ArticleMedical care2010
Geographic access and the use of screening mammography.
Article in Medical care, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
52 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Residential environment and breast cancer incidence and mortality: a systematic review and meta-analysis.BMC cancer · 2015Pooled it
- Geographic Access to Mammography and Its Relationship to Breast Cancer Screening and Stage at Diagnosis: A Systematic Review.Women's health issues : official publication of the Jacobs Institute of Women's HealthPooled it
- Using an inferior decoy alternative to nudge COVID-19 vaccination.Scientific reports · 2025Trial
- Factors affecting compliance with pancreas surveillance in patients with familial/genetic risk.Familial cancer · 2026Article
- Beyond the physician shortage: infrastructure as a rate-limiting step in breast cancer care.Frontiers in oncology · 2026Article
- Modeling the impact of social determinants on breast cancer screening: a data-driven approach.Frontiers in medicine · 2025Article
- Mammography and Breast Ultrasonography Services in Ghana, Availability, and Geographic Access.JCO global oncology · 2024Article
- Dissemination and implementation science frameworks and strategies to increase breast cancer screening for at-risk women in the United States: A scoping review.Journal of public health research · 2024Article
- Disparate access to breast cancer screening and treatment.BMC women's health · 2022Article
- Differences in Breast Cancer Screening Practices by Diabetes Status and Race/Ethnicity in the United States.Journal of women's health (2002) · 2022Article
- Disparities in Breast-Conserving Therapy for Non-Hispanic American Indian/Alaska Native Women Compared with Non-Hispanic White Women.Annals of surgical oncology · 2022Article
- Breast Cancer Disparities and the Impact of Geography.Surgical oncology clinics of North America · 2022Review
- Impact of the COVID-19 pandemic on breast cancer screening volumes and patient screening behaviors.Breast cancer research and treatment · 2021Article
- Factors associated with mammography use: A side-by-side comparison of results from two national surveys.Cancer medicine · 2020Article
- Do mobile units contribute to spatial accessibility to mammography for uninsured women?Preventive medicine · 2020Article
- Closing the Gap: Disparities in Breast Cancer Mortality among African American Women.Radiology. Imaging cancer · 2020Article
- Disadvantaged neighborhoods and racial disparity in breast cancer outcomes: the biological link.Cancer causes & control : CCC · 2019Review
- Article
- Effects of program scale-up on time to resolution for patients with abnormal screening mammography results.Cancer causes & control : CCC · 2018Article
- Underutilization of Supplemental Magnetic Resonance Imaging Screening Among Patients at High Breast Cancer Risk.Journal of women's health (2002) · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundScreening mammography rates vary geographically and have recently declined. Inadequate mammography resources in some areas may impair access to this technology. We assessed the relationship between availability of mammography machines and the use of screening.
methodsThe location and number of all mammography machines in the United States were identified from US Food and Drug Administration records of certified facilities. Inadequate capacity was defined as <1.2 mammography machines per 10,000 women age 40 or older, the threshold required to meet the Healthy People 2010 target screening rate. The impact of capacity on utilization was evaluated in 2 cohorts: female respondents age 40 or older to the 2006 Behavioral Risk Factor Surveillance System survey (BRFSS) and a 5% nationwide sample of female Medicare beneficiaries age 65 or older in 2004-2005.
resultsAbout 9% of women in the BRFSS cohort and 13% of women in the Medicare cohort lived in counties with <1.2 mammography machines per 10,000 women age 40 or older. In both cohorts, residence in a county with inadequate mammography capacity was associated with lower odds of a recent mammogram (adjusted odds ratio in BRFSS: 0.89, 95% CI: 0.80-0.98, P < 0.05; adjusted odds ratio in Medicare: 0.86, 95% CI: 0.85-0.87, P < 0.05), controlling for demographic and health care characteristics.
conclusionIn counties with few or no mammography machines, limited availability of imaging resources may be a barrier to screening. Efforts to increase the number of machines in low-capacity areas may improve mammography rates and reduce geographic disparities in breast cancer screening.
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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.