HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Urban, N Articles by Peacock, S Search for Related Content PubMed PubMed Citation Articles by Urban, N Articles by Peacock, S

Mammography screening: how important is cost as a barrier to use?

N Urban, G L Anderson and S Peacock

Cancer Prevention Research Program, Fred Hutchinson Cancer Research Center, Seattle, WA 98104.

OBJECTIVES. Recent legislation will improve insurance coverage for screening mammography and effectively lower its cost to many women. Although cost has been cited as a barrier to use, evidence of the magnitude of its effect on use is limited. METHODS. Mammography use in the past 2 years among women aged 50 to 75 residing in four suburban or rural counties in Washington State was estimated from 1989 survey data. Logistic regression analysis was used to estimate the odds ratio of mammography use as a function of economic and other variables. Within a residential area, averages were used to measure the market price of mammography and the time cost to obtain a mammogram. RESULTS. Use was lower among women who faced a higher net price or who preferred to obtain a mammogram during weekend or evening hours and higher among women with higher incomes. Visiting no doctor regularly and smoking were predictors of failure to use mammography. CONCLUSION. The effects of economic variables on mammography use are important and stable across subsets of the population, but they are modest in size.

This article has been cited by other articles:

				Wenchi Liang, J. H. Wang, M.-Y. Chen, Shibao Feng, M. Lee, M. D. Schwartz, R. J. Pasick, and J. S. Mandelblatt Developing and Validating a Measure of Chinese Cultural Views of Health and Cancer Health Educ Behav, June 1, 2008; 35(3): 361 - 375. [Abstract] [PDF]

				J. S. Slater, G. A. Henly, C. N. Ha, M. E. Malone, J. A. Nyman, S. Diaz, and P. G. McGovern Effect of Direct Mail as a Population-Based Strategy to Increase Mammography Use among Low-Income Underinsured Women Ages 40 to 64 Years Cancer Epidemiol. Biomarkers Prev., October 1, 2005; 14(10): 2346 - 2352. [Abstract] [Full Text] [PDF]

				K. Bosompra, T. Ashikaga, B. S. Flynn, J. K. Worden, and L. J. Solomon Psychosocial factors associated with the public's willingness to pay for genetic testing for cancer risk: a structural equations model Health Educ. Res., April 1, 2001; 16(2): 157 - 172. [Abstract] [Full Text] [PDF]

				D. A. Redelmeier, C. M. Bell, A. S. Detsky, and G. K. Pansegrau Charges for Medical Care at Different Hospitals Arch Intern Med, May 22, 2000; 160(10): 1417 - 1422. [Abstract] [Full Text] [PDF]

				E. J. Ludman, S. J. Curry, D. Meyer, and S. H. Taplin Implementation of Outreach Telephone Counseling to Promote Mammography Participation Health Educ Behav, October 1, 1999; 26(5): 689 - 702. [Abstract] [PDF]

				H. Bekker, L. Morrison, and T. M Marteau Breast screening: GPs' beliefs, attitudes and practices Fam. Pract., February 1, 1999; 16(1): 60 - 65. [Abstract] [Full Text] [PDF]

				J. D. Allen, G. Sorensen, A. M. Stoddard, G. Colditz, and K. Peterson Intention to Have a Mammogram in the Future Among Women Who Have Underused Mammography in the Past Health Educ Behav, August 1, 1998; 25(4): 474 - 488. [Abstract]

				K. F. Strauss, A. Mokdad, C. Ballew, J. M. Mendlein, J. C. Will, H. I. Goldberg, L. White, and M. K. Serdula The Health of Navajo Women: Findings from the Navajo Health and Nutrition Survey, 1991-1992 J. Nutr., October 1, 1997; 127(10): 2128 - 2128. [Abstract] [Full Text]