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Published on: August 30, 2013
Declining mammography screening in a state Medicaid Fee-for-Service program: 1999-2008
Abhijeet Bhanegaonkar1, S Suresh Madhavan, Rahul Khanna
1Department of Pharmaceutical Systems and Policy, School of Pharmacy, West Virginia University, Morgantown, West Virginia 26506, USA. contact.abhijeet@gmail.com
Journal of Women'S Health (2002)
|May 10, 2012
Summary
Mammography screening rates and persistence declined over 10 years in West Virginia Medicaid recipients. This study highlights underuse concerns and the need to address barriers in low-income rural populations.
Area of Science:
- Public Health
- Health Services Research
- Epidemiology
Background:
- Mammography screening is crucial for early breast cancer detection.
- Understanding screening patterns in vulnerable populations is essential for targeted interventions.
- West Virginia (WV) Medicaid Fee-for-Service (FFS) program data offers insights into screening behaviors.
Purpose of the Study:
- To evaluate and compare annual and biennial mammography screening rates.
- To determine mammography screening persistence over 10 years.
- To analyze screening variations by age, race, and geographic location (rural-urban) among WV Medicaid FFS enrollees.
Main Methods:
- Utilized WV Medicaid FFS administrative claims data (1999-2008).
- Included women aged 40-64 continuously enrolled in the program.
- Determined annual/biennial screening rates and persistence for calendar years.
Main Results:
- Observed a steady decline in annual and biennial mammography screening rates from 1999-2008.
- Screening persistence was lower over the 10-year study period.
- Screening rates and persistence varied significantly by demographic characteristics.
Conclusions:
- Mammography screening underuse persists despite Medicaid coverage.
- Identified a need to address barriers to screening in low-income rural populations.
- Results underscore the importance of targeted strategies to improve breast cancer screening adherence.
