ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
Area-level Socioeconomic Inequalities in the Use of Mammography Screening: A Multilevel Analysis of the Health of Houston Survey.
Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Mobile Mammography Participation Among Medically Underserved Women: A Systematic Review.Preventing chronic disease · 2018Pooled it
- Effects of different reminder strategies on first-time mammography screening among women in Taiwan.BMC health services research · 2020Trial
- Neighborhood Socioeconomic Status and Diverse Health-related Outcomes among American Indian and Alaska Native Peoples during the COVID-19 Pandemic.Journal of racial and ethnic health disparities · 2026Article
- Implementing mobile mammography in primary care: a community-based Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) evaluation.Translational behavioral medicine · 2026Article
- Patient, Examination, and System Factors Associated with Completed Follow-up for Probably Benign (BI-RADS 3) Breast Findings in a Large, Complex Health Care System.Academic radiology · 2025Article
- Perceived everyday discrimination, socioeconomic status, and mammography behavior.Scientific reports · 2024Article
- Disparity in cognitive factors related to cancer screening uptake based on the theory of planned behavior.BMC cancer · 2024Article
- Contextual and individual inequalities in breast cancer screening participation and outcomes in Turin (North-West Italy).NPJ breast cancer · 2024Article
- Effect of neighborhood and individual-level socioeconomic factors on breast cancer screening adherence in a multi-ethnic study.BMC public health · 2024Article
- Social determinants of health and health inequities in breast cancer screening: a scoping review.Frontiers in public health · 2024Article
- Breaking barriers: improving mammography screening accessibility and quality of care for breast cancer women with disabilities in Saudi Arabia.Frontiers in oncology · 2024Article
- Comorbidities and neighborhood factors associated with prescription of sodium-glucose cotransporter protein-2 inhibitors and glucagon-like peptide-1 receptor agonists among medically underserved populations.Journal of managed care & specialty pharmacy · 2023Article
- Inequality in mammography uptake: results from recruitment phase of first cohort study among Iranian Kurdish population.Global health research and policy · 2022Article
- Screening Mammogram Adherence in Medically Underserved Women: Does Language Preference Matter?Journal of cancer education : the official journal of the American Association for Cancer Education · 2022Article
- Impact of the COVID-19 pandemic on breast cancer screening volumes and patient screening behaviors.Breast cancer research and treatment · 2021Article
- Are There Disparities in Surgical Treatment for Breast Cancer Patients with Prior Physical Disability A Path Analysis.Breast care (Basel, Switzerland) · 2020Article
- Psychological and neighborhood factors associated with urban women's preventive care use.Journal of behavioral medicine · 2020Article
- Social Determinants and Disparities in Active Aging Among Older Taiwanese.International journal of environmental research and public health · 2019Article
- Trends in Mortality Due to Cancer in the United States by Age and County-Level Income, 1999-2015.Journal of the National Cancer Institute · 2019Article
- Long-Term Impact of a Culturally Tailored Patient Navigation Program on Disparities in Breast Cancer Screening in Refugee Women After the Program's End.Health equity · 2019Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundAn emerging literature reports that women who reside in socioeconomically deprived communities are less likely to adhere to mammography screening. This study explored associations between area-level socioeconomic measures and mammography screening among a racially and ethnically diverse sample of women in Texas.
methodsWe conducted a cross-sectional, multilevel study linking individual-level data from the 2010 Health of Houston Survey and contextual data from the U.S. Census. Women ages 40 to 74 years (n = 1,541) were included in the analyses. We examined tract-level poverty, unemployment, education, Hispanic and Black composition, female-headed householder families, and crowding as contextual measures. Using multilevel logistic regression modeling, we compared most disadvantaged tracts (quartiles 2-4) to the most advantaged tract (quartile 1).
resultsOverall, 64% of the sample was adherent to mammography screening. Screening rates were lower (p < .05) among Hispanics, those foreign born, women aged 40 to 49 years, and those with low educational attainment, unemployed, and without health insurance coverage. Women living in areas with high levels of poverty (quartile 2 vs. 1: odds ratio [OR], 0.50; 95% CI, 0.30-0.85), Hispanic composition (quartile 3 vs. 1: OR, 0.54; 95% CI, 0.32-0.90), and crowding (quartile 4 vs. 1: OR, 0.53; 95% CI, 0.29-0.96) were less likely to have up-to-date mammography screening, net of individual-level factors.
conclusionOur findings highlight the importance of examining area-level socioeconomic inequalities in mammography screening. The study represents an advance on previous research because we examined multiple area measures, controlled for key individual-level covariates, used data aggregated at the tract level, and accounted for the nested structure of the data.
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