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Brief Report: Mammogram Rates Among Women With and Without HIV in a Large Integrated Health Care System.

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Mammogram screening rates are similar for women with HIV (WWH) and women without HIV (WWoH), exceeding national averages. Smoking and lower healthcare engagement were linked to reduced mammograms in WWH.

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Area of Science:

  • Oncology
  • Infectious Diseases
  • Public Health

Background:

  • Previous research indicates women with HIV (WWH) have similar or lower breast cancer risk than women without HIV (WWoH).
  • Mammogram screening is crucial for breast cancer detection, but prior studies on screening rates in WWH versus WWoH have yielded inconsistent findings.

Purpose of the Study:

  • To compare mammogram prevalence between WWH and demographically matched WWoH.
  • To identify factors associated with mammogram receipt among WWH and WWoH.

Main Methods:

  • A cross-sectional study was conducted at Kaiser Permanente Northern California (KPNC).
  • Data from 345 WWH and 6,573 WWoH (aged 50-74) were analyzed, comparing mammogram prevalence over 27 months using Poisson regression.
  • Factors associated with mammogram use were evaluated in both groups.

Main Results:

  • Mammogram prevalence was high in both groups: 86% for WWH and 87% for WWoH (adjusted PR: 0.95, CI: 0.91-0.99).
  • Among WWH, reduced mammogram use was associated with smoking, fewer outpatient visits, and lack of HIV RNA measurement in the past year.

Conclusions:

  • Mammogram prevalence in WWH and WWoH at KPNC surpasses national averages.
  • Lower patient engagement with healthcare systems and smoking are key factors associated with lower mammogram rates among WWH.