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Healthcare access and mammography screening in Michigan: a multilevel cross-sectional study.

Publication ,  Journal Article
Akinyemiju, TF; Soliman, AS; Yassine, M; Banerjee, M; Schwartz, K; Merajver, S
Published in: Int J Equity Health
March 21, 2012

BACKGROUND: Breast cancer screening rates have increased over time in the United States. However actual screening rates appear to be lower among black women compared with white women. PURPOSE: To assess determinants of breast cancer screening among women in Michigan USA, focusing on individual and neighborhood socio-economic status and healthcare access. METHODS: Data from 1163 women ages 50-74 years who participated in the 2008 Michigan Special Cancer Behavioral Risk Factor Survey were analyzed. County-level SES and healthcare access were obtained from the Area Resource File. Multilevel logistic regression models were fit using SAS Proc Glimmix to account for clustering of individual observations by county. Separate models were fit for each of the two outcomes of interest; mammography screening and clinical breast examination. For each outcome, two sequential models were fit; a model including individual level covariates and a model including county level covariates. RESULTS: After adjusting for misclassification bias, overall cancer screening rates were lower than reported by survey respondents; black women had lower mammography screening rates but higher clinical breast examination rates than white women. However, after adjusting for other individual level variables, race was not a significant predictor of screening. Having health insurance or a usual healthcare provider were the most important predictors of cancer screening. DISCUSSION: Access to healthcare is important to ensuring appropriate cancer screening among women in Michigan.

Duke Scholars

Published In

Int J Equity Health

DOI

EISSN

1475-9276

Publication Date

March 21, 2012

Volume

11

Start / End Page

16

Location

England

Related Subject Headings

  • White People
  • Social Class
  • Public Health
  • Middle Aged
  • Michigan
  • Mammography
  • Humans
  • Healthcare Disparities
  • Health Services Accessibility
  • Health Care Surveys
 

Citation

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Chicago
ICMJE
MLA
NLM
Akinyemiju, T. F., Soliman, A. S., Yassine, M., Banerjee, M., Schwartz, K., & Merajver, S. (2012). Healthcare access and mammography screening in Michigan: a multilevel cross-sectional study. Int J Equity Health, 11, 16. https://doi.org/10.1186/1475-9276-11-16
Akinyemiju, Tomi F., Amr S. Soliman, May Yassine, Mousumi Banerjee, Kendra Schwartz, and Sofia Merajver. “Healthcare access and mammography screening in Michigan: a multilevel cross-sectional study.Int J Equity Health 11 (March 21, 2012): 16. https://doi.org/10.1186/1475-9276-11-16.
Akinyemiju TF, Soliman AS, Yassine M, Banerjee M, Schwartz K, Merajver S. Healthcare access and mammography screening in Michigan: a multilevel cross-sectional study. Int J Equity Health. 2012 Mar 21;11:16.
Akinyemiju, Tomi F., et al. “Healthcare access and mammography screening in Michigan: a multilevel cross-sectional study.Int J Equity Health, vol. 11, Mar. 2012, p. 16. Pubmed, doi:10.1186/1475-9276-11-16.
Akinyemiju TF, Soliman AS, Yassine M, Banerjee M, Schwartz K, Merajver S. Healthcare access and mammography screening in Michigan: a multilevel cross-sectional study. Int J Equity Health. 2012 Mar 21;11:16.
Journal cover image

Published In

Int J Equity Health

DOI

EISSN

1475-9276

Publication Date

March 21, 2012

Volume

11

Start / End Page

16

Location

England

Related Subject Headings

  • White People
  • Social Class
  • Public Health
  • Middle Aged
  • Michigan
  • Mammography
  • Humans
  • Healthcare Disparities
  • Health Services Accessibility
  • Health Care Surveys