OBJECTIVE: Several papers have found that Hispanic and Non-Hispanic Black women have higher adjusted odds ratios for recent mammography when compared with Non-Hispanic White women, even though their crude percentages were lower than, or about equal to, Non-Hispanic White women's. This paper investigates the existence of "reversals" of association for recent mammography and describes an analysis strategy for identifying variables that might produce them. METHODS: We used every-other-year data for women aged 40-80 from the 1996-2006 Behavioral Risk Factor Surveillance System and the 1999, 2000, 2003, and 2005 National Health Interview Survey. A consistent set of covariates was used across all datasets. RESULTS: Reversals were found in almost all survey years for Hispanic women. Non-Hispanic Black women often had unadjusted rates comparable to Non-Hispanic Whites, but their adjusted odds ratios were significantly higher in most surveys. A limited number of variables contributed strongly to reversals, and differed somewhat for Hispanic and Black women. CONCLUSIONS: Reversed associations found in adjusted analyses present a challenge for interpretation, but could also denote success of programs to increase screening rates. Users of population-level surveys should be alert for reversals and attempt to find explanations.
OBJECTIVE: Several papers have found that Hispanic and Non-Hispanic Black women have higher adjusted odds ratios for recent mammography when compared with Non-Hispanic White women, even though their crude percentages were lower than, or about equal to, Non-Hispanic White women's. This paper investigates the existence of "reversals" of association for recent mammography and describes an analysis strategy for identifying variables that might produce them. METHODS: We used every-other-year data for women aged 40-80 from the 1996-2006 Behavioral Risk Factor Surveillance System and the 1999, 2000, 2003, and 2005 National Health Interview Survey. A consistent set of covariates was used across all datasets. RESULTS: Reversals were found in almost all survey years for Hispanic women. Non-Hispanic Black women often had unadjusted rates comparable to Non-Hispanic Whites, but their adjusted odds ratios were significantly higher in most surveys. A limited number of variables contributed strongly to reversals, and differed somewhat for Hispanic and Black women. CONCLUSIONS: Reversed associations found in adjusted analyses present a challenge for interpretation, but could also denote success of programs to increase screening rates. Users of population-level surveys should be alert for reversals and attempt to find explanations.
Authors: William Rakowski; Nancy Breen; Helen Meissner; Barbara K Rimer; Sally W Vernon; Melissa A Clark; Andrew N Freedman Journal: Prev Med Date: 2004-07 Impact factor: 4.018
Authors: E Kathleen Adams; Curtis S Florence; Kenneth E Thorpe; Edmund R Becker; Peter J Joski Journal: Am J Prev Med Date: 2003-11 Impact factor: 5.043
Authors: William Rakowski; Michelle L Rogers; Gregory M Dominick; Melissa A Clark Journal: Cancer Epidemiol Biomarkers Prev Date: 2012-06-26 Impact factor: 4.254
Authors: William Rakowski; Melissa A Clark; Michelle L Rogers; Sherry H Weitzen Journal: Cancer Epidemiol Biomarkers Prev Date: 2011-03-10 Impact factor: 4.254
Authors: Mark Manning; Terrance L Albrecht; Zeynep Yilmaz-Saab; Louis Penner; Andria Norman; Kristen Purrington Journal: Soc Sci Med Date: 2017-10-30 Impact factor: 4.634
Authors: Jada G Hamilton; Nancy Breen; Carrie N Klabunde; Richard P Moser; Bryan Leyva; Erica S Breslau; Sarah C Kobrin Journal: Cancer Epidemiol Biomarkers Prev Date: 2014-10-09 Impact factor: 4.254