Disparities in screening mammography services by race/ethnicity and health insurance
Open accessAbstract
BACKGROUND: Black and Hispanic women are diagnosed at a later stage of breast cancer than white women. Differential access to specialists, diffusion of technology, and affiliation with an academic medical center may be related to this stage disparity. METHODS: We analyzed data from a mammography facility survey for the metropolitan region of Chicago, Illinois, to assess in part whether quality breast imaging services were equally accessed by non-Hispanic white, non-Hispanic black, and Hispanic women and by women with and without private insurance. Of 49 screening facilities within the city of Chicago, 43 facilities completed the survey, and 40 facilities representing about 149,000 mammograms, including all major academic facilities, provided data on patient race/ethnicity. RESULTS: Among women receiving mammograms at the facilities we studied, white women were more likely than black or Hispanic women to have mammograms at academic facilities, at facilities that relied exclusively on breast imaging specialists to read mammograms, and at facilities where digital mammography was available (p<0.001). Women with private insurance were similarly more likely than women without private insurance to have mammograms at facilities with these characteristics (p<0.001). CONCLUSIONS: Black and Hispanic women and women without private insurance are more likely than white women and women with private insurance to obtain mammography screening at facilities with less favorable characteristics. A disparity in use of high-quality mammography may be contributing to disparities in breast cancer mortality.
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In clinical practice, there are known disparities in access to newer imaging technologies and in patient outcomes for underserved populations, such as Black women.
“In clinical practice, there are known disparities in access to newer imaging technologies and patient outcomes for underserved populations, such as Black women (176-178).”
From Artificial Intelligence in Oncology: Current Landscape, Challenges, and Future Directions (2024) · cites this paper as [177]
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- Authors
- Rauscher, G. H., Allgood, K. L., Whitman, S., & Conant, E.
- Affiliations
- University of Illinois Chicago (US)
- Sinai Health System (US)
- Sinai Urban Health Institute, Sinai Health System, Chicago, Illinois.
- Hospital of the University of Pennsylvania (US)
- Corresponding author
- Rauscher, Garth H.
- Venue
- Journal of Women s Health
- Publisher
- SAGE Publications
- Published
- 2012-02
- Volume
- 21
- Issue
- 2
- Pages
- 154-160
- ISSN
- 1059-7115 (ISSN-L)
- 1540-9996
- 1931-843X
- PMC
- PMC3270049
- OpenAlex
- W1964589290
- Cited by
- 128
- References
- 30
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 11 · 2023: 14 · 2022: 12 · 2021: 13 · 2020: 7 · 2019: 10 · 2018: 11 · 2017: 9 · 2016: 7 · 2015: 9 · 2014: 6 · 2013: 10
- FWCI
- 2.52
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of Women s Health (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- Funders
- Avon Foundation for Women
- University of Illinois at Urbana-Champaign
- University of Illinois at Chicago
- National Cancer Institute (P50CA106743)
- National Institute on Minority Health and Health Disparities
- Topics
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Digital Radiography and Breast Imaging
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Keywords
- mammography screening, racial disparities, ethnic disparities, health insurance status, academic medical centers, digital mammography, breast cancer mortality, Black women, Hispanic women, Chicago
- MeSH terms
- Ambulatory Care Facilities, Black or African American, Breast Neoplasms, Chicago, Ethnicity, Female, Health Surveys, Hispanic or Latino, Humans, Insurance, Health, Mammography, White People, Healthcare Disparities
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