Abstract
Regular screening mammography is recommended to reduce breast cancer mortality. Although predictors of mammography have been studied, factors that influence adherence to guidelines are less understood. We examined the relationship between an index mammogram and subsequent mammograms among California Medicare beneficiaries. Medicare billing data for 1992, 1993, and 1994 were used to estimate the association between screening mammography in 1992 and subsequent screening in 1993 or 1994. We found that women with a 1992 mammogram were more than twice as likely to have a mammogram in 1993 or 1994 than women without a 1992 mammogram (relative risk = 2.58; 95% confidence interval, 2.57-2.59). This relationship was somewhat stronger for black women compared with white women and increased with age. Although further study of regular screening patterns is needed, these findings provide some evidence that encouraging a single mammogram may lead to continued adherence.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Blustein J. Medicare coverage, supplemental insurance, and the use of mammography by older women. N Engl J Med. 1995 Apr 27;332(17):1138–1143. doi: 10.1056/NEJM199504273321706. [DOI] [PubMed] [Google Scholar]
- Burns R. B., McCarthy E. P., Freund K. M., Marwill S. L., Shwartz M., Ash A., Moskowitz M. A. Variability in mammography use among older women. J Am Geriatr Soc. 1996 Aug;44(8):922–926. doi: 10.1111/j.1532-5415.1996.tb01861.x. [DOI] [PubMed] [Google Scholar]
- Dodd G. D. Screening for breast cancer. Cancer. 1993 Aug 1;72(3 Suppl):1038–1042. doi: 10.1002/1097-0142(19930801)72:3+<1038::aid-cncr2820721316>3.0.co;2-3. [DOI] [PubMed] [Google Scholar]
- Fox S. A., Murata P. J., Stein J. A. The impact of physician compliance on screening mammography for older women. Arch Intern Med. 1991 Jan;151(1):50–56. [PubMed] [Google Scholar]
- Kerlikowske K., Grady D., Rubin S. M., Sandrock C., Ernster V. L. Efficacy of screening mammography. A meta-analysis. JAMA. 1995 Jan 11;273(2):149–154. [PubMed] [Google Scholar]
- Lauderdale D. S., Goldberg J. The expanded racial and ethnic codes in the Medicare data files: their completeness of coverage and accuracy. Am J Public Health. 1996 May;86(5):712–716. doi: 10.2105/ajph.86.5.712. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lerman C., Rimer B., Trock B., Balshem A., Engstrom P. F. Factors associated with repeat adherence to breast cancer screening. Prev Med. 1990 May;19(3):279–290. doi: 10.1016/0091-7435(90)90028-i. [DOI] [PubMed] [Google Scholar]
- Parker J., Gebretsadik T., Sabogal F., Newman J., Lawson H. W. Mammography screening among California Medicare beneficiaries: 1993-1994. Am J Prev Med. 1998 Oct;15(3):198–205. doi: 10.1016/s0749-3797(98)00045-2. [DOI] [PubMed] [Google Scholar]
- Sherbourne C. D., Hays R. D., Ordway L., DiMatteo M. R., Kravitz R. L. Antecedents of adherence to medical recommendations: results from the Medical Outcomes Study. J Behav Med. 1992 Oct;15(5):447–468. doi: 10.1007/BF00844941. [DOI] [PubMed] [Google Scholar]
- Song L., Fletcher R. Breast cancer rescreening in low-income women. Am J Prev Med. 1998 Aug;15(2):128–133. doi: 10.1016/s0749-3797(98)00039-7. [DOI] [PubMed] [Google Scholar]