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Article first published online: 22 AUG 2011
Copyright © 2011 American Cancer Society
Volume 117, Issue 24, pages 5450–5460, 15 December 2011
How to Cite
Breen, N., Cronin, K. A., Tiro, J. A., Meissner, H. I., McNeel, T. S., Sabatino, S. A., Tangka, F. K. and Taplin, S. H. (2011), Was the drop in mammography rates in 2005 associated with the drop in hormone therapy use?. Cancer, 117: 5450–5460. doi: 10.1002/cncr.26218
We acknowledge Penny Randall-Levy, SCG Corp, for expert help in reference management and for formatting the article and Cathy Abramson, NOVA Research, for assistance developing the graphic.
The findings and conclusions in this report are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
- Issue published online: 2 DEC 2011
- Article first published online: 22 AUG 2011
- Manuscript Accepted: 1 APR 2011
- Manuscript Revised: 29 MAR 2011
- Manuscript Received: 31 JAN 2011
- hormone therapy;
- breast cancer;
- National Health Interview Surveys;
- women's health;
- primary care
In 2005, mammography rates in the United States dropped nationally for the first time among age-eligible women. An increased risk of breast cancer related to hormone therapy (HT) use reported in 2002 led to a dramatic drop in its use by 2005. Because current users of HT also tend to have higher mammography rates, the authors examined whether concurrent drops in HT and mammography use were associated.
Multivariate logistic regression was used to test for an interaction between HT use and survey year, controlling for a range of measurable factors in data from the 2000 and 2005 National Health Interview Surveys (NHIS).
Women ages 50 to 64 years were more likely to report a recent mammogram if they also reported more education, a usual source of care, private health insurance, any race except non-Hispanic Asian, talking with an obstetrician/gynecologist or other physician in the past 12 months, or were currently taking HT. Women aged ≥65 years were more likely to report a recent mammogram if they also reported younger age (ages 65-74 years), more education, a usual source of care, having Medicare Part B or other supplemental Medicare insurance, excellent health, any race except non-Hispanic Asian, talking with an obstetrician/gynecologist or other physician in the past 12 months, or were currently taking HT.
The change in HT use was associated with the drop in mammography use for women ages 50 to 64 years but not for women aged ≥65 years. NHIS data explained 70% to 80% of the change in mammography use. Cancer 2011;. © 2011 American Cancer Society.