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Ethn Dis. 2002 Winter;12(1):77-86.

Disparities in adherence to recommended followup on screening mammography: interaction of sociodemographic factors.

Author information

  • 1Department of Radiology, University of Colorado, Health Sciences Center, School of Medicine, Denver 80262, USA. jodi.strzelczyk@uchsc.edu

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.

PMID:
11913611
[PubMed - indexed for MEDLINE]
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