Affiliation:
1. Department of Biostatistics & Data Science, University of Kansas Medical Center, Kansas, KS, USA
Abstract
Objective The gold standard for breast cancer screening and prevention is regular mammography; thus, understanding what impacts adherence to this standard is essential in limiting cancer-associated costs. We assessed the impact of various understudied sociodemographic factors of interest on adherence to the receipt of regular mammograms. Methods A total [Formula: see text] = 14,553 mammography-related claims from [Formula: see text] = 6,336 female Kansas aged between 45 and 54 were utilized from insurance claim databases furnished by multiple providers. Adherence to regular mammography was quantified continuously via a compliance ratio, used to capture the number of eligible years in which at least one mammogram was received, as well as categorically. The relationship between race, ethnicity, rurality, insurance (public/private), screening facility type, and distance to nearest screening facility with both continuous and categorically defined compliance were individually assessed via Kruskal–Wallis one-way ANOVAs, chi-squared tests, multiple linear regression models, and multiple logistic regression, as appropriate. Findings from these individual models were used to inform the construction of a basic, multifaceted prediction model. Results Model results demonstrated that all factors race and ethnicity had at least some bearing on compliance with screening guidelines among mid-life female Kansans. The strongest signal was observed in the rurality variable, which demonstrated a significant relationship with compliance regardless of how it was defined. Conclusion Understudied factors that are associated with regular mammography adherence, such as rurality and distance to nearest facility, may serve as important considerations when developing intervention strategies for ensuring that female patients stick to prescribed screening regimens.
Subject
Oncology,Hematology,General Medicine
Reference24 articles.
1. An overview of mammographic density and its association with breast cancer
2. Center for Disease Control and Prevention [Internet]. Basic Information About Breast Cancer. [cited 2023 February 9] Available from: https://www.cdc.gov/cancer/breast/basic_info/index.html
3. Cancer statistics, 2023
4. The University of Kansas Cancer Center [Internet]. Most Common Cancers in Women and How to Detect Them Early. [cited 2023 February 9] Available from: https://www.kucancercenter.org/news-room/blog/2020/08/most-common-cancers-women-how-to-detect-them-early
5. National Cancer Institute, Surveillance, Epidemiology, and End Results Program [Internet]. Cancer Stat Facts: Female Breast Cancer. [cited 2023 February 9] Available from: https://seer.cancer.gov/statfacts/html/breast.html https://seer.cancer.gov/statfacts/html/breast.html
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献