Prevalence and correlates of repeat mammography among women aged 55-79 in the Year 2000 National Health Interview Survey

被引:71
作者
Rakowski, W
Breen, N
Meissner, H
Rimer, BK
Vernon, SW
Clark, MA
Freedman, AN
机构
[1] Brown Univ, Dept Community Hlth, Providence, RI 02912 USA
[2] Brown Univ, Ctr Gerontol & Hlth Care Res, Providence, RI 02912 USA
[3] NCI, Div Canc Control & Populat Sci, Bethesda, MD 20892 USA
[4] Univ N Carolina, Dept Hlth Behav & Hlth Educ, Sch Publ Hlth, Chapel Hill, NC 27599 USA
[5] Univ N Carolina, Lineberger Comprehens Canc Ctr, Chapel Hill, NC 27599 USA
[6] Univ Texas, Sch Publ Hlth, Ctr Hlth Promot & Prevent Res, Houston, TX 77225 USA
关键词
mammography; behavioral sciences; women's health; preventive health services;
D O I
10.1016/j.ypmed.2003.12.032
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background. Utilization of mammography has increased steadily since the early 1990s. It is now important to expand the attention given to obtaining repeat examination. This study examines the prevalence and cross-sectional correlates of repeat mammography, among women aged 55 - 79, using a 12-month (N = 3,502) and a 24-month interval (N = 3,491). Methods. Data were from the Year 2000 Cancer Control Module of the National Health Interview Survey (NHIS-CCM). The NHIS-CCM asked about the most recent mammogram and the total number of mammograms over the prior 6 years. An algorithm estimated repeat mammography for the two intervals. Results. Prevalence estimates were 49% for the 12-month interval, and 64.1% for the 24-month interval. Correlates of lower likelihood of repeat mammography for both indicators were: no regular source of care, having public or no health insurance, less than a college education, household income less than $45K, not being married, current or never smoking, age 65-79, and lower absolute risk of breast cancer (Gail Model score). Conclusions. A substantial percentage of women do not receive repeat mammography. The correlates of repeat mammography were similar to those often found for ever-had and recent mammography. There is probably some imprecision in the prevalence estimates due to the nature of NHIS-CCM questions. Issues pertinent to the definition of repeat examination are addressed. (C) 2004 The Institute For Cancer Prevention and Elsevier Inc. All rights reserved.
引用
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页码:1 / 10
页数:10
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