Which women aren’t getting mammograms and why? (United States).

التفاصيل البيبلوغرافية
العنوان:	Which women aren’t getting mammograms and why? (United States).
المؤلفون:	Helen Meissner, Nancy Breen, Michele Taubman, Sally Vernon, Barry Graubard
المصدر:	Cancer Causes & Control; Feb2007, Vol. 18 Issue 1, p61-70, 10p
مصطلحات موضوعية:	MAMMOGRAMS, CANCER in women, BREAST cancer, PRIMARY care
مستخلص:	Abstract Objective??This study investigates why women who reported no recent mammogram did not get the test. Methods??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. Results??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. Conclusions??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. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات:	Complementary Index

الوصف
تدمد:	09575243
DOI:	10.1007/s10552-006-0078-7