The association between rurality, sociodemographic characteristics, and mammogram screening outcomes among a sample of low-income uninsured women

Studies have found a positive association between adherence to mammography screening guidelines and early detection of breast cancer lesions, yet the proportion of women who get screened for breast cancer remains below national targets. Previous studies have found that mammography screening rates va...

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Autores principales:	Morgan Kassabian, Samson Olowolaju, Marvellous A. Akinlotan, Anna Lichorad, Robert Pope, Brandon Williamson, Scott Horel, Jane N. Bolin
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Women’s health Breast cancer screening Mammogram outcomes Rural Medicine R
Acceso en línea:	https://doaj.org/article/2572991bebc147368da51484adcd8d1d
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spelling	oai:doaj.org-article:2572991bebc147368da51484adcd8d1d2021-11-28T04:30:56ZThe association between rurality, sociodemographic characteristics, and mammogram screening outcomes among a sample of low-income uninsured women2211-335510.1016/j.pmedr.2021.101645https://doaj.org/article/2572991bebc147368da51484adcd8d1d2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2211335521003363https://doaj.org/toc/2211-3355Studies have found a positive association between adherence to mammography screening guidelines and early detection of breast cancer lesions, yet the proportion of women who get screened for breast cancer remains below national targets. Previous studies have found that mammography screening rates vary by sociodemographic factors including race/ethnicity, income, education, and rurality. It is less known whether sociodemographic factors are also related to mammography screening outcomes in underserved populations. Thus, with a particular interest in rurality, we examined the association between the sociodemographic characteristics and mammography screening outcomes within our sample of 1,419 low-income, uninsured Texas women who received grant-funded mammograms between 2013 and 2019 (n = 1,419). Screening outcomes were recorded as either negative (Breast Imaging Reporting and Data System (BI-RADS) classification 1–3) or positive (BI-RADS classification 4–6). When we conducted independency tests between sociodemographic characteristics (age, race/ethnicity, rurality, county-level risk, family history, and screening compliance) and screening outcomes, we found that none of the factors were significantly associated with mammogram screening outcomes. Similarly, when we regressed screening outcomes on age, race/ethnicity, and rurality via logistic regression, we found that none were significant predictors of a positive screening outcome. Though we did not find evidence of a relationship between rurality and mammography screening outcomes, research suggests that among women who do screen positive for breast cancer, rural women are more likely to present with later stage breast cancer than urban women. Thus, it remains important to continue to increase breast cancer education and access to routine cancer screening for rural women.Morgan KassabianSamson OlowolajuMarvellous A. AkinlotanAnna LichoradRobert PopeBrandon WilliamsonScott HorelJane N. BolinElsevierarticleWomen’s healthBreast cancer screeningMammogram outcomesRuralMedicineRENPreventive Medicine Reports, Vol 24, Iss , Pp 101645- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Women’s health Breast cancer screening Mammogram outcomes Rural Medicine R
spellingShingle	Women’s health Breast cancer screening Mammogram outcomes Rural Medicine R Morgan Kassabian Samson Olowolaju Marvellous A. Akinlotan Anna Lichorad Robert Pope Brandon Williamson Scott Horel Jane N. Bolin The association between rurality, sociodemographic characteristics, and mammogram screening outcomes among a sample of low-income uninsured women
description	Studies have found a positive association between adherence to mammography screening guidelines and early detection of breast cancer lesions, yet the proportion of women who get screened for breast cancer remains below national targets. Previous studies have found that mammography screening rates vary by sociodemographic factors including race/ethnicity, income, education, and rurality. It is less known whether sociodemographic factors are also related to mammography screening outcomes in underserved populations. Thus, with a particular interest in rurality, we examined the association between the sociodemographic characteristics and mammography screening outcomes within our sample of 1,419 low-income, uninsured Texas women who received grant-funded mammograms between 2013 and 2019 (n = 1,419). Screening outcomes were recorded as either negative (Breast Imaging Reporting and Data System (BI-RADS) classification 1–3) or positive (BI-RADS classification 4–6). When we conducted independency tests between sociodemographic characteristics (age, race/ethnicity, rurality, county-level risk, family history, and screening compliance) and screening outcomes, we found that none of the factors were significantly associated with mammogram screening outcomes. Similarly, when we regressed screening outcomes on age, race/ethnicity, and rurality via logistic regression, we found that none were significant predictors of a positive screening outcome. Though we did not find evidence of a relationship between rurality and mammography screening outcomes, research suggests that among women who do screen positive for breast cancer, rural women are more likely to present with later stage breast cancer than urban women. Thus, it remains important to continue to increase breast cancer education and access to routine cancer screening for rural women.
format	article
author	Morgan Kassabian Samson Olowolaju Marvellous A. Akinlotan Anna Lichorad Robert Pope Brandon Williamson Scott Horel Jane N. Bolin
author_facet	Morgan Kassabian Samson Olowolaju Marvellous A. Akinlotan Anna Lichorad Robert Pope Brandon Williamson Scott Horel Jane N. Bolin
author_sort	Morgan Kassabian
title	The association between rurality, sociodemographic characteristics, and mammogram screening outcomes among a sample of low-income uninsured women
title_short	The association between rurality, sociodemographic characteristics, and mammogram screening outcomes among a sample of low-income uninsured women
title_full	The association between rurality, sociodemographic characteristics, and mammogram screening outcomes among a sample of low-income uninsured women
title_fullStr	The association between rurality, sociodemographic characteristics, and mammogram screening outcomes among a sample of low-income uninsured women
title_full_unstemmed	The association between rurality, sociodemographic characteristics, and mammogram screening outcomes among a sample of low-income uninsured women
title_sort	association between rurality, sociodemographic characteristics, and mammogram screening outcomes among a sample of low-income uninsured women
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/2572991bebc147368da51484adcd8d1d
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The association between rurality, sociodemographic characteristics, and mammogram screening outcomes among a sample of low-income uninsured women

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