Low income, race, and the use of mammography.

摘要: Abstract OBJECTIVE: To describe national trends in mammography use by race and income to test whether higher of among low-income African American women than white can be explained health insurance coverage, usual place care, or residence. DATA SOURCES/STUDY SETTING: Data from five years the National Health Interview Survey spanning period 1987-1994. STUDY DESIGN: Trends percentage 50-64 age with a mammogram within past two were analyzed income. for 1993-1994 pooled, logistic regression analysis, variation recent was investigated. Independent variables are age, race, family income, education, source metropolitan residence, geographic region. COLLECTION/EXTRACTION METHODS: The is cross-sectional survey conducted Center Statistics. collected through household interviews. [Editor's note: keeping HSR policy, term black used conform its surveys studied. In other references used.] PRINCIPAL FINDINGS: Among mammograms increased rapidly between 1987 1991 all groups women, 1994 increases slowed. However, have been more rapid women. 1993-1994, about one-third likely report years. This difference could not status, region CONCLUSIONS: These results, which provide some evidence success screening programs targeted poor, raise question why appear benefited efforts promote mammography. Continued evaluation focused on who underserved as well monitoring variations service needed.