142nd APHA Annual Meeting and Exposition

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298288
Racial Disparity of the Impact of the Revised USPSTF Screening Mammography Recommendations

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Jeannette Lee, Ph.D. , Biostatistics, University of Arkansas for Medical Sciences, Little Rock, AR
Suzanne Klimberg, M.D. , Surgery, University of Arkansas for Medical Sciences, Little Rock, AR
Ronda Henry-Tillman, MD , Winthrop P. Rockefeller Cancer Institute-Cancer Control; Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR
Sharp Malak, MD, MPH , Department of Radiology, Department of Epidemiology, University of Arkansas for Medical Science, Little Rock, AR
Susan Kadlubar, Ph.D. , Medical Genetics, University of Arkansas for Medical Sciences, Little Rock, AR
Introduction:  The U.S. Preventive Services Task Force (USPSTF) recommended screening mammography every 1-2 years for women 40 years and older in 2002.  In 2009, the USPSTF changed their recommendations to no routine screening for women between 40 and 49 years of age; biennial screening for women between 50 and 74 years of age; and did not issue a recommendation for women 75 years or older.  This study evaluates the change in mammographic use after the issuance of the revised recommendations.

Methods:  Women were recruited to a study of breast cancer risk factors from 2007 to 2013. This analysis included 11,982 women between 40 and 74 years of age without a history of breast cancer.  Participants were asked if they had received a mammogram in the past 2 years. To determine the effects of the revised USPSTF guidelines, participants recruited from 2007-2010 were compared to those recruited from 2011-2013 with respect to recent mammographic use.

Results: One-fifth of the participants were African-American and 39% were 40-49 years of age.  Among white women, a significant decrease in recent mammogram use from 2007-2010 to 2011-2013 of -11.31% was detected (P<0.001).  Among African-American women, the change in recent mammogram use of -1.92% was not significantly different from zero (P=0.312).  The difference between racial groups with respect to change in mammographic use was statistically significant (P<0.001).

Conclusion:  A racial disparity was observed with respect to the change in mammographic use following the revised guidelines.  Reasons for this disparity are under investigation.

Learning Areas:

Chronic disease management and prevention
Epidemiology

Learning Objectives:
Describe the impact of the change in recommendations for screening mammography issued by the U.S. Preventive Services Task Force in 2009 Compare African-American and white women with respect to the change in mammographic use after the issuance of the revised recommendations

Keyword(s): Cancer Prevention and Screening, Cancer and Women’s Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Director of Biostatistics for the Winthop P. Rockefeller Cancer Institute at the University of Arkansas for Medical Sciences and have analyzed the cross-sectional study that forms the basis of this abstract presentation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 3300.0: Cancer Risk, Prevention, and Screening