple logistic regression analyses on a sample of 6177 people from the Health and Retirement Study, a nationally representative study of U.S. adults over the age of 50 (M age = 70.6; women n = 3648; men n = 2529). Results Aging satisfaction was not associated with obtaining flu shots. However, in fully-adjusted models, each standard deviation increase in aging satisfaction was associated with higher odds of reporting service use for cholesterol tests (OR = 1.10, 95% CI = 1.00–1.20). Further, women with higher aging satisfaction were more likely to obtain a mammogram/x-ray (OR = 1.17, 95% CI = 1.06–1.29) or Pap smear (OR = 1.10, 95% CI = 1.00–1.21). Among men, the odds of obtaining a prostate exam increased with higher aging satisfaction (OR = 1.20 95% CI = 1.09–1.34). Conclusion These results suggest that aging satisfaction potentially influences preventive health service use after age 50.