Impact of geography on mammography use in California
Impact of geography on mammography use in California
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DOI：
10.1007/s10552-009-9355-6
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发表时间：
2009-10-01
影响因子：
2.3
通讯作者：
Breen, Nancy
中科院分区：
文献类型：
--
作者：
Jackson, Monica C.;Davis, William W.;Breen, Nancy
尽管有好处，但大约30%的女性报告说她们最近没有做过乳房x光检查。我们研究了距离、城乡居住和其他特征对乳房x线摄影筛查率的影响。方法：我们将2003年和2005年加州健康访谈调查中33938名40-84岁女性的数据与FDA关于加州乳房x光检查设施位置的数据以及2000年人口普查中社会经济和地理变量的数据联系起来。我们使用逻辑回归模型来估计选定变量对女性最近进行乳房x光检查的概率的影响，并开发了一个新的制图方案来帮助可视化加州乳房x光检查使用的差异。结果：正如我们在地图上显示的那样，虽然离医院的距离并不影响女性最近接受乳房x光检查的概率，但居住在城市地区的女性的筛查率略高于居住在农村地区的女性。结论：我们的研究结果表明，需要对加州农村和非农村地区乳房x光检查可能存在的差异进行更多的研究。因此，需要有足够的数据来审查农村人口并将其与城市人口进行比较。
Objective Despite its benefit, about 30% of women report that they did not have a recent mammogram. We examine impact of distance, rural-urban residence, and other characteristics on mammography screening rates.Methods We linked data on 33,938 women aged 40-84 years from the 2003 and 2005 California Health Interview Survey with FDA data on the location of mammography facilities in California, and with socioeconomic and geographic variables from the 2000 Census. We use logistic regression models to estimate the impact of selected variables on a woman's probability of having had a recent mammogram and developed a new mapping scheme to help visualize differences in mammography use across California.Results Though distance to a facility did not impact a woman's probability of having had a recent mammogram, women who resided in urban areas had somewhat higher screening rates than those living in more rural areas, as displayed on our map.Conclusions Our findings suggest that more research is needed on possible disparities in access to mammography between rural and non-rural areas in California. Therefore, data adequately powered to examine rural populations and to compare them with urban populations are needed.