Is availability of mammography services at federally qualified health centers associated with breast cancer mortality-to-incidence ratios? An ecological analysis

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dc.contributor.authorSwann Arp Adams
dc.contributor.authorSeul Ki Choi
dc.contributor.authorJan M. Eberth
dc.contributor.authorDaniela B. Friedman
dc.contributor.authorMei Po Yip
dc.contributor.authorReginald D. Tucker-Seeley
dc.contributor.authorLisa T. Wigfall
dc.contributor.authorJames R. Hébert
dc.date.accessioned2019-07-31T08:22:06Z
dc.date.available2019-07-31T08:22:06Z
dc.date.issued2015-11-10
dc.identifier.issn1540-9996
dc.identifier.urihttp://repository.kihasa.re.kr/handle/201002/32954
dc.description.abstractObjective: Mammography is the most effective method to detect breast cancer in its earliest stages, reducing the risk of breast cancer death. We investigated the relationship between accessibility of mammography services at Federally Qualified Health Centers (FQHCs) and mortality-to-incidence ratio (MIR) of breast cancer in each county in the United States. Methods: County-level breast cancer mortality and incidence rates in 2006–2010 were used to estimate MIRs. We compared breast cancer MIRs based on the density and availability of FQHC delivery sites with or without mammography services both in the county and in the neighboring counties. Results: The relationship between breast cancer MIRs and access to mammography services at FQHCs differed by race and county of residence. Breast cancer MIRs were lower in counties with mammography facilities or FQHC delivery sites than in counties without a mammography facility or FQHC delivery site. This trend was stronger in urban counties (p=0.01) and among whites (p=0.008). Counties with a high density of mammography facilities had lower breast cancer MIRs than other counties, specifically in urban counties (p=0.01) and among whites (p=0.01). Breast cancer MIR for blacks was the lowest in counties having mammography facilities; and was highest in counties without a mammography facility within the county or the neighboring counties (p=0.03). Conclusions: Mammography services provided at FQHCs may have a positive impact on breast cancer MIRs. Expansion of services provided at the FQHCs and placement of FQHCs in additional underserved areas might help to reduce cancer disparities in the United States.
dc.format.extent8
dc.languageeng
dc.publisherMary Ann Liebert
dc.titleIs availability of mammography services at federally qualified health centers associated with breast cancer mortality-to-incidence ratios? An ecological analysis
dc.typeArticle
dc.type.localArticle(Academic)
dc.contributor.affiliatedAuthorSeul Ki Choi
dc.identifier.localIdKIHASA-2806
dc.citation.titleJournal of Women's Health
dc.citation.volume24
dc.citation.number11
dc.citation.date2015
dc.citation.startPage916
dc.citation.endPage923
dc.identifier.bibliographicCitationJournal of Women's Health, vol. 24, no. 11, pp. 916 - 923
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