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.
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U.S. Cancer Statistics Working Group (2006) United States cancer statistics: 2003 incidence and mortality. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. http://www.cdc.gov/cancer/npcr/npcrpdfs/US_Cancer_Statistics_2003_Incidence_and_Mortality.pdf. Cited 15 May 2007
Yankaskas BC (2005) Epidemiology of breast cancer in young women. Breast Dis 23:3–8
Smigal C, Jemal A, Ward E et al (2006) Trends in breast cancer by race and ethnicity: update 2006. CA Cancer J Clin 56:168–183
Amend K, Hicks D, Ambrosone CB (2006) Breast cancer in African-American women: differences in tumor biology from European-American women. Cancer Res 66:8327–8330
del Carmen MG, Hughes KS, Halpern E et al (2003) Racial differences in mammographic breast density. Cancer 98:590–596
Elmore JG, Armstrong K, Lehman CD et al (2005) Screening for breast cancer. JAMA 293:1245–1256
Fletcher SW, Elmore JG (2003) Clinical practice. Mammographic screening for breast cancer. N Engl J Med 348:1672–1680
American Cancer Society (2007) Chronological history of ACS recommendations on early detection of cancer. American Cancer Society, Inc. http://www.cancer.org/docroot/ped/content/ped_2_3x_chronological_history_of_acs_recommendations_on_early_detection_of_cancer.asp?sitearea=ped. Cited 15 May 2007
U.S. Preventive Services Task Force (2002) Screening for breast cancer: recommendations and rationale. Ann Intern Med 137:344–346
American Cancer Society (2007) Cancer facts & figures, 2007. American Cancer Society, Inc., Atlanta
American Cancer Society (2007) American Cancer Society guidelines for the early detection of cancer. American Cancer Society, Inc. http://www.cancer.org/docroot/PED/content/PED_2_3X_ACS_Cancer_Detection_Guidelines_36.asp. Cited 15 May 2007
Burke W, Daly M, Garber J et al (1997) Recommendations for follow-up care of individuals with an inherited predisposition to cancer. II. BRCA1 and BRCA2. Cancer Genetics Studies Consortium. JAMA 277:997–1003
Campbell JB (2002) Breast cancer-race, ethnicity, and survival: a literature review. Breast Cancer Res Treat 74:187–192
American Cancer Society (2005) Breast cancer facts and figures 2005–2006. American Cancer Society, Inc., Atlanta
Lemon SC, Zapka JG, Clemow L et al (2006) Mammography screening after breast cancer diagnosis in a first degree female relative: age group differences (United States). Cancer Causes Control 17:1053–1065
Scharpf TP, Rimm AA (2006) Mammography utilization rates among young white and black women in the USA. Public Health 120:937–941
Elmore JG, Barton MB, Moceri VM et al (1998) Ten-year risk of false positive screening mammograms and clinical breast examinations. N Engl J Med 338:1089–1096
National Center for Health Statistics (2006) Data file documentation, National Health Interview Survey, 2005 (machine readable data file and documentation). U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Hyattsville
Nelson HD, Huffman LH, Fu R et al (2005) Genetic risk assessment and BRCA mutation testing for breast and ovarian cancer susceptibility: systematic evidence review for the U.S. Preventive Services Task Force. Ann Intern Med 143:362–379
U.S. Preventive Services Task Force (2005) Genetic risk assessment and BRCA mutation testing for breast and ovarian cancer susceptibility: recommendation statement. Ann Intern Med 143:355–361
National Center for Health Statistics (2007) 2005 Imputed family income/personal earnings files. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. http://www.cdc.gov/nchs/about/major/nhis/2005imputedincome.htm. Cited 15 May 2007
Sabatino SA, Burns RB, Davis RB et al (2004) Breast carcinoma screening and risk perception among women at increased risk for breast carcinoma: results from a national survey. Cancer 100:2338–2346
Gross CP, Filardo G, Singh HS et al (2006) The relation between projected breast cancer risk, perceived cancer risk, and mammography use. Results from the National Health Interview Survey. J Gen Intern Med 21:158–164
Harrell FE (2001) Regression modeling strategies: with applications to linear models, logistic regression, and survival analysis. Springer, New York
Collaborative Group on Hormonal Factors in Breast Cancer (2001) Familial breast cancer: collaborative reanalysis of individual data from 52 epidemiological studies including 58,209 women with breast cancer and 101,986 women without the disease. Lancet 358:1389–1399
Benjamins MR, Kirby JB, Bond Huie SA (2004) County characteristics and racial and ethnic disparities in the use of preventive services. Prev Med 39:704–712
Ramirez AG, Suarez L, Laufman L et al (2000) Hispanic women’s breast and cervical cancer knowledge, attitudes, and screening behaviors. Am J Health Promot 14:292–300
Rimer BK, Trock B, Engstrom PF et al (1991) Why do some women get regular mammograms? Am J Prev Med 7:69–74
Yabroff KR, Breen N, Vernon SW et al (2004) What factors are associated with diagnostic follow-up after abnormal mammograms? Findings from a U.S. National Survey. Cancer Epidemiol Biomarkers Prev 13:723–732
Kerner JF, Yedidia M, Padgett D et al (2003) Realizing the promise of breast cancer screening: clinical follow-up after abnormal screening among Black women. Prev Med 37:92–101
Jones BA, Patterson EA, Calvocoressi L (2003) Mammography screening in African American women: evaluating the research. Cancer 97:258–272
Karliner LS, Patricia KC, Juarbe T et al (2005) Poor patient comprehension of abnormal mammography results. J Gen Intern Med 20:432–437
Bernard VB, Major AC, Ryerson AB (2005) National Breast and Cervical Cancer Early Detection Program: 1991–2002 national report. Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Atlanta
Fox SA, Stein JA (1991) The effect of physician-patient communication on mammography utilization by different ethnic groups. Med Care 29:1065–1082
Hawley ST, Earp JA, O’Malley M et al (2000) The role of physician recommendation in women’s mammography use: is it a 2-stage process? Med Care 38:392–403
Nguyen TT, McPhee SJ (2003) Patient-provider communication in cancer screening. J Gen Intern Med 18:402–403
O’Malley MS, Earp JA, Hawley ST et al (2001) The association of race/ethnicity, socioeconomic status, and physician recommendation for mammography: who gets the message about breast cancer screening? Am J Public Health 91:49–54
Bobo JK, Shapiro JA, Schulman J et al (2004) On-schedule mammography rescreening in the National Breast and Cervical Cancer Early Detection Program. Cancer Epidemiol Biomarkers Prev 13:620–630
Peipins LA, Shapiro JA, Bobo JK et al (2006) Impact of women’s experiences during mammography on adherence to rescreening (United States). Cancer Causes Control 17:439–447
Champion VL, Menon U, McQuillen DH et al (1998) Validity of self-reported mammography in low-income African-American women. Am J Prev Med 14:111–117
Gordon NP, Hiatt RA, Lampert DI (1993) Concordance of self-reported data and medical record audit for six cancer screening procedures. J Natl Cancer Inst 85:566–570
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Kapp, J.M., Ryerson, A.B., Coughlin, S.S. et al. Racial and ethnic differences in mammography use among U.S. women younger than age 40. Breast Cancer Res Treat 113, 327–337 (2009). https://doi.org/10.1007/s10549-008-9919-2
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DOI: https://doi.org/10.1007/s10549-008-9919-2