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Disparities in adherence to recommended followup on screening mammography: interaction of sociodemographic factors.
Ethn Dis. 2002 Winter; 12(1):77-86.ED

Abstract

OBJECTIVE

The objective of this study was to examine disparities in adherence to screening mammography and, specifically, to investigate whether race/ethnicity, education, age, health insurance, and family history of breast cancer (FHBC), as unique factors and in interactions, influence adherence to recommended follow up on screening mammography.

DESIGN

The study involved retrieval and analyses of data collected by the Colorado Mammography Project (CMAP) for 167,232 diverse (82.8% White, 3.4% Black, 11% Hispanic, 1.6% Asian, 0.6% Native American, and 0.6% "other") screening participants during the 1990-1997 study period.

METHODS

Subjects' first mammograms captured by CMAP were tracked in the database to identify women who received follow-up recommendations, women who adhered within 12 months and those that did not. Analyses included comparisons of adherence rates among women with various sociodemographic characteristics.

RESULTS

Of the 17,358 women who received follow-up recommendations, 80.7% adhered. Overall, non-White women in each of the racial/ethnic groups were less likely to adhere to recommendations than were White women (P<.05). Also less likely to adhere were the younger, less educated, uninsured/underinsured, and women who reported not having FHBC.

CONCLUSION

Race/ethnicity appeared to interact with age, education, health insurance, and FHBC to influence the probability of adherence, suggesting the need to explore further cultural, psychosocial, and situational factors.

Authors+Show Affiliations

Department of Radiology, University of Colorado, Health Sciences Center, School of Medicine, Denver 80262, USA. jodi.strzelczyk@uchsc.eduNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

11913611

Citation

Strzelczyk, Jadwiga Jodi, and Mark B. Dignan. "Disparities in Adherence to Recommended Followup On Screening Mammography: Interaction of Sociodemographic Factors." Ethnicity & Disease, vol. 12, no. 1, 2002, pp. 77-86.
Strzelczyk JJ, Dignan MB. Disparities in adherence to recommended followup on screening mammography: interaction of sociodemographic factors. Ethn Dis. 2002;12(1):77-86.
Strzelczyk, J. J., & Dignan, M. B. (2002). Disparities in adherence to recommended followup on screening mammography: interaction of sociodemographic factors. Ethnicity & Disease, 12(1), 77-86.
Strzelczyk JJ, Dignan MB. Disparities in Adherence to Recommended Followup On Screening Mammography: Interaction of Sociodemographic Factors. Ethn Dis. 2002;12(1):77-86. PubMed PMID: 11913611.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Disparities in adherence to recommended followup on screening mammography: interaction of sociodemographic factors. AU - Strzelczyk,Jadwiga Jodi, AU - Dignan,Mark B, PY - 2002/3/27/pubmed PY - 2002/8/31/medline PY - 2002/3/27/entrez SP - 77 EP - 86 JF - Ethnicity & disease JO - Ethn Dis VL - 12 IS - 1 N2 - OBJECTIVE: The objective of this study was to examine disparities in adherence to screening mammography and, specifically, to investigate whether race/ethnicity, education, age, health insurance, and family history of breast cancer (FHBC), as unique factors and in interactions, influence adherence to recommended follow up on screening mammography. DESIGN: The study involved retrieval and analyses of data collected by the Colorado Mammography Project (CMAP) for 167,232 diverse (82.8% White, 3.4% Black, 11% Hispanic, 1.6% Asian, 0.6% Native American, and 0.6% "other") screening participants during the 1990-1997 study period. METHODS: Subjects' first mammograms captured by CMAP were tracked in the database to identify women who received follow-up recommendations, women who adhered within 12 months and those that did not. Analyses included comparisons of adherence rates among women with various sociodemographic characteristics. RESULTS: Of the 17,358 women who received follow-up recommendations, 80.7% adhered. Overall, non-White women in each of the racial/ethnic groups were less likely to adhere to recommendations than were White women (P<.05). Also less likely to adhere were the younger, less educated, uninsured/underinsured, and women who reported not having FHBC. CONCLUSION: Race/ethnicity appeared to interact with age, education, health insurance, and FHBC to influence the probability of adherence, suggesting the need to explore further cultural, psychosocial, and situational factors. SN - 1049-510X UR - https://www.unboundmedicine.com/medline/citation/11913611/Disparities_in_adherence_to_recommended_followup_on_screening_mammography:_interaction_of_sociodemographic_factors_ L2 - https://www.who.int/reproductivehealth/publications/cancers/a92126/en/ DB - PRIME DP - Unbound Medicine ER -