ArticleJournal of urban health : bulletin of the New York Academy of Medicine2008
Racial and geographic differences in mammography screening in St. Louis City: a multilevel study.
Article in Journal of urban health : bulletin of the New York Academy of Medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed.
- Medical barriers to mammography screening of African American women in a high cancer mortality area: implications for cancer educators and health providers.Journal of cancer education : the official journal of the American Association for Cancer Education · 2011Trial
- Subsequent breast cancer risk after benign breast biopsy in racially diverse women: Siteman Cancer Center.Journal of the National Cancer Institute · 2026Article
- Predictive factors of breast cancer mammography screening among Iranian women.Journal of preventive medicine and hygiene · 2023Article
- A Health Inequity: Associations Between Cigarette Smoking Status and Mammogram Screening Among Women of Color.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023Article
- Differences in Breast Cancer Screening Practices by Diabetes Status and Race/Ethnicity in the United States.Journal of women's health (2002) · 2022Article
- Strategies to Achieve Breast Health Equity in the St. Louis Region and Beyond over 15+ Years.Cancers · 2022Review
- Observational
- A Community-Based Partnership to Successfully Implement and Maintain a Breast Health Navigation Program.Journal of community health · 2015Article
- Improving breast cancer services for African-American women living in St. Louis.Breast cancer research and treatment · 2015Article
- Perceived barriers to mammography among underserved women in a Breast Health Center Outreach Program.American journal of surgery · 2014Article
- Understanding narrative effects: the role of discrete negative emotions on message processing and attitudes among low-income African American women.Health communication · 2014Article
- Reducing racial and ethnic disparities in colorectal cancer screening is likely to require more than access to care.Health affairs (Project Hope) · 2012Article
- Understanding narrative effects: the impact of breast cancer survivor stories on message processing, attitudes, and beliefs among African American women.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2011Article
- Utilization of screening mammography among middle-aged and older women.Journal of women's health (2002) · 2011Article
- Prevalence and correlates of recent and repeat mammography among California women ages 55-79.Cancer epidemiology · 2010Article
- Geographic variation and effect of area-level poverty rate on colorectal cancer screening.BMC public health · 2008Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
To examine racial differences in mammography use and its determinants in the City of St. Louis, MO, USA, we recruited women age 40 or older using random-digit dialing to (1) examine the difference in mammography use between white women and African American women and (2) identify individual- and census-tract-level risk factors of nonadherence to mammography. During telephone interviews, we inquired about mammography use and several demographic, psychosocial, and health behavior variables. We determined the residential census tracts of study subjects using a geographic information system. The rate of mammography use was 68.0% among white women and 74.7% among African American women (P = 0.022). African American women were more likely to have mammograms than white woman (adjusted odds ratio [OR] = 1.71; 95% confidence interval [CI] = 1.09-2.69). System-level barriers to mammography and heavy smoking were associated with lower mammography use among both white and African American women. Personal-experience barriers to mammography and no physician recommendation also were independently associated with mammography use among white women. White women residing within a historic geographic cluster area of late-stage breast cancer were less likely to have mammograms (adjusted OR = 0.42, 95% CI = 0.22-0.80), while African American women residing within a historic geographic cluster area of late-stage breast cancer were equally likely to have mammograms (adjusted OR = 0.79, 95% CI = 0.28-2.24). Neither individual- nor census-tract-level socioeconomic status was associated with mammography screening. These findings suggest that there may be a greater need for increasing mammography use among white women, especially in the historic cluster area of late-stage breast cancer in St. Louis.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.