Journal of General Internal Medicine

, Volume 16, Issue 3, pp 200–203

The relation of household income to mammography utilization in a prepaid health care system

  • Mary B. Barton
  • Sara Moore
  • Ernest Shtatland
  • Roselie Bright
Populations At Risk

DOI: 10.1111/j.1525-1497.2001.00228.x

Cite this article as:
Barton, M.B., Moore, S., Shtatland, E. et al. J GEN INTERN MED (2001) 16: 200. doi:10.1111/j.1525-1497.2001.00228.x

Abstract

Managed care organizations should be expected to provide equivalent access to preventive and screening services to all members. We studied mammography in 1,667 women members of one HMO who had an overall utilization rate of 84.9%. Significant correlates of mammography utilization included age, estimated household income, and division of the managed care organization in which the member was enrolled. Each $10,000 increment of income increased mammography rates by 2.5 percentage points (95% confidence interval [CI], 1.4% to 3.6%), independent of age and division. Our findings suggest that coverage for mammography services is not sufficient to ensure equivalent use of screening across income groups.

Key words

mammography socioeconomical status managed care 

Copyright information

© Blackwell Science Inc 2001

Authors and Affiliations

  • Mary B. Barton
    • 1
  • Sara Moore
    • 1
  • Ernest Shtatland
    • 1
  • Roselie Bright
    • 2
  1. 1.Received from the Department of Ambulatory Care and PreventionHarvard Medical School, and Harvard Pilgrim Health CareBoston
  2. 2.Food and Drug AdministrationCenter for Devices and Radiological HealthRockville

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