Geographic access to mammography facilities and frequency of mammography screening.
Geographic access to mammography facilities and frequency of mammography screening.
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DOI：
10.1016/j.annepidem.2017.11.012
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发表时间：
2018-03
影响因子：
5.6
通讯作者：
Trentham-Dietz A
中科院分区：
文献类型：
--
作者：
Jewett PI;Gangnon RE;Elkin E;Hampton JM;Jacobs EA;Malecki K;LaGro J;Newcomb PA;Trentham-Dietz A
评估获得乳房X光检查设施的地理位置与女性乳房X光检查使用频率之间的关系。使用基于人口的1995年至2007年威斯康星州妇女健康研究的数据，我们使用比例优势和逻辑回归来检验50-74岁妇女中前往乳房X光检查设施的驾车时间和妇女家周围10公里内的乳房X光检查设施的数量是否与乳房X光检查频率有关，以及农村城市通勤地区与收入和教育群体之间的相关性是否存在差异。我们发现了地理访问和乳房X光检查使用之间存在非线性关系的证据(驾驶时间和设备密度的非线性影响，P值分别为0.01和0.005)。在城市女性中，至少有一个附近的乳房X光检查设施与更高的乳房X光检查频率相关(1对0，OR 1.26，95%可信区间1.09-1.47)，在农村女性中也有类似的效果。增加更多的设施会使边际效应递减。较长的驾驶时间往往与较低的乳房X光检查频率有关。我们发现，受收入、教育程度或城市化程度的影响不大。在农村环境中，不使用乳房X光检查的比例较高，设施密度较小，开车前往设施的时间较长。家附近至少有一个乳房X光检查设施可能会提高乳房X光检查的利用率，每增加一个设施，影响就会降低。
Assess the association between geographic access to mammography facilities and Women’s mammography utilization frequency. Using data from the population based 1995–2007 Wisconsin Women’s Health study, we used proportional odds and logistic regression to test whether driving times to mammography facilities and the number of mammography facilities within 10 km of Women’s homes were associated with mammography frequency among women aged 50-74, and whether associations differed between Rural Urban Commuting Areas and income and education groups. We found evidence for nonlinear relationships between geographic access and mammography utilization (nonlinear effects of driving times and facility density, P-values 0.01 and 0.005, respectively). Having at least one nearby mammography facility was associated with greater mammography frequency among urban women (1 vs. 0 facilities, OR 1.26, 95% CI 1.09-1.47), with similar effects among rural women. Adding more facilities had decreasing marginal effects. Long driving times tended to be associated with lower mammography frequency. We found no effect modification by income, education, or urbanicity. In rural settings, mammography non-use was higher, facility density smaller, and driving times to facilities were longer. Having at least one mammography facility near one’s home may increase mammography utilization, with decreasing effects per each additional facility.
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影响因子：
3
作者：
Elkin EB;Ishill NM;Snow JG;Panageas KS;Bach PB;Liberman L;Wang F;Schrag D
通讯作者：
Schrag D
影响因子：
6.2
作者：
Breen, Nancy;Gentleman, Jane F.;Schiller, Jeannine S.
通讯作者：
Schiller, Jeannine S.
影响因子：
6.2
作者：
Elkin, Elena B.;Atoria, Coral L.;Schrag, Deborah
通讯作者：
Schrag, Deborah
影响因子：
5.6
作者：
Kirby, Russell S.;Delmelle, Eric;Eberth, Jan M.
通讯作者：
Eberth, Jan M.
影响因子：
254.7
作者：
DODD, GD
通讯作者：
DODD, GD