Evidence map›Paper›PMID 37170251›Full record

ArticleBMC women's health2023

Rural-urban disparities in preventive breast and cervical cancer screening among women with early-onset dementia.

Wendy Y Xu, Eli Raver, Jeah Jung, Yiting Li, Gaby Thai, Sunmin Lee

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC women's health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Wendy Y XuDivision of Health Services Management and Policy, College of Public Health, The Ohio State University, 1841 Neil Ave., 200-D Cunz Hall, Columbus, OH, 43210, USA. xu.1636@osu.edu.
Eli RaverDivision of Health Services Management and Policy, College of Public Health, The Ohio State University, 1841 Neil Ave., 200-D Cunz Hall, Columbus, OH, 43210, USA.
Jeah JungDepartment of Health Administration and Policy, College of Public Health, George Mason University, Fairfax, USA.
Yiting LiDivision of Health Services Management and Policy, College of Public Health, The Ohio State University, 1841 Neil Ave., 200-D Cunz Hall, Columbus, OH, 43210, USA.
Gaby ThaiDepartment of Neurology, School of Medicine, University of California, Irvine, USA.
Sunmin LeeDepartment of Medicine, School of Medicine & Chao Family Comprehensive Cancer Center, University of California, Irvine, USA.

Funding

Culturally Adapted Multilevel Decision Support Navigation Trial to Reduce Colorectal Cancer Disparity among At-Risk Asian American Primary Care PatientsR01MD012778 · NIMHD · UNIV OF MARYLAND, COLLEGE PARK · PI LEE, SUNMIN · 2017 to 2022
$4.0M
NIMHD NIH HHS R01 MD012778
6 · The paper itself

Abstract

backgroundThe early onset of Alzheimer's disease and related dementias (ADRD) before age 65 can introduce life and health care complications. Preserving an early-onset ADRD patient's daily functioning longer and delaying declines in health from non-ADRD conditions become important preventive goals. This study examined the differences in utilization of preventive cancer screenings between patients with and without early-onset ADRD, and compared utilization of the screenings in rural versus urban areas among women with early-onset ADRD in the United States.

methodsWe conducted a cross-sectional study of women aged 40 to 64 years eligible for mammogram and cervical cancer screenings using commercial insurance claims from 2012 to 2018. We measured the use of biennial mammogram among women 50 to 64 years old, and the use of triennial Pap smear test among women 40 to 64 years old. We used inverse probability weighted logistic regressions to estimate the odds of receiving preventive cancer screenings by the presence of early-onset ADRD or cognitive impairments (CI). We used multivariable logistic regressions to estimate the odds of receiving preventive cancer screenings by rural or urban residence among women with early-onset ADRD/CI.

resultsAmong 6,349,308 women in the breast cancer screening sample (mean [SD] age, 56.52 [4.03] years), 36,131 had early-onset ADRD/CI (mean [SD] age, 57.99 [3.98] years). Among 6,583,088 women in the cervical cancer screening sample (mean [SD] age, 52.37 [6.81] years), 30,919 had early-onset ADRD/CI (mean [SD] age, 55.79 [6.22] years). Having early-onset ADRD/CI was associated with lower utilization of mammogram (OR: 0.92, 95% CI: 0.90-0.95). No significant difference was observed in Pap smear screening (OR: 0.99, 95% CI: 0.96-1.02) between patients with and without early-onset ADRD/CI. Among patients with early-onset ADRD/CI, those in rural areas were less likely than those in urban areas to have mammograms (OR: 0.91, 95% CI: 0.85-0.97) and Pap smears (OR: 0.65, 95% CI: 0.61-0.71).

conclusionsThe observed pattern of rural-urban differences in cancer screening in our study emphasizes the need for efforts to promote evidence-based, individualized decision-making processes in the early-onset ADRD population.

Indexed as

Breast NeoplasmsDementiaUterine Cervical NeoplasmsAdultCross-Sectional StudiesEarly Detection of CancerFemaleHumansMass ScreeningMiddle AgedUnited StatesVaginal SmearsAlzheimer’s disease and related dementiasBreast cancerCervical cancerPreventive cancer screening

Identifiers

PMID37170251
PMCPMC10176945

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LicenceCC BY
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Registered trials

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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.