Update on mammography trends: comparisons of rates in 2000, 2005, and 2008.

Update on mammography trends: comparisons of rates in 2000, 2005, and 2008.
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DOI:
10.1002/cncr.25679
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发表时间:
2011-05-15
期刊:
影响因子:
6.2
通讯作者:
Schiller, Jeannine S.
Schiller, Jeannine S.
中科院分区:
医学1区
文献类型:
--
作者:
Breen, Nancy;Gentleman, Jane F.;Schiller, Jeannine S.

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乳房x光检查可以早期发现乳腺癌,这有助于降低乳腺癌的死亡率,尤其是50-69岁的妇女。本文利用国家健康访谈调查(NHIS)的最新数据更新了先前对乳房x光检查趋势的分析。我们使用2008年的NHIS数据来更新美国女性在访谈前两年内接受乳房x光检查的比率趋势,并比较了两种计算比率的方法。我们特别关注2000年、2005年和2008年年龄≥40岁、40 - 49岁、50-64岁和≥65岁妇女的比率,通过选定的社会人口统计学和医疗保健获取特征。对于50-64岁和≥65岁的女性,模式相似:1987 - 2000年发病率迅速上升,2000 - 2005年下降或稳定后下降,2005 - 2008年上升。从1987年到1992年,40-49岁女性的自杀率迅速上升,到2008年相对稳定。在美国居住不到10年的移民、非西班牙裔亚洲人和65岁以上没有门诊医疗保险的妇女中,乳房x光检查率大幅增加。总体而言,乳房x光检查率在2005年至2008年间没有继续下降。即便如此,在2008年,最近接受乳房x光检查的40岁以上妇女的百分比低于2000年达到的2010年健康人群目标的70%。然而,在2000年、2005年和2008年,50-64岁的妇女超过了健康人群目标,一些乳房x光检查率极低的群体现在正在迎头赶上。这些都是重要的公共卫生成就。
Mammography screening allows early detection of breast cancer, which helps reduce mortality from breast cancer, especially in women aged 50–69. This paper updates a previous analysis of trends in mammography using newly-available data from the National Health Interview Survey (NHIS). We used 2008 NHIS data to update trends in rates of US women having a mammogram within the two years prior to their interview, and compared two methods of calculating rates. We especially focused on 2000, 2005, and 2008 rates for women aged ≥40, 40–49, 50–64, and ≥65, by selected socio-demographic and health care access characteristics. For women aged 50–64 and ≥65, patterns were similar: rates rose rapidly from 1987 to 2000, declined, or were stable and then declined, from 2000 to 2005, and increased from 2005 to 2008. Rates for women aged 40–49 rose rapidly from 1987 to 1992, and were relatively stable through 2008. There were large increases in mammography rates among immigrants who had been in the US less than 10 years, non-Hispanic Asians, and women aged ≥65 without ambulatory care insurance. Overall, mammography rates did not continue to decline between 2005 and 2008. Even so, in 2008, the percent of women aged ≥40 who had a recent mammogram fell below the Healthy People 2010 objective of 70%, met in 2000. However, women aged 50–64 exceeded the Healthy People objective in 2000, 2005 and 2008 and some groups with very low mammography rates are now catching up. These are important public health achievements.
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