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Preventive Care: How Mammography Utilization Changes as Women Age
Cindy Yuan1, Kirti Kulkarni1, Brittany Z Dashevsky2
1Department of Radiology, University of Chicago, Chicago, Illinois.
Journal of the American College of Radiology : JACR
|October 20, 2019
Summary
Mammography use varies with health conditions; hypertension and hyperlipidemia increase use, while prior heart attack decreases it. Screening peaks around age 60, highlighting opportunities for targeted preventive care.
Area of Science:
- Medical research
- Public health
- Epidemiology
Background:
- Mammography screening is crucial for early breast cancer detection.
- Understanding factors influencing mammography use is vital for improving screening rates.
- Comorbidities and age are significant demographic factors affecting healthcare utilization.
Purpose of the Study:
- To investigate the association between comorbid conditions and age with mammography utilization.
- To identify demographic patterns in mammography use among women over 40.
- To inform strategies for enhancing preventive care adherence.
Main Methods:
- Analysis of 2011-2015 Medical Expenditure Panel Survey data from over 40,000 women aged 40+.
- Mammography use defined as screening within the prior 1 or 2 years.
- Logistic regression models used to assess associations between comorbidities, age, and screening use.
Main Results:
- Hypertension and hyperlipidemia were linked to increased mammography use (2.5 pp and 6.8 pp, respectively).
- Prior heart attack was associated with decreased annual use (-8.2 pp).
- Mammography use peaked around age 60.
Conclusions:
- Mammography use is influenced by comorbid conditions, potentially reflecting general healthcare-seeking behaviors.
- Screening patterns show an increase until approximately age 60.
- Targeted interventions based on age and health status can improve mammography adherence and preventive care.
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