Patterns of Use of Mammography Among Inner-City Detroit Women
Contrasts Between a Health Department, HMO, and Private Hospital
Bibliographic Data
| ID | 9100221 |
|---|---|
| Authors | Robert C Burack (Wayne State University, corresponding author), Phyllis A Gimotty (0000-0002-3850-9799, Prevent Cancer Foundation), William Stengle (Prevent Cancer Foundation), Lawrence Warbasse, L H Warbasse (Wayne State University, corresponding author), Anita Moncrease (Wayne State University, corresponding author) |
| Year | 1993 |
| Volume | 31 |
| Issue | 4 |
| Pages | 322-334 |
| Publication date | 1993-04-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-199304000-00004 |
| PMID | 8464249 |
| OpenAlex | W2077990876 |
| Language | EN |
| Citations received | 8 |
This study assessed the pattern of utilization of mammography among 2,880 inner-city minority women 40 years of age or older who received ongoing primary care services during 1988 or 1989 at four practice sites operated by a health department (two sites), Health Maintenance Organization (HMO), and private hospital. Mammography referral could be documented for 23% to 32% of age eligible women and completed mammograms for 15% to 26%. Among women without a mammogram, 85% had never been referred while 15% were referred but unable to complete the procedure. In multiple logistic regression analysis, factors associated with mammography include age less than 70 years, presence of a breast cancer risk factor and more frequent clinic visits. Mammography was somewhat more frequent at the HMO and hospital clinic than at the health department, but this relationship varied with the women's previous visit and mammography experience. At sites serving uninsured women, mammography use was not associated with the presence or absence of health insurance. It is concluded that the underutilization of mammography is a substantial barrier to the early detection of breast cancer in each of the three different health care organizations studied, and that interventions to improve breast cancer control should focus upon facilitating physician referral practices
Breast cancer · Cancer · Family medicine · Health care · Logistic regression · Mammography · Psychological intervention · Referral · Colorectal Cancer Screening and Detection · Global Cancer Incidence and Screening · Internal Medicine · Medicine · Nursing · Gerontology
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| Citations per year | 0.25 |
|---|---|
| Citation span | 1994 - 2012 (19) |
| Highly cited | No |