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Mammography Use Among Women Ages 40–49 After the 2009 U.S. Preventive Services Task Force Recommendation

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ABSTRACT

BACKGROUND

In 2009, the U.S. Preventive Service Task Force changed its recommendation regarding screening mammography in average-risk women aged 40–49 years.

OBJECTIVE

To evaluate the effects of the 2009 recommendation on reported mammogram use in a population-based survey.

DESIGN

Secondary data analysis of data collected in the 2006, 2008, and 2010 Behavioral Risk Factor Surveillance System surveys.

PARTICIPANTS

Women ages 40–74 years in the 50 states and Washington, DC who were not pregnant at time of survey and reported data on mammogram use during the 2006, 2008, or 2010 survey.

MAIN MEASURES

Mammogram use was compared between women ages 40–49 and women ages 50–74 before and after the recommendation. We performed a difference-in-difference estimation adjusted for access to care, education, race, and health status, and stratified analyses by whether women reported having a routine checkup in the prior year.

KEY RESULTS

Reported prevalence of mammogram use in the past year among women ages 40–49 and 50–74 was 53.2 % and 65.2 %, respectively in 2008, and 51.7 % and 62.4 % in 2010. In 2010, mammography use did not significantly decline from 2006–2008 in women ages 40–49 relative to women ages 50–74.

CONCLUSION

There was no reduction in mammography use among younger women in 2010 compared to older women and previous years. Patients and providers may have been hesitant to comply with the 2009 recommendation.

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Acknowledgements

Funding

None.

Prior presentations

Presented as a poster at the AcademyHealth Annual Research Meeting on June 26, 2012.

Conflict of Interest

The authors declare that they do not have any conflicts of interest.

Author information

Authors and Affiliations

  1. Department of Medicine, Johns Hopkins University School of Medicine, 2024 E. Monument St, Room 2-604, Baltimore, MD, 21287, USA

    Lauren D. Block MD, MPH, Albert W. Wu MD, MPH & Wendy L. Bennett MD, MPH

  2. Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

    Marian P. Jarlenski MPH & Albert W. Wu MD, MPH

Authors
  1. Lauren D. Block MD, MPH
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  2. Marian P. Jarlenski MPH
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  3. Albert W. Wu MD, MPH
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  4. Wendy L. Bennett MD, MPH
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Corresponding author

Correspondence to Lauren D. Block MD, MPH.

Appendix

Appendix

Table 3 Logistic Regression Results Estimating the Odds of Pap Test Utilization Within Prior Year
Full size table

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Block, L.D., Jarlenski, M.P., Wu, A.W. et al. Mammography Use Among Women Ages 40–49 After the 2009 U.S. Preventive Services Task Force Recommendation. J GEN INTERN MED 28, 1447–1453 (2013). https://doi.org/10.1007/s11606-013-2482-5

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  • DOI: https://doi.org/10.1007/s11606-013-2482-5

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