National survey of breast cancer screening in rural America.

2013 ◽  
Vol 31 (26_suppl) ◽  
pp. 13-13 ◽  
Author(s):  
Jeffrey M. Peppercorn ◽  
Kevin Houck ◽  
Adane Fekadu Wogu ◽  
Victor Villagra ◽  
Gary H. Lyman ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Rural Women ◽  
Rural Areas ◽  
Univariate Analysis ◽  
College Education ◽  
Screening Mammography ◽  
Screening Methods ◽  
Annual Screening

13 Background: Screening mammography leads to early detection of breast cancer and improved survival. We conducted a survey of predominantly rural U.S. women who receive health insurance through the National Rural Electric Cooperative Association (NRECA) to evaluate the prevalence of annual and biennial screening and to identify potential disparities and barriers to breast cancer screening. Methods: We conducted a national cross-sectional survey of women between ages 40 and 65 who are insured by the NRECA regarding their utilization of mammography screening and barriers to screening. A study specific survey was mailed to 2,000 randomly selected eligible women without prior diagnosis of breast cancer. We assessed demographics and receipt of mammography within past 12 months (all women) and number of screening mammograms within the past 4 years (among women age 44 and older) to identify consistent annual screening and biennial screening patterns. Results: 1,204 women responded to the survey (response rate 60.2%). 74% live in rural areas, 18% suburban, 8% urban. 73% report less than 4 years college education and 19% have family incomes < $50,000/year. Overall, 72% reported screening mammography within 12 months, 59% reported consistent annual screening and 84% reported at least biennial screening. Rural women were less likely to undergo consistent annual (56% vs. 66%, p = 0.003) or biennial screening (82% vs. 89%, p = 0.01) compared to women in non-rural areas. Women under 50 were less likely to report screening within 12 months (67% vs. 77%, p = 0.0002), consistent annual (49% vs. 63%, p < 0.0001) or biennial screening (79% vs. 86%, p = 0.002). Significantly more rural women cited cost and distance as barriers, while busy schedule, fear of diagnosis, and fear of discomfort were important barriers among all demographic groups. Fear of the test was a greater barrier among younger vs. older women (p < 0.02). In univariate analysis; household income did not correlate with screening, and education was only a factor among younger women. Conclusions: A substantial percentage of rural U.S. women fail to undergo screening mammography. Potentially modifiable barriers include out of pocket expenses, convenience of screening, and fear of diagnosis and the test itself.

scholarly journals Associated factors with mammographic changes in women undergoing breast cancer screening

2016 ◽  
Vol 14 (3) ◽  
pp. 324-329 ◽  
Author(s):  
Ricardo Soares de Sant'Ana ◽  
Jacó Saraiva de Castro Mattos ◽  
Anderson Soares da Silva ◽  
Luanes Marques de Mello ◽  
Altacílio Aparecido Nunes
Keyword(s):  
Breast Cancer ◽  
Physical Activity ◽  
Multivariate Analysis ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Cross Sectional Study ◽  
Screening Mammography ◽  
Screening Methods ◽  
Cross Sectional ◽  
Student’S T

ABSTRACT Objective: To evaluate association of sociodemographic, anthropometric, and epidemiological factors with result of mammogram in women undergoing breast cancer screening. Methods: This is a cross-sectional study with data obtained through interviews, anthropometric measurements, and mammography of 600 women aged 40 to 69 years at the Preventive Medicine Department of Hospital de Câncer de Barretos, Brazil, in 2014. The results of these examinations in the BI-RADS categories 1 and 2 were grouped and classified in this study as normal mammogram outcome, and those of BI-RADS categories 3, 4A, 4B, 4C, and 5 were grouped and classified as altered mammogram outcome. The statistical analysis included the Student's t-test to compare means, as well as odds ratios (OR), with their corresponding 95% confidence intervals (95%CI), to verify an association by means of the multivariate analysis. Results: Of 600 women evaluated, 45% belonged to the age group of 40–49 years-old and 60.2% were classified as BI-RADS category 2. The multivariate analysis showed that women with blood hypertension (OR: 2.64; 95%CI: 1.07–6.49; p<0.05) were more likely to present changes in the mammography, while physical activity was associated with lower chances (OR: 0.30; 95%CI: 0.11–0.81; p<0.05). Conclusion: Hypertensive women undergoing screening mammography are more likely to present mammographic changes, whereas women practicing physical activity have lower chances (70%) of presenting changes in the breast compared with sedentary individuals.

Analysis of Breast Cancer Cases According to County-Level Poverty Status in 3.5 Million Rural Women Who Participated in a Breast Cancer Screening Program of Hunan Province, China from 2016–2018

2020 ◽  
Author(s):  
Xiong Lili ◽  
Liu Zhiyu ◽  
Wu Yinglan ◽  
Wang Aihua ◽  
Li Hongyun ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Rural Women ◽  
Rural Areas ◽  
Screening Program ◽  
Breast Cancer Incidence ◽  
Hunan Province ◽  
Pathological Examination ◽  
Binary Logistic Regression Analysis

Abstract Purpose Thus far there has been no study on the breast cancer screening program in China, especially one exploring differences between poor and non-poor areas. Therefore, we aimed to assessment the effectiveness of the population-based breast cancer screening programs, and clinical epidemiological characteristics of breast cancers in poor and non-poor counties in rural areas of Hunan province from 2016–2018.Methods 3,151,679 rural women took part in the screening program and 1,169 breast cancer cases was identified. Chi-square and Fisher’s exact tests, and binary logistic regression analysis were used for analyzing the difference in risk factors, clinical examination results, and clinicopathological features of breast cancer patients in poor counties compared with those in non-poor counties in rural areas of Hunan province. Results The breast cancer incidence was 37.09/105. Breast cancer incidence was lower in poor counties (29.68/105) than in non-poor counties (43.13/105). There were differences between breast cancers in poor counties and non-poor counties in cyst, margin, internal echo, and blood flow in solid masses in the right breast in ultrasonic examination, lump structure in mammography examination, and clinicopathological staging and grading in pathological examination. Breast cancer in poor counties was more likely to be diagnosed at later stages as determined from the classification in ultrasonic, mammography and pathological examination. Furthermore, indexes of the breast screening program including early detection, incidence, pathological examination, and mammography examination were reduced in poor compared with non-poor counties. Binary logistic regression analysis showed that education, ethnicity, reproductive history and the year 2017 were associated with an increased risk of breast cancer in poor counties (OR >1, P < 0.05). Conclusions Women in poor areas were more likely to be diagnosed at a later breast cancer stage than those in non-poor areas, and therefore, women should have better access to diagnostic and clinical services in poor areas in Hunan province to help rectify this situation.

The Effect of Psychoeducation on Anxiety in Women Undergoing Their Initial Breast Cancer Screening Mammography

2018 ◽  
Vol 206 (12) ◽  
pp. 931-934 ◽  
Author(s):  
Cristian Virgil Lungulescu ◽  
Cristina Lungulescu ◽  
Livia Teodora Lungulescu ◽  
Stefan-Alexandru Artene ◽  
Irina Mihaela Cazacu ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Screening Mammography

Comparison of Three Methods to Increase Knowledge About Breast Cancer and Breast Cancer Screening in Screening Mammography Patients

2007 ◽  
Vol 14 (5) ◽  
pp. 553-560 ◽  
Author(s):  
Dag Pavic ◽  
Michael J. Schell ◽  
Ria D. Dancel ◽  
Sanjeda Sultana ◽  
Li Lin ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Screening Mammography

Geographic disparities in cancer screening and fatalism among a nationally representative sample of US adults

2019 ◽  
Vol 73 (12) ◽  
pp. 1128-1135
Author(s):  
Jennifer L Moss ◽  
Rebecca Ehrenkranz ◽  
Lilian G Perez ◽  
Brionna Y Hair ◽  
Anne K Julian
Keyword(s):  
Breast Cancer ◽  
Colorectal Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Rural Areas ◽  
Representative Sample ◽  
Racial Segregation ◽  
Cancer Fatalism ◽  
Nationally Representative

BackgroundCancer screening in the USA is suboptimal, particularly for individuals living in vulnerable communities. This study aimed to understand how rurality and racial segregation are independently and interactively associated with cancer screening and cancer fatalism.MethodsWe used data from a nationally representative sample of adults (n=17 736) from National Cancer Institute’s Health Information National Trends Survey, 2011–2017, including cancer screening (colorectal, breast, cervical, prostate) among eligible participants and cancer fatalism. These data were linked to county-level metropolitan status/rurality (US Department of Agriculture) and racial segregation (US Census). We conducted multivariable analyses of associations of geographic variables with screening and fatalism.ResultsBreast cancer screening was lower in rural (92%, SE=1.5%) than urban counties (96%, SE=0.5%) (adjusted OR (aOR)=0.52, 95% CI 0.31 to 0.87). Colorectal cancer screening was higher in highly segregated (70%, SE=1.0%) than less segregated counties (65%, SE=1.7%) (aOR=1.28, 95% CI 1.04 to 1.58). Remaining outcomes did not vary by rurality or segregation, and these variables did not interact in their associations with screening or fatalism.ConclusionSimilar to previous studies, breast cancer screening was less common in rural areas. Contrary to expectations, colorectal cancer screening was higher in highly segregated counties. More research is needed on the influence of geography on cancer screening and beliefs, and how access to facilities or information may mediate these relationships.

scholarly journals Density and tailored breast cancer screening: practice and prediction – an overview

2018 ◽  
Vol 7 (9) ◽  
pp. 205846011879121 ◽  
Author(s):  
Georg J Wengert ◽  
Thomas H Helbich ◽  
Panagiotis Kapetas ◽  
Pascal AT Baltzer ◽  
Katja Pinker
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Breast Density ◽  
Cancer Detection ◽  
Public Awareness ◽  
Breast Cancer Detection ◽  
Screening Methods ◽  
Average Risk ◽  
Screening Practice

Mammography, as the primary screening modality, has facilitated a substantial decrease in breast cancer-related mortality in the general population. However, the sensitivity of mammography for breast cancer detection is decreased in women with higher breast densities, which is an independent risk factor for breast cancer. With increasing public awareness of the implications of a high breast density, there is an increasing demand for supplemental screening in these patients. Yet, improvements in breast cancer detection with supplemental screening methods come at the expense of increased false-positives, recall rates, patient anxiety, and costs. Therefore, breast cancer screening practice must change from a general one-size-fits-all approach to a more personalized, risk-based one that is tailored to the individual woman’s risk, personal beliefs, and preferences, while accounting for cost, potential harm, and benefits. This overview will provide an overview of the available breast density assessment modalities, the current breast density screening recommendations for women at average risk of breast cancer, and supplemental methods for breast cancer screening. In addition, we will provide a look at the possibilities for a risk-adapted breast cancer screening.

scholarly journals The Effect of California’s Breast Density Notification Legislation on Breast Cancer Screening

2016 ◽  
Vol 8 (2) ◽  
pp. 55-62 ◽  
Author(s):  
Stephanie Lynn Chau ◽  
Amy Alabaster ◽  
Karin Luikart ◽  
Leslie Manace Brenman ◽  
Laurel A. Habel
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Breast Density ◽  
Screening Mammography ◽  
Median Income ◽  
Cancer History ◽  
Screening Guidelines ◽  
Younger Women ◽  
Dense Breasts

Purpose: Half of US states mandate women be notified if they have dense breasts on their mammogram, yet guidelines and data on supplemental screening modalities are limited. Breast density (BD) refers to the extent that breast tissue appears radiographically dense on mammograms. High BD reduces the sensitivity of screening mammography and increases breast cancer risk. The aim of this study was to determine the potential impact of California’s 2013 BD notification legislation on breast cancer screening patterns. Methods: We conducted a cohort study of women aged 40 to 74 years who were members of a large Northern California integrated health plan (approximately 3.9 million members) in 2011-2015. We calculated pre- and post-legislation rates of screening mammography and magnetic resonance imaging (MRI). We also examined whether women with dense breasts (defined as BI-RADS density c or d) had higher MRI rates than women with nondense breasts (defined as BI-RADS density a or b). Results: After adjustment for race/ethnicity, age, body mass index, medical facility, neighborhood median income, and cancer history, there was a relative 6.6% decrease (relative risk [RR] 0.934, confidence interval [CI] 0.92-0.95) in the rate of screening mammography, largely driven by a decrease among women <50 years. While infrequent, there was a relative 16% increase (RR 1.16, CI 1.07-1.25) in the rate of screening MRI, with the greatest increase among the youngest women. In the postlegislation period, women with extremely dense breasts (BI-RADS d) had 2.77 times (CI 1.93-3.95) the odds of a MRI within 9 months of a screening mammogram compared with women with nondense breasts (BI-RADS b). Conclusions: In this setting, MRI rates increased in the postlegislation period. In addition, women with higher BD were more likely to have supplementary MRI. The decrease in mammography rates seen primarily among younger women may have been due to changes in national screening guidelines.

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