Use of Screening Mammography and Clinical Breast Examinations among Black, Hispanic, and White Women

Background.Breast cancer screening can be an effective tool in the early detection of breast cancer but remains underused by women in the United States.Methods.We analyzed data from 22,657 women (2,068 black women, 707 Hispanic women, and 19,882 white women) who participated in the 1990 Behavioral R...

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Bibliographic Details
Published in:Preventive medicine 1996-03, Vol.25 (2), p.118-125
Main Authors: Frazier, Emma L., Jiles, Ruth B., Mayberry, Robert
Format: Article
Language:English
Subjects:
Adult
African Americans
Aged
breast cancer screening
Breast Neoplasms - prevention & control
clinical breast examinations
ethnic groups
European Continental Ancestry Group
Female
Health Behavior - ethnology
Hispanic Americans
Humans
Logistic Models
mammography
Mammography - utilization
Mass Screening - utilization
Middle Aged
Palpation - utilization
Risk Factors
Surveys and Questionnaires
United States
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Summary:Background.Breast cancer screening can be an effective tool in the early detection of breast cancer but remains underused by women in the United States.Methods.We analyzed data from 22,657 women (2,068 black women, 707 Hispanic women, and 19,882 white women) who participated in the 1990 Behavioral Risk Factor Surveillance state-based telephone survey. Using the recommended guidelines of the American Cancer Society for breast cancer screening, we examined utilization rates by demographic and selected variables, stratified by ethnic groups.Results.Of the women included in the analysis, 47% of both black and Hispanic women and 50% of white women reported having had a recent mammogram, and 68% of black women, 59% of Hispanic women, and 66% of white women reported having had a recent clinical breast examination (CBE). Important predictors of the use of breast cancer screening procedures for each group were having had a routine examination in the past year, having seen an obstetrician or gynecologist or specialist during the last routine examination, and more than a high school education.Conclusions.Many women are not having mammography and CBEs. Efforts to increase screening must focus on encouraging providers to use CBEs as a screening tool and to recommend mammography. Strategies should be developed to increase the use of these procedures among women, particularly those of low income and low education levels.
ISSN:0091-7435
1096-0260
DOI:10.1006/pmed.1996.0037