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National Healthcare Disparities Report, 2005

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Prevention: Mammography

Ensuring that all populations have access to appropriate cancer screening services is a core element of reducing cancer health disparities.10 This year the NHDR focuses on breast cancer; findings for colorectal cancer are found in the 2004 NHDR. Screening mammography is an effective way to discover breast cancer before a patient has symptoms and to reduce new cases of late stage disease and mortality caused by this cancer.11

Figure 2.1. Women age 40 and over who report they had a mammogram within the past 2 years, by race, ethnicity, income, and education, 2000 and 2003

Figure 2.1. Women age 40 and over who report they had a mammogram within the past 2 years, by race, ethnicity, income, and education, 2000 and 2003

[D] Select for Full Text Description.

Source: National Health Interview Survey, 2000, 2003.

Reference population: Women age 40 and over in the civilian noninstitutionalized population.

  • In both 2000 and 2003, the proportion of women age 40 and over who had a mammogram in the past 2 years was lower among Asian compared with White women; among Hispanic compared with non-Hispanic White women; and among poor, near poor, and middle income women compared with high income women (Figure 2.1).
  • In 2000, the proportion of women age 40 and over who had a mammogram in the past 2 years was lower among Black women compared with White women, but this disparity was not evident in 2003.
  • From 2000 to 2003, the proportion of women age 40 and over who had a mammogram within the past 2 years fell significantly among high income women by 4.1%.
  • In 2003, the only groups to achieve the Healthy People 2010 target of 70% of women age 40 and over receiving a mammogram within the past 2 years were non-Hispanic White women, women with middle or high incomes, and women with at least some college education.

Racial and ethnic minorities are disproportionately of lower socioeconomic status. To distinguish the effects of race, ethnicity, income, and education on cancer screening, this measure is stratified by income and education level.

Figure 2.2. Women age 40 and over who report they had a mammogram within the past 2 years by race (top) and ethnicity (bottom) stratified by income, 2003

Figure 2.2. Women age 40 and over who report they had a mammogram within the past 2 years by race (top) and ethnicity (bottom) stratified by income, 2003

[D] Select for Full Text Description.

Figure 2.2. Women age 40 and over who report they had a mammogram within the past 2 years by race (top) and ethnicity (bottom) stratified by income, 2003

[D] Select for Full Text Description.

Source: National Health Interview Survey, 2003.

Reference population: Women age 40 and over in the civilian noninstitutionalized population.

Figure 2.3. Women age 40 and over who report they had a mammogram within the past 2 years by race (top) and ethnicity (bottom) stratified by education, 2003

Figure 2.3. Women age 40 and over who report they had a mammogram within the past 2 years by race (top) and ethnicity (bottom) stratified by education, 2003

[D] Select for Full Text Description.

Figure 2.3. Women age 40 and over who report they had a mammogram within the past 2 years by race (top) and ethnicity (bottom) stratified by education, 2003

[D] Select for Full Text Description.

Source: National Health Interview Survey, 2003.

Reference population: Women age 40 and over in the civilian noninstitutionalized population.

  • Racial and ethnic differences in recent mammography use differ with income and education level.
  • After controlling for income, near poor Blacks are more likely to receive mammography than near poor Whites. Poor and near poor Hispanics are more likely to receive mammography than respective non-Hispanic Whites (Figure 2.2).
  • After controlling for education, Black high school graduates are more likely to receive mammography than White high school graduates (Figure 2.3).

 

 

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