Abstract
OBJECTIVES: This study compared rates of annual mammography screening across socioeconomic status between the United States and Canada in 1994. METHODS: Population-based cross-sectional surveys were used to compare the rates. RESULTS: Screening rates were higher in the United States than in Canada for women aged 50 to 69 years (47.3% vs 38.8%; P < .01). Women with higher education and with higher incomes were more likely to receive screening in both countries, with no significant differences between countries. CONCLUSIONS: For women aged 50 to 69 years, screening rates in Canada have substantially increased relative to those in the United States. However, disparities in screening across levels of socioeconomic status persist in both countries.
Full Text
The Full Text of this article is available as a PDF (84.0 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Breen N., Feuer E. J., Depuy S., Zapka J. The effect of Medicare reimbursement for screening mammography on utilization and payment. National Cancer Institute Breast Cancer Screening Consortium. Public Health Rep. 1997 Sep-Oct;112(5):423–432. [PMC free article] [PubMed] [Google Scholar]
- Burns R. B., McCarthy E. P., Freund K. M., Marwill S. L., Shwartz M., Ash A., Moskowitz M. A. Black women receive less mammography even with similar use of primary care. Ann Intern Med. 1996 Aug 1;125(3):173–182. doi: 10.7326/0003-4819-125-3-199608010-00002. [DOI] [PubMed] [Google Scholar]
- Calle E. E., Flanders W. D., Thun M. J., Martin L. M. Demographic predictors of mammography and Pap smear screening in US women. Am J Public Health. 1993 Jan;83(1):53–60. doi: 10.2105/ajph.83.1.53. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cohen L. FPs have vital role in ensuring success of breast cancer screening programs. CMAJ. 1997 Aug 15;157(4):442–444. [PMC free article] [PubMed] [Google Scholar]
- Gaudette L. A., Altmayer C. A., Nobrega K. M., Lee J. Trends in mammography utilization, 1981 to 1994. Health Rep. 1996 Winter;8(3):17–30(Fre). [PubMed] [Google Scholar]
- Hayward R. A., Bernard A. M., Freeman H. E., Corey C. R. Regular source of ambulatory care and access to health services. Am J Public Health. 1991 Apr;81(4):434–438. doi: 10.2105/ajph.81.4.434. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jaakkola J. J., Jaakkola N., Ruotsalainen R. Home dampness and molds as determinants of respiratory symptoms and asthma in pre-school children. J Expo Anal Environ Epidemiol. 1993;3 (Suppl 1):129–142. [PubMed] [Google Scholar]
- Jaakkola J. J., Oie L., Nafstad P., Botten G., Samuelsen S. O., Magnus P. Interior surface materials in the home and the development of bronchial obstruction in young children in Oslo, Norway. Am J Public Health. 1999 Feb;89(2):188–192. doi: 10.2105/ajph.89.2.188. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Katz S. J., Hofer T. P. Socioeconomic disparities in preventive care persist despite universal coverage. Breast and cervical cancer screening in Ontario and the United States. JAMA. 1994 Aug 17;272(7):530–534. [PubMed] [Google Scholar]
- Kiefe C. I., McKay S. V., Halevy A., Brody B. A. Is cost a barrier to screening mammography for low-income women receiving Medicare benefits? A randomized trial. Arch Intern Med. 1994 Jun 13;154(11):1217–1224. [PubMed] [Google Scholar]
- Lantz P. M., Weigers M. E., House J. S. Education and income differentials in breast and cervical cancer screening. Policy implications for rural women. Med Care. 1997 Mar;35(3):219–236. doi: 10.1097/00005650-199703000-00004. [DOI] [PubMed] [Google Scholar]
- Link B. G., Northridge M. E., Phelan J. C., Ganz M. L. Social epidemiology and the fundamental cause concept: on the structuring of effective cancer screens by socioeconomic status. Milbank Q. 1998;76(3):375-402, 304-5. doi: 10.1111/1468-0009.00096. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Louhiala P. J., Jaakkola N., Ruotsalainen R., Jaakkola J. J. Form of day care and respiratory infections among Finnish children. Am J Public Health. 1995 Aug;85(8 Pt 1):1109–1112. doi: 10.2105/ajph.85.8_pt_1.1109. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Oie L., Hersoug L. G., Madsen J. O. Residential exposure to plasticizers and its possible role in the pathogenesis of asthma. Environ Health Perspect. 1997 Sep;105(9):972–978. doi: 10.1289/ehp.97105972. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Oie L., Nafstad P., Botten G., Magnus P., Jaakkola J. K. Ventilation in homes and bronchial obstruction in young children. Epidemiology. 1999 May;10(3):294–299. doi: 10.1097/00001648-199905000-00018. [DOI] [PubMed] [Google Scholar]
- Preston J. A., Scinto J. D., Ni W., Wang Y., Galusha D., Schulz A. F., Petrillo M. K. Mammography underutilization among older women in Connecticut. J Am Geriatr Soc. 1997 Nov;45(11):1310–1314. doi: 10.1111/j.1532-5415.1997.tb02929.x. [DOI] [PubMed] [Google Scholar]
- Slanetz P. J., Moore R. H., Hulka C. A., Halpern E. F., Habunek D. A., Whitman G. J., McCarthy K. A., Hall D. A., Kopans D. B. Screening mammography: effect of national guidelines on current physician practice. Radiology. 1997 May;203(2):335–338. doi: 10.1148/radiology.203.2.9114084. [DOI] [PubMed] [Google Scholar]
- Timonen K. L., Pekkanen J., Korppi M., Vahteristo M., Salonen R. O. Prevalence and characteristics of children with chronic respiratory symptoms in eastern Finland. Eur Respir J. 1995 Jul;8(7):1155–1160. doi: 10.1183/09031936.95.08071155. [DOI] [PubMed] [Google Scholar]
- Weber B. E., Reilly B. M. Enhancing mammography use in the inner city. A randomized trial of intensive case management. Arch Intern Med. 1997 Nov 10;157(20):2345–2349. [PubMed] [Google Scholar]
- Wharry S. Canada a country of two solitudes when smoking rates among anglophones, francophones compared. CMAJ. 1997 Jan 15;156(2):244–245. [PMC free article] [PubMed] [Google Scholar]
- Wilcox L. S., Mosher W. D. Factors associated with obtaining health screening among women of reproductive age. Public Health Rep. 1993 Jan-Feb;108(1):76–86. [PMC free article] [PubMed] [Google Scholar]