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Project ScanVan: Mobile mammography services to decrease socioeconomic barriers and racial disparities among

Ava Tsapatsaris1, Melissa Reichman2

  • 1Eastchester High School, Student, 2 Stewart Pl, Eastchester, New York, 10709, USA.

Clinical Imaging
|March 26, 2021
PubMed
Summary

Mobile mammography services effectively removed barriers to breast cancer screening for uninsured minority women in NYC. The ScanVan provided vital access to screening and follow-up care, improving health outcomes.

Keywords:
Access to careBarriers to breast cancer screeningBreast cancerMobile breast cancer screeningRacial disparities

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Area of Science:

  • Oncology
  • Public Health
  • Radiology

Background:

  • Barriers to breast cancer screening persist for uninsured minority women, including lack of insurance, limited access to care, and absence of a primary care physician.
  • Minority women in New York City (NYC) face significant challenges in accessing timely breast cancer screening services.

Purpose of the Study:

  • To evaluate the effectiveness of free mobile mammography screening services in overcoming barriers for uninsured minority women in NYC.
  • To assess the impact of the ScanVan program on breast cancer screening accessibility and management.

Main Methods:

  • Retrospective cohort study utilizing de-identified data from Project Renewal's ScanVan in 2019.
  • Analysis of electronic medical records for insurance status, race, age, and BI-RADS category.
  • Calculation of cancer detection rate, recall rate, and positive predictive values (PPV1, PPV2, PPV3).

Main Results:

  • In 2019, 66% of ScanVan users were Hispanic and African American women; 43% were uninsured.
  • A cancer detection rate of 4.5/1000 screened was observed, with a recall rate of 7%.
  • Positive predictive values were PPV1: 6.5%, PPV2: 29.8%, and PPV3: 34%.

Conclusions:

  • Mobile mammography screening vans can successfully overcome barriers to breast cancer screening for underserved populations.
  • The ScanVan program provided essential screening and follow-up care, demonstrating a viable solution for uninsured minority women.
  • Addressing socioeconomic and access-related barriers is crucial for improving breast cancer screening rates and outcomes.