TY - JOUR
T1 - Predictors of mammography use in older women with disability
T2 - The patients' perspectives
AU - Caban, Mabel
AU - Kuo, Yong Fang
AU - Raji, Mukaila
AU - Tan, Alai
AU - Freeman, Jean
N1 - Funding Information:
Acknowledgments This study was supported by a grant from National Cancer Institute K08CA111622-01.
PY - 2011/12
Y1 - 2011/12
N2 - To determine the factors associated with mammography use among Medicare beneficiaries and reasons for nonuse. Cohort of 4610 community-dwelling Medicare beneficiaries ≥65 years included in the 2004-2005 Medicare Current Beneficiary Survey. Regression models evaluated the association of disability with mammography use. Reasons for underuse are described. Women with disability were more likely than women with no disability to report lower mammography use (unadjusted, moderate disability OR = 0.76; 95% CI = 0.64, 0.91; severe disability OR = 0.46; 95% CI = 0.40, 0.54). Lower use was significant for women with severe disability (adjusted, OR = 0.67; 95% CI = 0.54, 0.83) and women with fair-poor self-rated health, no HMO enrollment and ≥3 comorbidities. No physician recommendation, no need, dislike/pain during the test and forget it were reasons for underutilization. Mammography use decreases with increasing level of disability. Common reasons for underutilization are no physician recommendation, no need, dislike/pain during the test and forgot it. Screening guidelines should be used to target women with disabilities who can benefit from mammography.
AB - To determine the factors associated with mammography use among Medicare beneficiaries and reasons for nonuse. Cohort of 4610 community-dwelling Medicare beneficiaries ≥65 years included in the 2004-2005 Medicare Current Beneficiary Survey. Regression models evaluated the association of disability with mammography use. Reasons for underuse are described. Women with disability were more likely than women with no disability to report lower mammography use (unadjusted, moderate disability OR = 0.76; 95% CI = 0.64, 0.91; severe disability OR = 0.46; 95% CI = 0.40, 0.54). Lower use was significant for women with severe disability (adjusted, OR = 0.67; 95% CI = 0.54, 0.83) and women with fair-poor self-rated health, no HMO enrollment and ≥3 comorbidities. No physician recommendation, no need, dislike/pain during the test and forget it were reasons for underutilization. Mammography use decreases with increasing level of disability. Common reasons for underutilization are no physician recommendation, no need, dislike/pain during the test and forgot it. Screening guidelines should be used to target women with disabilities who can benefit from mammography.
KW - Cohort
KW - Disability
KW - MCBS
KW - Mammography
UR - http://www.scopus.com/inward/record.url?scp=84655176747&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84655176747&partnerID=8YFLogxK
U2 - 10.1007/s12032-010-9656-3
DO - 10.1007/s12032-010-9656-3
M3 - Review article
C2 - 20857346
AN - SCOPUS:84655176747
SN - 1357-0560
VL - 28
SP - S8-S14
JO - Medical oncology (Northwood, London, England)
JF - Medical oncology (Northwood, London, England)
IS - SUPPL. 1
ER -