Mammography use helps to explain differences in breast cancer stage at diagnosis between older black and white women

Article Abstract:

The higher rates of late-stage breast cancer at diagnosis in elderly black women compared to white women probably occur because black women are less likely to get regular mammograms. An analysis of Medicare claims for mammography in three regions revealed that elderly black women were three times less likely to have regular mammograms and more likely to be diagnosed with late-stage disease than white women. The racial difference in cancer stage was only seen in women who did not get regular mammograms. Mammography explained 12% to 30% of the late-stage diagnoses in black women.

Analysis, Diagnosis, Health, Health and race, Ethnic groups

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Ethnic differences in mammography use among older women: overcoming the barriers

Article Abstract:

Irregular mammography screening may be one of the reasons why black women have low survival rates from breast cancer compared to white women. Black women are often diagnosed with breast cancer at a late stage compared to white women. A 1998 study found that this may occur because black women were less likely to get regular mammograms. Mammography rates are low in older women, regardless of race. Many economic and cultural barriers exist to prevent older women from getting mammograms. Funding has been provided to many communities to improve access to mammography in older women.

Editorial, Behavior, Prognosis

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Black women receive less mammography even with similar use of primary care

Article Abstract:

Doctors appear to perform fewer mammograms on older black women than older white women even among those who see their doctors equally regularly. Ten states' Medicare billing files during 1990 on 335,680 elderly women showed that, overall, 15% of the white women had mammograms while only 9% of the black women had mammograms. Women who saw their primary doctor more regularly had a greater chance of receiving a mammogram. However, more white women received mammograms than black women when comparing equal numbers of doctor visits and at equivalent income levels.

Care and treatment, Usage, Medical care, Medical care utilization

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