ArticleJournal of the American College of Radiology : JACR2023
Impact of High Neighborhood Socioeconomic Deprivation on Access to Accredited Breast Imaging Screening and Diagnostic Facilities.
Article in Journal of the American College of Radiology : JACR, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Neighborhood obesogenic factors and breast cancer risk and mortality in the Southern community cohort study.Scientific reports · 2026Article
- Detection of Breast Lesions Utilizing iBreast Exam: A Pilot Study Comparison with Clinical Breast Exam.Cancers · 2026Article
- Sociodemographic Predictors of County-Level Mammography Screening Rates in the United States.Radiology. Imaging cancer · 2025Article
- Review
- An analysis of multilevel factor contributions to breast cancer screening inequities in an academic health system.Cancer · 2025Observational
- 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
- Social vulnerability is associated with advanced breast cancer presentation and all-cause mortality: a retrospective cohort study.Breast cancer research : BCR · 2024Article
- Social Determinants of Health Framework to Identify and Reduce Barriers to Imaging in Marginalized Communities.Radiology · 2024Review
- Health Equity Is Intersectional.Journal of the American College of Radiology : JACR · 2023Article
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Authors and funding
10 authors.
Funding
Abstract
purposeThe aim of this study was to evaluate the presence or absence of accredited breast imaging facilities in ZIP codes with high or low neighborhood socioeconomic deprivation.
methodsA retrospective ecological study design was used. Neighborhood socioeconomic disadvantage rankings at the ZIP code level were defined by the University of Wisconsin Neighborhood Atlas Area Deprivation Index. Outcomes included the presence or absence of FDA- or ACR-accredited mammographic facilities, accredited stereotactic biopsy or breast ultrasound facilities, and ACR Breast Imaging Centers of Excellence. US Department of Agriculture rural-urban commuting area codes were used to define urban and rural status. Access to breast imaging facilities in high-disadvantage (≥97th percentile) and low-disadvantage (≤3rd percentile) ZIP codes was compared using χ
resultsAmong 41,683 ZIP codes, 2,796 were classified as high disadvantage (1,160 rural, 1,636 urban) and 1,028 as low disadvantage (39 rural, 989 urban). High-disadvantage ZIP codes were more likely rural (P < .001) and less likely to have FDA-certified mammographic facilities (28% versus 35%, P < .001), ACR-accredited stereotactic biopsy (7% versus 15%, P < .001), breast ultrasound (9% versus 23%, P < .001), or Breast Imaging Centers of Excellence (7% versus 16%, P < .001). Among urban areas, high-disadvantage ZIP codes were less likely to have FDA-certified mammographic facilities (30% versus 36%, P = .002), ACR-accredited stereotactic biopsy (10% versus 16%, P < .001), breast ultrasound (13% versus 23%, P < .001), and Breast Imaging Centers of Excellence (10% versus 16%, P < .001).
conclusionsPeople living in ZIP codes with high socioeconomic disadvantage are less likely to have accredited breast imaging facilities within their ZIP codes, which may contribute to disparities in access to breast cancer care experienced by underserved groups living in these areas.
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