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- Title
Which women aren’t getting mammograms and why? (United States).
- Authors
Helen Meissner; Nancy Breen; Michele Taubman; Sally Vernon; Barry Graubard
- Abstract
<div class="abstract"><a name="abs1"/><span class="abstractheading">Abstract</span><div class="abstractsection"><div class=""><span class="abstractsectionheading"><a name="asec1"/>Objective??</span>This study investigates why women who reported no recent mammogram did not get the test.</div></div><div class="abstractsection"><div class=""><span class="abstractsectionheading"><a name="asec2"/>Methods??</span>Using data from the 2000 National Health Interview Survey (NHIS), we examine correlates of mammography use among women 40 years and older (n= 10,212), with particular focus on the 30% (n= 3,188) who reported no recent mammogram. Non-screening is examined in the context of two important correlates of mammography use?access to health care and a physician?s recommendation to get a mammogram.</div></div><div class="abstractsection"><div class=""><span class="abstractsectionheading"><a name="asec3"/>Results??</span>In total, 80% of non-screeners who reported having access to healthcare did not receive a recommendation for a mammogram. Women age 65 years and older were more likely than younger women to report not receiving a recommendation (OR 1.77, 95% CI 1.25?2.50). For women who reported having access, non-screening was significantly more likely among younger women (40?49), those with less education, incomes less than $20,000, residence outside Metropolitan Statistical Areas (MSAs) and no family history of breast cancer. Among women with access problems, those who had not visited a primary care provider in the past year were much more likely to be non-screeners (80%) compared with those who had seen a provider (46%). Among women with access, those who reportedput it offas the main reason for non-screening were significantly more likely to be younger and to be born in the U.S. than women who said that they didn?t know they needed a mammogram.</div></div><div class="abstractsection"><div class=""><span class="abstractsectionheading"><a name="asec4"/>Conclusions??</span>Most non-screeners report not receiving a physician recommendation for mammography. Although a minority reported access problems, the effect of lacking access on utilization was strong and is accentuated when women without access do not see a doctor. These findings confirm the importance of a mammography recommendation and raise questions concerning whether this information is being conveyed by physicians or heard by patients.</div></div></div>
- Publication
Cancer Causes & Control, 2007, Vol 18, Issue 1, p61
- ISSN
0957-5243
- Publication type
Academic Journal
- DOI
10.1007/s10552-006-0078-7