Multilevel regression for small-area estimation of mammography use in the United States, 2014
Advanced Search
Select up to three search categories and corresponding keywords using the fields to the right. Refer to the Help section for more detailed instructions.
 
 
i

Superseded

This Document Has Been Replaced By:

i

Retired

This Document Has Been Retired

i

Up-to-date Information

This is the latest update:

Multilevel regression for small-area estimation of mammography use in the United States, 2014
  • Published Date:

    October 01 2018

  • Source:
    Cancer Epidemiol Biomarkers Prev. 28(1):32-40
  • Language:
    English
Filetype[PDF-961.29 KB]


Details:
  • Alternative Title:
    Cancer Epidemiol Biomarkers Prev
  • Personal Author:
  • Description:
    Background: The US Preventive Services Task Force recommends biennial screening mammography for average-risk women aged 50 to 74 years. County-level information on population measures of mammography use can inform targeted intervention to reduce geographic disparities in mammography use. County-level estimates for mammography use nationwide are rarely presented. Methods: We used data from the 2014 Behavioral Risk Factor Surveillance System (BRFSS) (n=130,289 women), linked it to the American Community Survey poverty data, and fitted multilevel logistic regression models with two outcomes: mammography within the past 2 years (up-to-date); and most recent mammography 5 or more years ago or never (rarely/never). We post-stratified the data with US Census population counts to run Monte Carlo simulations. We generated county-level estimates nationally and by urban-rural county classifications. County-level prevalence estimates were aggregated into state and national estimates. We validated internal consistency between our model-based state-specific estimates and urban-rural estimates with BRFSS direct estimates using Spearman correlation coefficients and mean absolute differences. Results: Correlation coefficients were 0.94 or larger. Mean absolute differences for the 2 outcomes ranged from 0.79 to 1.03. Although 78.45% (95% CI: 77.95%—78.92%) of women nationally were up-to-date with mammography, more than half of the states had counties with >15% of women rarely/never using a mammogram, many in rural areas. Conclusions: We provided estimates for all U.S. counties and identified marked variations in mammography use. Many states and counties were far from the 2020 target (81.1%). Impact: Our results suggest a need for planning and resource allocation on a local level to increase mammography uptake.
  • Subject:
  • Pubmed ID:
    30275116
  • Pubmed Central ID:
    PMC6343124
  • Document Type:
    Journal Article
  • Funding:
    CC999999/ImCDC/Intramural CDC HHS/United States
  • Place as Subject:
    United States
  • Collection(s):
    CDC Public Access
  • Main Document Checksum:
  • File Type:
No Related Documents.

You May Also Like:

  1. Filetype[PDF - 630.73 KB]
    Personal Author:
    Berkowitz, Zahava; Zhang, Xingyou; Richards, Thomas B.; Nadel, Marion; Peipins, Lucy A.; Holt, James;
    Published Date:
    March 2018
    Source:
    Cancer Epidemiol Biomarkers Prev. 27(3):245-253
    Description:
    BackgroundThe US Preventive Services Task Force recommends routine screening for colorectal cancer (CRC) for adults 50-75 years. We generated small-area estimates for being current with CRC screening to examine socio-geographic differences among stat...
    File Type:
    Filetype[PDF - 630.73 KB]
  2. Filetype[PDF - 413.61 KB]
    Personal Author:
    Johnson, Donna B; Quinn, Emilee; Sitaker, Marilyn; Ammerman, Alice; Byker, Carmen; Dean, Wesley; Fleischhacker, Sheila; Kolodinsky, Jane; Pinard, Courtney; Pitts, Stephanie B Jilcott; Sharkey, Joseph;
    Published Date:
    Jun 12 2014
    Source:
    BMC Public Health. 2014; 14:592.
    Description:
    BackgroundPolicies that improve access to healthy, affordable foods may improve population health and reduce health disparities. In the United States most food access policy research focuses on urban communities even though residents of rural communi...
    File Type:
    Filetype[PDF - 413.61 KB]
  3. Filetype[PDF - 612.76 KB]
    Personal Author:
    Slater, Jonathan S.; Parks, Michael J.; Nelson, Christina L.; Hughes, Kelly D.;
    Published Date:
    June 11 2018
    Source:
    Cancer Epidemiol Biomarkers Prev. 27(9):1047-1056
    Description:
    BackgroundDespite lower cancer screening rates and survival rates in the Medicaid population compared to those with private insurance, there is a dearth of population-based evidence-based interventions targeting Medicaid clients to address this probl...
    File Type:
    Filetype[PDF - 612.76 KB]
  4. Filetype[PDF - 465.92 KB]
    Personal Author:
    Khushalani, Jaya S.; Ekwueme, Donatus U.; Richards, Thomas B.; Sabatino, Susan A.; Guy, Gery P.; Zhang, Yuanhui; Tangka, Florence;
    Published Date:
    October 15 2019
    Source:
    J Womens Health (Larchmt). 29(3):327-337
    Description:
    Background:In recent years, most insurance plans eliminated cost-sharing for breast cancer screening, recommended screening intervals changed, and newer modalities—digital mammography and breast tomosynthesis—became more widely available. The obj...
    File Type:
    Filetype[PDF - 465.92 KB]
  5. Filetype[PDF - 384.46 KB]
    Personal Author:
    Ryerson, A. Blythe; Miller, Jacqueline; Eheman, Christie R.;
    Published Date:
    Mar 10 2015
    Source:
    Cancer Causes Control. 26(5):733-740.
    Description:
    PurposeThe frequency and types of breast symptoms reported by women in the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) have never been characterized. This study aims to establish the frequency of reported symptoms and the di...
    File Type:
    Filetype[PDF - 384.46 KB]