Table 4.
N | Adjusted for Patient Characteristicsc | Adjusted for Patient Characteristicsc & Ultrasound Availability | Adjusted for Patient Characteristicsc & Biopsy Availability | Adjusted for Patient Characteristicsc & Affiliation with Academic Center | Adjusted for Patient Characteristicsc & Profit Statusd | Adjusted for Patient Characteristicsce & All Facility Characteristics | |
---|---|---|---|---|---|---|---|
Number of facilities | 139 | ||||||
Educationa | |||||||
Non-vulnerable | 107 | 6.1 | 6.1 | 6.0 | 6.0 | 5.7 | 5.7 |
Vulnerable | 32 | 7.9 | 8.1 | 7.9 | 7.9 | 7.8 | 8.2 |
OR (95% CI) | 1.33 (1.03,1.74) | 1.37 (1.05,1.77) | 1.34 (1.04,1.47) | 1.33 (1.03,1.74) | 1.42 (1.06,1.89) | 1.48 (1.11, 1.96) | |
Race/ethnicitya | |||||||
Non-vulnerable | 113 | 6.2 | 6.3 | 6.1 | 6.1 | 5.8 | 5.8 |
Vulnerable | 26 | 8.0 | 8.0 | 8.2 | 8.0 | 7.8 | 8.2 |
OR (95% CI) | 1.33 (0.98,1.80) | 1.32(0.98,1.77) | 1.38 (1.02,1.86) | 1.33 (0.98,1.80) | 1.39 (0.98, 1.96) | 1.46 (1.04, 2.05) | |
Rural/urban residenceac | |||||||
Non-vulnerable | 92 | 5.7 | 5.8 | 5.7 | 5.7 | 5.2 | 5.3 |
Vulnerable | 47 | 8.5 | 8.5 | 8.4 | 8.6 | 7.6 | 7.8 |
OR (95% CI) | 1.56 (1.26,1.92) | 1.54 (1.25,1.89) | 1.51 (1.22,1.87) | 1.57 (1.27,1.94) | 1.50 (1.20,1.87) | 1.51 (1.21, 1.90) | |
Incomeac | |||||||
Non-vulnerable | 87 | 5.9 | 6.0 | 5.9 | 5.9 | 5.5 | 5.6 |
Vulnerable | 52 | 7.9 | 8.0 | 7.8 | 7.9 | 7.0 | 7.1 |
OR (95% CI) | 1.38 (1.10,1.73) | 1.37 (1.10,1.71) | 1.36 (1.09,1.70) | 1.38 (1.10,1.73) | 1.29 (1.02,1.63) | 1.29 (1.03, 1.63) | |
Composite vulnerability scoree | |||||||
0 | 58 | 5.3 | 5.4 | 5.4 | 5.3 | 4.8 | 5.0 |
1 | 35 | 6.8 | 6.7 | 6.6 | 6.9 | 6.2 | 6.2 |
2 | 22 | 7.3 | 7.3 | 7.2 | 7.4 | 7.1 | 7.3 |
3 | 18 | 8.4 | 8.7 | 8.1 | 8.4 | 7.9 | 8.1 |
4 | 6 | 10.6 | 10.6 | 11.4 | 10.6 | 9.4 | 10.4 |
p for trend < 0.01 | p for trend < 0.01 | p for trend < 0.01 | p for trend < 0.01 | p for trend < 0.01 | p for trend < 0.01 |
Facilities serving vulnerable women include those serving: < 83% of the facility population completed high school; > 30% of the facility population are minorities; average percentage of rural residences among the facility population is > 52%; and average median household income among the facility population is < $45,000.
Rural residence and income are generated from area-level data
Adjusted for study site and patient characteristics: age, time since previous mammogram, and BI-RADS breast density
Composite vulnerability scores were calculated by adding 1 for each of the vulnerability indices met.
Models with profit status had N = 127 facilities as profit status was not collected from 1 site.