ArticlePreventive medicine reports2025
Associations between social capital and screening mammography among older U.S. women.
Article in Preventive medicine reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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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.
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Who cites it
4 citing papers in PubMed.
- Article
- Preventive Health Behaviours Among Elderly in India: Does Social Capital Matter?International journal of behavioral medicine · 2026Article
- Behavioral economics, lifestyle, and health-related factors associated with participation in breast and cervical cancer screenings: A cross-sectional analysis of Japanese women.Preventive medicine reports · 2025Article
- Community-level social capital and participation in health checkups among older adults in Japan: a cross-sectional study.Frontiers in public health · 2025Article
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2 authors.
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Abstract
Objective: To investigate the association between county-level social capital and screening mammography rates among older women in the United States. Methods: This cross-sectional ecological study included 2765 U.S. counties, using 2018 county-level screening mammography rates among female Medicare enrollees aged 67-69 as the outcome. Social capital data were obtained from the 2018 Social Capital Project, including indices for Family Unity, Institutional Health, Collective Efficacy, and Community Health. Multivariable log-binomial regression analyses were conducted to estimate adjusted prevalence ratios (aPRs) and confidence intervals for "high" mammography rates (top 10 % nationally), controlling for county-level demographic and healthcare covariates. Stratified analyses examined associations among metropolitan and nonmetropolitan counties. Results: Mammography screening rates ranged from 17 % to 64 %, with a mean of 41 %. Strong positive associations were observed between social capital and mammography rates (Q4 vs. Q1: aPR = 2.29, 95 % CI: 1.20-4.36), particularly for the dimensions of Community Health (Q4 vs. Q1: aPR = 1.99, 95 % CI = 1.25-3.17) and Institutional Health (Q4 vs. Q1: aPR = 4.31, 95 % CI = 2.40-7.75). These associations were strongest among nonmetropolitan counties. No significant associations were found for Family Unity or Collective Efficacy. Conclusions: County-level social capital, specifically community and institutional health, is significantly associated with higher mammography screening rates, particularly in non-metropolitan areas. These findings suggest that enhancing public trust and community engagement may improve screening behaviors. Future research should explore the role of social capital at multiple levels and its influence on various cancer screening behaviors.
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