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Receipt of mammography recommendations among White and non-White women before and after the 2009 United States Preventive Services Task Force recommendation change

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Abstract

Purpose

Receipt of a mammography recommendation from a physician is a strong predictor of obtaining a mammogram. In 2009, the United States Preventive Services Task Force (USPSTF) recommended routine biennial mammography for women aged 50–74 but not for women aged 40–49. We examined changes in reports of clinician recommendations for mammography among White and non-White women after these age-specific recommendations were issued.

Methods

Data from women aged 40–49 and 50–74 were drawn from the 2008 and 2013 National Health Interview Surveys. We used linear probability models to determine whether the proportions of women reporting a mammography recommendation changed after the USPSTF recommendation was issued and whether any changes observed differed across White and non-White women. All analyses were stratified by age groups and mammography history.

Results

Among women without a recent mammogram, reported clinician recommendations did not change for White women, but they decreased by 13-percentage points (95 % CI −0.22, −0.03) among non-White women aged 40–49 (p = 0.01) and increased by 9-percentage points (95 % CI 0.01, 0.17) among non-White women aged 50–74 (p = 0.04). Among women with a mammogram in the past 2 years, reported mammography recommendation from a clinician did not change for White or non-White women.

Conclusions

Recommendations to reduce screening may be differentially implemented across racial/ethnic groups. Changes in reports of mammography recommendation from a clinician after the USPSTF breast cancer screening recommendation change were observed only among non-White women without a recent history of mammography. It is unclear whether these differences are due to the clinician, the women, or both.

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Acknowledgments

The views and opinions expressed in this article are those of the authors and do not necessarily represent the views of the National Institutes of Health or any other government agency.

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Authors and Affiliations

  1. Division of Cancer Control and Population Sciences, National Cancer Institute, BG 9609 RM 3E502 MSC 9712, 9609 Medical Center Drive, Rockville, MD, 20850-9712, USA

    Felisa A. Gonzales

  2. Division of Cancer Control and Population Sciences, National Cancer Institute, BG 9609 RM 3E342 MSC 9761, 9609 Medical Center Drive, Rockville, MD, 20850-9761, USA

    Stephen H. Taplin

  3. Division of Cancer Control and Population Sciences, National Cancer Institute, BG 9609 RM 4E544 MSC 9765, 9609 Medical Center Drive, Rockville, MD, 20850-9765, USA

    Mandi Yu

  4. Division of Cancer Control and Population Sciences, National Cancer Institute, BG 2DEM RM 800 MSC 5465, 6707 Democracy Blvd, Bethesda, MD, 20892-5465, USA

    Nancy Breen

  5. Division of Cancer Control and Population Sciences, National Cancer Institute, BG 9609 RM 4E454 MSC 9765, 9609 Medical Center Drive, Rockville, MD, 20850-9765, USA

    Kathy A. Cronin

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  1. Felisa A. Gonzales
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Correspondence to Felisa A. Gonzales.

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Gonzales, F.A., Taplin, S.H., Yu, M. et al. Receipt of mammography recommendations among White and non-White women before and after the 2009 United States Preventive Services Task Force recommendation change. Cancer Causes Control 27, 977–987 (2016). https://doi.org/10.1007/s10552-016-0775-9

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