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Access to Breast Cancer Screening: Disparities and Determinants-AJR Expert Panel Narrative Review
Soudabeh Fazeli1, Anand Narayan2, Victoria L Mango3
1Department of Radiology, Division of Breast Imaging, UC San Diego Health, 9400 Campus Point Dr, La Jolla, CA 92037.
AJR. American Journal of Roentgenology
|November 27, 2024
Summary
Breast cancer screening disparities persist for underserved groups, including racial minorities and disabled individuals. Addressing these inequities requires policy changes and inclusive practices for equitable mammography access.
Area of Science:
- Radiology
- Public Health
- Health Equity
Background:
- Breast cancer screening saves lives but equitable access remains a challenge.
- Medically underserved populations face significant barriers to mammography services.
- Existing disparities affect American Indian/Alaska Native, Black, Hispanic, disabled, and LGBTQ+ individuals.
Purpose of the Study:
- Analyze persistent inequities in breast cancer screening access.
- Examine disparities based on race, ethnicity, socioeconomic status, disability, insurance, and geography.
- Review legislative efforts and emerging technologies for mitigating screening gaps.
Main Methods:
- Leveraged the National Institute on Minority Health and Health Disparities Research Framework.
- Conducted a narrative review of existing literature and policy.
- Focused on identifying barriers and potential solutions for underserved groups.
Main Results:
- Screening guidelines vary, complicating access for vulnerable populations.
- Legislative measures like density notification laws are insufficient.
- Traditional risk models and AI integration require careful evaluation to avoid exacerbating inequities.
Conclusions:
- Policy and practice changes are crucial to address the needs of disabled and marginalized individuals.
- Inclusive and effective screening systems are essential for mitigating breast cancer screening disparities.
- Recommendations are provided for future research, policy, and clinical practice to promote equitable care.
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