Clinical Edge

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Mammography Screening Adherence

Are socioeconomic inequalities at play?

Women living in areas with high levels of poverty were less likely to have up-to-date mammography screening, according to a cross-sectional, multilevel study of 1,541 women aged 40 to 74 years that examined associations between area-level socioeconomic measures and mammography screening among a racially and ethnically diverse sample of women in Texas. Researchers found:

• 64% of the sample overall was adherent to mammography screening.

• Screening rates were lower among Hispanics, those foreign born, women aged 40 to 49 years, and those with low educational attainment, unemployed, and without health insurance coverage.

• Women living in areas with high levels of poverty (OR=0.50), Hispanic composition (OR=0.54), and crowding (OR=0.53), were less likely to have up-to-date mammography screening, net of individual level factors.

Citation: Calo WA, Vernon SW, Lairson DR, Linder SH. Area-level socioeconomic inequalities in the use of mammography screening: a multilevel analysis of the Health of Houston survey. [Published online ahead of print January 22, 2016]. Women’s Health Issues. doi: 10.1016/j.whi.2015.11.002.