Felisa A Gonzales1, Stephen H Taplin2, Mandi Yu3, Nancy Breen4, Kathy A Cronin5. 1. Division of Cancer Control and Population Sciences, National Cancer Institute, BG 9609 RM 3E502 MSC 9712, 9609 Medical Center Drive, Rockville, MD, 20850-9712, USA. Felisa.gonzales@nih.gov. 2. Division of Cancer Control and Population Sciences, National Cancer Institute, BG 9609 RM 3E342 MSC 9761, 9609 Medical Center Drive, Rockville, MD, 20850-9761, USA. 3. Division of Cancer Control and Population Sciences, National Cancer Institute, BG 9609 RM 4E544 MSC 9765, 9609 Medical Center Drive, Rockville, MD, 20850-9765, USA. 4. Division of Cancer Control and Population Sciences, National Cancer Institute, BG 2DEM RM 800 MSC 5465, 6707 Democracy Blvd, Bethesda, MD, 20892-5465, USA. 5. Division of Cancer Control and Population Sciences, National Cancer Institute, BG 9609 RM 4E454 MSC 9765, 9609 Medical Center Drive, Rockville, MD, 20850-9765, USA.
Abstract
PURPOSE: Receipt of a mammography recommendation from a physician is a strong predictor of obtaining a mammogram. In 2009, the United States Preventive Services Task Force (USPSTF) recommended routine biennial mammography for women aged 50-74 but not for women aged 40-49. We examined changes in reports of clinician recommendations for mammography among White and non-White women after these age-specific recommendations were issued. METHODS: Data from women aged 40-49 and 50-74 were drawn from the 2008 and 2013 National Health Interview Surveys. We used linear probability models to determine whether the proportions of women reporting a mammography recommendation changed after the USPSTF recommendation was issued and whether any changes observed differed across White and non-White women. All analyses were stratified by age groups and mammography history. RESULTS: Among women without a recent mammogram, reported clinician recommendations did not change for White women, but they decreased by 13-percentage points (95 % CI -0.22, -0.03) among non-White women aged 40-49 (p = 0.01) and increased by 9-percentage points (95 % CI 0.01, 0.17) among non-White women aged 50-74 (p = 0.04). Among women with a mammogram in the past 2 years, reported mammography recommendation from a clinician did not change for White or non-White women. CONCLUSIONS: Recommendations to reduce screening may be differentially implemented across racial/ethnic groups. Changes in reports of mammography recommendation from a clinician after the USPSTF breast cancer screening recommendation change were observed only among non-White women without a recent history of mammography. It is unclear whether these differences are due to the clinician, the women, or both.
PURPOSE: Receipt of a mammography recommendation from a physician is a strong predictor of obtaining a mammogram. In 2009, the United States Preventive Services Task Force (USPSTF) recommended routine biennial mammography for women aged 50-74 but not for women aged 40-49. We examined changes in reports of clinician recommendations for mammography among White and non-White women after these age-specific recommendations were issued. METHODS: Data from women aged 40-49 and 50-74 were drawn from the 2008 and 2013 National Health Interview Surveys. We used linear probability models to determine whether the proportions of women reporting a mammography recommendation changed after the USPSTF recommendation was issued and whether any changes observed differed across White and non-White women. All analyses were stratified by age groups and mammography history. RESULTS: Among women without a recent mammogram, reported clinician recommendations did not change for White women, but they decreased by 13-percentage points (95 % CI -0.22, -0.03) among non-White women aged 40-49 (p = 0.01) and increased by 9-percentage points (95 % CI 0.01, 0.17) among non-White women aged 50-74 (p = 0.04). Among women with a mammogram in the past 2 years, reported mammography recommendation from a clinician did not change for White or non-White women. CONCLUSIONS: Recommendations to reduce screening may be differentially implemented across racial/ethnic groups. Changes in reports of mammography recommendation from a clinician after the USPSTF breast cancer screening recommendation change were observed only among non-White women without a recent history of mammography. It is unclear whether these differences are due to the clinician, the women, or both.
Entities:
Keywords:
Breast cancer screening; Disparities; Mammography; Practice guidelines; United States Preventive Services Task Force
Authors: Deeonna E Farr; Heather M Brandt; Swann Arp Adams; Venice E Haynes; Andrea S Gibson; Dawnyéa D Jackson; Kimberly C Rawlinson; John R Ureda; James R Hébert Journal: J Community Health Date: 2020-02
Authors: Holly A Szukis; Bo Qin; Cathleen Y Xing; Michelle Doose; Baichen Xu; Jennifer Tsui; Yong Lin; Kim M Hirshfield; Christine B Ambrosone; Kitaw Demissie; Chi-Chen Hong; Elisa V Bandera; Adana A M Llanos Journal: J Oncol Date: 2019-07-04 Impact factor: 4.375