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Mammography screening and differences in stage of disease by race/ethnicity

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  • Jacobellis, J.
  • Cutter, G.

Abstract

Objectives. We examined the effect of routine screening on breast cancer staging by race/ethnicity. Methods. We used a 1990 to 1998 mammography database (N = 5182) of metropolitan Denver, Colo, women to examine each racial/ethnic cohort's incident cancer cases (n = 1902) and tumor stage distribution given similar patterns of routine screening use. Results. Regardless of race/ethnicity, women participating in routine screenings had earlier-stage disease by 5 to 13 percentage points. After control for possible confounding factors, White women were more likely to have early-stage disease compared with Black and Hispanic women. Conclusions. Lack of screening coverage in certain racial/ethnic populations has often been cited as a reason for tumor stage differences at detection. In this study, correcting for screening did not completely reduce stage differentials among Black and Hispanic women.

Suggested Citation

  • Jacobellis, J. & Cutter, G., 2002. "Mammography screening and differences in stage of disease by race/ethnicity," American Journal of Public Health, American Public Health Association, vol. 92(7), pages 1144-1150.
    • Handle: RePEc:aph:ajpbhl:2002:92:7:1144-1150_2
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    Cited by:

    1. Barret Michalec & Marieke Van Willigen & Kenneth Wilson & Ann Schreier & Susan Williams, 2004. "The Race Gap in Support Group Participation by Breast Cancer Survivors," Evaluation Review, , vol. 28(2), pages 123-143, April.

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