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Breast Cancer Res Treat. 2009 Jan;113(2):327-37. doi: 10.1007/s10549-008-9919-2. Epub 2008 Feb 9.

Racial and ethnic differences in mammography use among U.S. women younger than age 40.

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1
Department of Family and Community Medicine, University of Missouri-Columbia, MA306 Medical Sciences Bldg, 1 Hospital Drive, Columbia, MO 65212, USA. kappj@health.missouri.edu

Abstract

OBJECTIVE:

Evidence-based recommendations for routine breast cancer screening suggest that women begin mammography at age 40, although some women receive a mammogram before that age. Little is known about mammography use among younger women, especially with respect to race and ethnicity.

METHODS:

We used data from the 2005 National Health Interview Survey to examine racial/ethnic differences in mammography use among U.S. women ages 30-39. We examined descriptive characteristics of women who reported ever having a mammogram, and used logistic regression to estimate associations between race/ethnicity and mammography use among women at average risk for breast cancer.

RESULTS:

Our sample comprised 3,098 women (18% Hispanic, 13% non-Hispanic [NH] black, 69% NH white), of whom 29% reported having ever had a mammogram. NH black women were more likely than NH white women to report ever having a mammogram and receiving multiple mammograms before age 40 among women of average risk. Patterns of mammography use for Hispanic women compared to NH white women varied.

CONCLUSION:

Findings suggest differential utilization of mammograms by race/ethnicity among women outside current recommendations and of average risk. Future studies should examine the role of practice patterns and patient-provider communication.

PMID:
18264758
DOI:
10.1007/s10549-008-9919-2
[Indexed for MEDLINE]
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