Background
The rates of mammography have been declining over the last 5 years. The objective
of this study was to examine racial disparities in this trend.
Methods
The National Health Interview Survey is a population-based interview survey conducted
annually. Caucasian and African-American women over 40 years of age who completed
the cancer module of this survey in 2000 and 2005 formed the cohort of interest for
this study.
Results
In 2000, 69.8% of Caucasian and 64.4% of African-American women over the age of 40
had had a mammogram within the preceding 2 years. In 2005, these rates declined to
66.7% and 62.9% respectively. This decline only reached statistical significance in
the Caucasian population (P = .0006 vs P = .4998). While on univariate analysis a significant difference was seen between
rates of mammography in Caucasian and African-American women (P < .0001), multivariate analysis controlling for education, income, and insurance
status, did not find race to be a significant independent predictor of mammography
rates in each year.
Conclusion
Rates of mammography are declining, particularly in Caucasian populations. While minority
women are less likely to report having had a mammogram, this apparent racial disparity
is explained by differences in education, income and insurance status.
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Article info
Publication history
Published online: July 03, 2008
Accepted:
May 22,
2008
Footnotes
Presented at the Society of University Surgeons Annual Meeting, held in Huntington Beach, California on February 13–15, 2008.
Identification
Copyright
© 2008 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
