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Mammography screening: How important is cost as a barrier to use?

Author

Listed:
  • Urban, N.
  • Anderson, G.L.
  • Peacock, S.

Abstract

Objectives. Recent legislation will improve insurance coverage for screening mammography and effectively lower its cost to many women. Although cost has been cited as a barrier to use, evidence of the magnitude of its effect on use is limited. Methods. Mammography use in the past 2 years among women aged 50 to 75 residing in four suburban or rural counties in Washington State was estimated from 1989 survey data. Logistic regression analysis was used to estimate the odds ratio of mammography use as a function of economic and other variables. Within a residential area, averages were used to measure the market price of mammography and the time cost to obtain a mammogram. Results. Use was lower among women who faced a higher net price or who preferred to obtain a mammogram during weekend or evening hours and higher among women with higher incomes. Visiting no doctor regularly and smoking were predictors of failure to use mammography. Conclusion. The effects of economic variables on mammography use are important and stable across subsets of the population, but they are modest in size.

Suggested Citation

  • Urban, N. & Anderson, G.L. & Peacock, S., 1994. "Mammography screening: How important is cost as a barrier to use?," American Journal of Public Health, American Public Health Association, vol. 84(1), pages 50-55.
  • Handle: RePEc:aph:ajpbhl:1994:84:1:50-55_3
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    Cited by:

    1. David JT Campbell & Paul E Ronksley & Braden J Manns & Marcello Tonelli & Claudia Sanmartin & Robert G Weaver & Deirdre Hennessy & Kathryn King-Shier & Tavis Campbell & Brenda R Hemmelgarn & for the I, 2014. "The Association of Income with Health Behavior Change and Disease Monitoring among Patients with Chronic Disease," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-8, April.
    2. Laurence C. Baker & Martin L. Brown, 1997. "The Effect of Managed Care on Health Care Providers," NBER Working Papers 5987, National Bureau of Economic Research, Inc.
    3. Hale Koç & Owen O’Donnell & Tom Van Ourti, 2018. "What Explains Education Disparities in Screening Mammography in the United States? A Comparison with The Netherlands," IJERPH, MDPI, vol. 15(9), pages 1-13, September.
    4. Lairson, David R. & Chan, Wenyaw & Newmark, Georgina R., 2005. "Determinants of the demand for breast cancer screening among women veterans in the United States," Social Science & Medicine, Elsevier, vol. 61(7), pages 1608-1617, October.
    5. Ciro Avitabile & Tullio Jappelli & Mario Padula, 2008. "Screening Tests, Information, and the Health-Education Gradient," CSEF Working Papers 187, Centre for Studies in Economics and Finance (CSEF), University of Naples, Italy, revised 28 Apr 2008.

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