Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Screening mammography in the American elderly.

Christopher R Kagay1, Christopher Quale, Rebecca Smith-Bindman

  • 1Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA. ckagay@partners.org

American Journal of Preventive Medicine
|July 11, 2006
PubMed
Summary

Elderly women, particularly non-white groups, have lower screening mammography rates than previously estimated. Despite overall increases, significant disparities persist, with Native American and Asian American women showing the largest gaps compared to white women.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Trends in Pediatric Imaging From 1997 to 2024 in an Integrated Health Care Setting.

Hospital pediatrics·2026
Same author

Advanced Prompting Techniques Informed by Clinical Expertise Improve the Accuracy of LLM Data Extraction but Increase Non-Determinism.

Journal of imaging informatics in medicine·2026
Same author

Medical Imaging and Hematologic Cancer Risk among Children and Teens. Reply.

The New England journal of medicine·2026
Same author

Radiation Dose Associated With CT in the Watch the Spot Trial: A Pragmatic Trial of Less Versus More Intensive Strategies for Active Follow-Up of Patients With Small Pulmonary Nodules.

Journal of the American College of Radiology : JACR·2025
Same author

Less Versus More Intensive Surveillance of Pulmonary Nodules Detected Incidentally or by Screening: A Survey of Radiologist Beliefs About Guidelines Implemented in the Watch the Spot Trial.

Journal of the American College of Radiology : JACR·2025
Same author

Crowd-sourcing optimized abdomen CT protocols from 908,000 examinations in a large radiation dose registry.

European radiology·2025

Area of Science:

  • Gerontology
  • Public Health
  • Health Disparities

Background:

  • Estimates of screening mammography use in elderly women vary significantly.
  • The impact of race and ethnicity on mammography screening uptake is not well-defined.

Purpose of the Study:

  • To determine the actual biennial screening mammography rates in elderly women (65 years and older) from 1991 to 2001.
  • To analyze the influence of race and ethnicity on mammography screening disparities.

Main Methods:

  • Utilized Medicare data from a 5% representative sample of elderly women across 11 Surveillance, Epidemiology, and End Results (SEER) areas (1991-2001).
  • Calculated biennial screening mammography rates, adjusted for age and race distribution.
  • Employed multivariate repeated-measures logistic regression to identify predictors of screening usage.

Related Experiment Videos

Main Results:

  • The proportion of women aged 65+ undergoing biennial screening mammography increased from 35.8% to 47.9% between 1991 and 2001.
  • Screening mammography rates increased across all racial and ethnic groups, but remained highest for non-Hispanic white women.
  • In 2000-2001, biennial screening rates were: 50.6% (non-Hispanic white), 40.5% (African-American), 34.7% (Asian-American), 36.3% (Hispanic), and 12.5% (Native-American).
  • After controlling for covariates, African Americans (OR=0.80), Asian Americans (OR=0.53), Hispanics (OR=0.70), and Native Americans (OR=0.37) were significantly less likely to be screened than non-Hispanic white women.

Conclusions:

  • Actual screening mammography rates in elderly women are lower than self-reported survey data suggest.
  • Significant disparities in mammography screening exist, with all non-white racial and ethnic groups screening less than white women.
  • While the gap is smaller for African-American women, it has widened over time; disparities for Asian-American and Hispanic women are substantial, though Medicare data sensitivity for these groups is questioned.