Factors associated with mammography use: A side‐by‐side comparison of results from two national surveys

Cancer Medicine

Laurie R. Margolies¹  Bian Liu²  Emanuela Taioli²  Jiayi Ji²  Lina Jandorf²  Lihua Li²  Madhu Mazumdar²  Nina Bickell²  Melanie Besculides³ 

[1] Department of Diagnostic, Molecular and Interventional RadiologyIcahn School of Medicine at Mount Sinai New York NY USA;Department of Population Health Science and PolicyIcahn School of Medicine at Mount Sinai New York NY USA;Institute for Healthcare Delivery Science Mount Sinai Health System New York NY USA;

关键词: behavioral risk factor surveillance system;    breast cancer screening;    mammography use;    National health interview survey;    predictive margins;    random forest;   

DOI  :  10.1002/cam4.3128

来源: DOAJ

【 摘 要 】

Abstract Background Mammography use is affected by multiple factors that may change as public health interventions are implemented. We examined two nationally representative, population‐based surveys to seek consensus and identify inconsistencies in factors associated with mammography use in the entirety of the US population, and by black and white subgroups. Methods Self‐reported mammography use in the past year was extracted for 12 639 and 169 116 women aged 40‐74 years from the 2016 National Health Interview Survey (NHIS) and the 2016 Behavioral Risk Factor Surveillance System (BRFSS), respectively. We applied a random forest algorithm to identify the risk factors of mammography use and used a subset of them in multivariable survey logistic regressions to examine their associations with mammography use, reporting predictive margins and effect sizes. Results The weighted prevalence of past year mammography use was comparable across surveys: 54.31% overall, 54.50% in white, and 61.57% in black in NHIS and 53.24% overall, 56.97% in white, and 62.11% in black in BRFSS. Overall, mammography use was positively associated with black race, older age, higher income, and having health insurance, while negatively associated with having three or more children at home and residing in the Western region of the US. Overweight and moderate obesity were significantly associated with increased mammography use among black women (NHIS), while severe obesity was significantly associated with decreased mammography use among white women (BRFSS). Conclusion We found higher mammography use among black women than white women, a change in the historical trend. We also identified high parity as a risk factor for mammography use, which suggests a potential subpopulation to target with interventions aimed at increasing mammography use.

【 授权许可】

Unknown