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Related Experiment Videos

Repeat mammography: prevalence estimates and considerations for assessment.

Melissa A Clark1, William Rakowski, Laura B Bonacore

  • 1Center for Gerontology & Health Care Research, Brown University, Providence, RI 02912, USA. Melissa_Clark@brown.edu

Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine
|December 4, 2003
PubMed
Summary

Regular mammography screening adherence remains a public health priority. A review of studies found that only 46.1% of women aged 50+ obtained repeat mammograms on schedule, highlighting a need for consistent screening definitions.

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Area of Science:

  • Public Health
  • Preventive Medicine
  • Health Services Research

Background:

  • Despite ongoing discussions about mammography's effectiveness, promoting regular screenings is crucial for public health.
  • Assessing adherence to repeat mammography is vital for understanding screening behavior and informing interventions.

Purpose of the Study:

  • To review published literature on repeat mammography screening rates among women aged 50 and older in the U.S.
  • To identify trends and variations in mammography adherence over time and by study characteristics.

Main Methods:

  • A systematic search of MEDLINE and PsycINFO databases was conducted for empirical articles published between January 1990 and December 2001.
  • Included studies (N=37) reported or allowed calculation of the percentage of women aged 50+ obtaining two or more consecutive, on-schedule mammograms.

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  • Keywords focused on mammography combined with terms like regular, repeat, adherence, and compliance.

    • Main Results:

    • The weighted average repeat mammography percentage across included studies was 46.1% (95% CI: 39.4%, 52.8%).
    • No significant difference in average repeat screening rates was observed between studies from 1995-2001 and 1991-1994.
    • Substantial variation in repeat rates existed within different data collection periods (pre-1991, 1991-1994, 1995-2001), linked to study design and sampling methods.

    Conclusions:

    • Consensus on the definition and measurement of repeat mammography is needed for accurate population-level estimates.
    • National surveys should incorporate specific questions to assess repeat mammography adherence.
    • Challenges in measuring screening behavior prevalence, as seen with mammography, may apply to other screening practices.