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Screening mammography: a missed opportunity

T M Worner¹, V P Kodali

¹Long Island College Hospital, Brooklyn, New York 11201, USA.

Drug and Alcohol Dependence

|October 27, 1998

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Alcohol detoxification units offer a unique opportunity for breast cancer screening in underserved women. While initial screening compliance was high, follow-up diagnostic tests faced resistance, though few suspicious lesions were found.

Area of Science:

Oncology
Public Health
Radiology

Background:

Breast cancer affects 1 in 10 women by age 80.
Alcohol consumption has a complex association with breast cancer risk.
Minority women are disproportionately underserved regarding breast cancer screening.

Purpose of the Study:

To assess the feasibility and yield of offering screening mammography to women admitted for alcohol detoxification.
To identify potential barriers to follow-up diagnostic procedures after abnormal screening mammograms.

Main Methods:

Screening mammography was offered to women admitted for alcohol detoxification in an urban, high-minority population setting.
Exclusion criteria included prior breast cancer diagnosis and age over 80.
Abnormal mammograms led to referrals for further diagnostic evaluation.

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Main Results:

Of 88 women screened, 32 (36.4%) had abnormal mammograms.
No significant differences were found between women with normal and abnormal mammograms regarding age, alcohol consumption history, reproductive factors, or personal/family history of breast disease.
High compliance for initial screening was observed, but resistance was noted for further diagnostic studies.

Conclusions:

Alcohol detoxification units present a viable setting for opportunistic breast cancer screening.
While initial screening uptake is promising, patient engagement with subsequent diagnostic steps requires further attention.
The prevalence of detected abnormalities was not higher than anticipated, suggesting screening in this population is warranted.