Online Program

Perception of access to screening facilities and breast cancer screening behaviors among low-income women in New Jersey

Tuesday, November 3, 2015 : 1:24 p.m. - 1:42 p.m.

Stephanie Silvera, PhD, CPH, Department of Health and Nutrition Sciences, Montclair State University, Montclair, NJ
Elisa V. Bandera, MD, PhD, School of Public Health, Rutgers, The State University of New Jersey, New Brunswick, NJ
Beth A. Jones, Ph.D, MPH, Yale School of Public Health, New Haven, CT
Megan K. Trusdell, BA, MA, Department of Health & Nutrition Sciences, Montclair State University, Montclair, NJ
Valisha J. Andrus, BA, Department of Health & Nutrition Sciences, Montclair State University, Montclair, NJ
Kitaw Demissie, MD, PhD, Epidemiology, Rutgers School of Public Health, Piscataway, NJ

Racial/ethnic and socioeconomic disparities in breast cancer outcomes have been well documented.  Access to mammograms may account for some this variation in racial and socioeconomic differences in cancer outcomes.  Few studies, however, have explored if perception of access to screenings are associated with use mammography services for low-income and diverse racial/ethnic populations.


We sought to evaluate and characterize the relationship between the perception/knowledge of access to free or low-cost screening facilities and breast cancer screening behaviors using multivariate logistic regression of data from a cross-sectional study of low-income women in New Jersey.


A preliminary analysis of the data (N=198) indicate that African American women were less likely to have had a mammogram in the past two years compared to white women (OR = 0.25, 95% CI = 0.06-1.01), though the effect failed to achieve statistical significance. Likelihood of adhering to breast cancer screening guidelines was significantly positively associated with increasing age (OR= 1.18, 95% CI = 1.10 – 1.25), having insurance in the past 2 years (OR = 11.55, 95% CI = 1.04-128.79), and awareness of a free/low cost mammography center (OR= 7.95, 95% CI= 2.11 – 30.06), and was inversely associated with higher income (OR= 0.24, 95% CI = 0.08 – 0.73).  


The findings of this study provide evidence that among a population of low income women, simply knowing the location of free and low cost screening centers may increase the likelihood of utilizing screening, which can be important in terms of developing targeted prevention interventions to decrease disparities in breast cancer outcomes.

Learning Areas:

Diversity and culture
Social and behavioral sciences

Learning Objectives:
Discuss the implications of the perception of access to affordable screening centers with cancer screening behaviors. Identify barriers to mammography for low income women.

Keyword(s): Cancer Prevention and Screening, Health Disparities/Inequities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal investigator on a NCI Career Development award focusing on the epidemiology of cancer screening behavior. I have published over 25 articles in the area of cancer epidemiology.
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.