ArticleBMC women's health2022
Disparate access to breast cancer screening and treatment.
Article in BMC women's health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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The trial behind it
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Who cites it
34 citing papers in PubMed, 41 citations in OpenAlex.
- "It's Not Just Cost": Barriers to Mammography Screening Access Among Low-income Women in the United States-A Scoping Review.Journal of cancer prevention · 2026Review
- Risk Factors Associated with Delayed Breast Cancer Diagnoses: What Are We Missing?Journal of general internal medicine · 2026Article
- Article
- Comparison of High-Risk Breast Cancer Screenings with Concurrent Versus Staggered Breast MRI and Mammogram Schedules.Journal of clinical medicine · 2026Article
- Exploring barriers to women's participation in breast and cervical cancer screening programs: insights from national health surveys in Türkiye.BMC health services research · 2026Article
- Rurality and Income on Breast Cancer Outcomes: An Analysis of the SEER Database.Annals of surgical oncology · 2026Article
- Associations of Social and Physical Isolation With Material Deprivation and Inadequate Use of Preventive Care in the United States.Annals of family medicine · 2026Article
- Effect of Breast Cancer Awareness Training on Screening Beliefs and Behaviour Among Women Living in Rural Areas of Türkiye: A Quasi-Experimental Study.Healthcare (Basel, Switzerland) · 2026Article
- Community-informed development of an in-person forum to promote breast cancer screening and research preparedness in rural and low-socioeconomic status women.Journal of clinical and translational science · 2026Article
- Further assessment of structural and social determinant of health effects on breast cancer care timelines: a qualitative study.Frontiers in oncology · 2026Article
- Adherence to Breast Cancer Screening Guidelines Among Age-Eligible US Women: Findings From NHIS 2021.Cancer medicine · 2025Article
- Associations between Insurance Status, Financial Hardship, and Rurality on Receipt of Guideline-Concordant Mammography.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025Article
- Causes of diagnostic and treatment delays in locally advanced breast cancer: a nationwide multicenter survey and electronic health records analysis in Turkiye.European journal of public health · 2025Article
- Child caregiving and cancer screening: a nationally representative analysis.Cancer causes & control : CCC · 2025Article
- Breast cancer screening uptake and its associated factors among women in Ghana: evidence from the 2022 Demographic and Health Survey.Archives of public health = Archives belges de sante publique · 2025Article
- Determinants of breast screening participation using small-area data in South Australia: gaining past and future insights from geospatial evidence.Cancer causes & control : CCC · 2025Article
- Impact of Unmet Social Needs on Access to Breast Cancer Screening and Treatment: An Analysis of Barriers Faced by Patients in a Breast Cancer Navigation Program.Annals of surgical oncology · 2025Article
- Knowledge, attitude, and practice among non-breast cancer women towards breast cancer screening with a focus on economic factors.Scientific reports · 2025Article
- Extending catchment area approaches to a community cancer center: a breast cancer hotspot case study.JNCI cancer spectrum · 2025Article
- Barriers and facilitators of the implementation of mammography screening in the Brazilian public health system: scoping review.BMC public health · 2025Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBarriers to breast cancer screening remain despite Medicaid expansion for preventive screening tests and implementation of patient navigation programs under the Affordable Care Act. Women from underserved communities experience disproportionately low rates of screening mammography. This study compares barriers to breast cancer screening among women at an inner-city safety-net center (City) and those at a suburban county medical center (County). Inner city and suburban county medical centers' initiatives were studied to compare outcomes of breast cancer screening and factors that influence access to care.
methodsWomen 40 years of age or older delinquent in breast cancer screening were offered patient navigation services between October 2014 and September 2019. Four different screening time-to-event intervals were investigated: time from patient navigation acceptance to screening mammography, to diagnostic mammography, to biopsy, and overall screening completion time. Barriers to complete breast cancer screening between the two centers were compared.
resultsWomen from lowest income quartiles took significantly longer to complete breast cancer screening when compared to women from higher income quartiles when a barrier was present, regardless of barrier type and center. Transportation was a major barrier to screening mammography completion, while fear was the major barrier to abnormal screening work up.
conclusionDisparity in breast cancer screening and management persists despite implementation of a patient navigation program. In the presence of a barrier, women from the lowest income quartiles have prolonged breast cancer screening completion time regardless of center or barrier type. Women who experience fear have longest screening time completion. Future directions aim to increase resource allocation to ameliorate wait times in overburdened safety-net hospitals as well as advanced training for patient navigators to alleviate women's fears.
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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.