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Geographic Influences on Screening Mammography

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Geospatial Approaches to Energy Balance and Breast Cancer

Part of the book series: Energy Balance and Cancer ((EBAC,volume 15))

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Abstract

Screening mammography is generally recommended for women in their 50s and 60s and may also be appropriate for many women in their 40s and 70s. Federal regulation of mammography facilities in the 1990s, prompted by growing use and increased insurance coverage of screening, raised concerns about women’s access to mammography. Since that time, a number of investigators have studied the relationship between geographic access to mammography and the use and outcomes of screening. A review of this literature finds some association between geographic access and use of screening mammography. There is less evidence for an association between geographic access to mammography and breast cancer stage at diagnosis. Despite methodologic challenges to studying these relationships and interpreting findings, results of such studies can help identify areas where geographic access to mammography can be improved. Targeted efforts to enhance geographic access to mammography may increase screening uptake in women for whom it is recommended and reduce disparities in screening use and outcomes.

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  1. Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Elena B. Elkin

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  1. Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, USA

    David Berrigan

  2. Center for Science, Health and Society Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH, USA

    Nathan A. Berger

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Elkin, E.B. (2019). Geographic Influences on Screening Mammography. In: Berrigan, D., Berger, N. (eds) Geospatial Approaches to Energy Balance and Breast Cancer. Energy Balance and Cancer, vol 15. Springer, Cham. https://doi.org/10.1007/978-3-030-18408-7_12

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