Mammography use and breast cancer incidence among older U.S. women

Details

• Alternative Title:
  Breast Cancer Res Treat
• Personal Author:
  Turbow, Sara D. ; White, Mary C. ; Breslau, Erica S. ; Sabatino, Susan A.
• Description:
  Purpose
  
  The death rate for female breast cancer increases progressively with age, but organizations differ in their mammography screening recommendations for older women. To understand current patterns of screening mammography use and breast cancer diagnoses among older women, we examined recent national data on mammography screening use and breast cancer incidence and stage at diagnosis among women aged ≥ 65 years.
  
  Methods
  
  We examined breast cancer incidence using the 2016 United States Cancer Statistics dataset and analyzed screening mammography use among women aged ≥ 65 years using the 2018 National Health Interview Survey.
  
  Results
  
  Women aged 70–74 years had the highest breast cancer incidence rate (458.3 cases per 100,000 women), and women aged ≥ 85 years had the lowest rate (295.2 per 100,000 women). The proportion of cancer diagnosed at distant stage or with unknown stage increased with age. Over half of women aged 80–84 years and 26.0% of women aged ≥ 85 years reported a screening mammogram within the last 2 years. Excellent/very good/good self-reported health status (p = .010) and no dependency in activities of daily living/instrumental activities of daily living (p < .001) were associated with recent mammography screening.
  
  Conclusion
  
  Breast cancer incidence rates and stage at diagnosis vary by age. Many women aged ≥ 75 years receive screening mammograms. The results of this study point to areas for further investigation to promote optimal mammography screening among older women.
  
  
• Subjects:
  Activities Of Daily Living Aged Breast Neoplasms Early Detection Of Cancer Female Humans Incidence Mammography Mass Screening United States
• Keywords:
  Breast Cancer Mammogram Older Adults
• Source:
  Breast Cancer Res Treat. 188(1):307-316
• Pubmed ID:
  33666831
• Pubmed Central ID:
  PMC10846538
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; D33HP31669/HRSA/HRSA HHSUnited States/
• Volume:
  188
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:be2f82d40f3d708caf4ce9eaed705504886545d310085967bc4db2e304d79833
• Download URL:
  https://stacks.cdc.gov/view/cdc/147747/cdc_147747_DS1.pdf
• File Type:
  [PDF - 480.86 KB ]