Full Citation
Title: Preprints (www.preprints.org) | NOT PEER-REVIEWED | Posted
Citation Type: Journal Article
Publication Year: 2020
ISBN:
ISSN:
DOI: 10.20944/preprints202010.0463.v1
NSFID:
PMCID:
PMID:
Abstract: The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) of Minnesota, "Sage", provides breast cancer screening to uninsured women. We introduce a novel mapping technique, spatially adaptive filters (SAFs), to estimate utilization of Sage screening in Minnesota. Sage screenings (N = 74,712) were geocoded. The eligible population was modeled with the RTI synthetic population dataset. Between 2011 and 2015, 36,979 women a year were Sage eligible. Utilization was highly variable across Minnesota (M = 37.2%, range 0%-131%, SD = 18.7%). This replicable approach modeled utilization rates to the neighborhood-level, allowing Sage to prioritize locations and engage communities. INTRODUCTION Cancer is the second leading cause of mortality among women in the United States, and 30% of new cancer diagnoses in 2020 among women will be breast cancers. 1,2 Breast cancer mortality can be reduced via early detection through screening, yet disparities in breast cancer screening persist. Nationally, low-income women (< $15,000/year) ages 50 to 64 are less likely to be screened than women with higher income (>$50,000/year), 71.9% compared to 83.0%. 3 Women without health insurance are screened at a lower rate (54.7%) than women with insurance (80.5%). 3 Racial disparities in screening also exist, as Asian and American Indian women are screened at lower rates than other groups; women of color and American Indians face disproportionate barriers to screening, such as having lower rates of access to health care. 4,5 Recognizing that access to early breast cancer detection is a health priority among low-income and uninsured women, the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) was established in 1991 to provide screening services for such populations.
Url: www.preprints.org
User Submitted?: No
Authors: Hughes, Kelly D; Haynes, David; Joseph, Anne M
Periodical (Full):
Issue:
Volume:
Pages:
Countries: