Was the drop in mammography rates in 2005 associated with the drop in hormone therapy use?

Nancy Breen, Kathleen A. Cronin, Jasmin A. Tiro, Helen I. Meissner, Timothy S. McNeel, Susan A. Sabatino, Florence K. Tangka, Stephen H. Taplin

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

BACKGROUND: 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. METHODS: 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). RESULTS: 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. CONCLUSIONS: 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.

Original languageEnglish (US)
Pages (from-to)5450-5460
Number of pages11
JournalCancer
Volume117
Issue number24
DOIs
StatePublished - Dec 15 2011

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Mammography
Hormones
Health Insurance
Health Surveys
Therapeutics
Medicare Part B
Interviews
Physicians
Education
Medicare
Logistic Models
Breast Neoplasms

Keywords

  • breast cancer
  • hormone therapy
  • mammography
  • National Health Interview Surveys
  • primary care
  • women's health

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

Breen, N., Cronin, K. A., Tiro, J. A., Meissner, H. I., McNeel, T. S., Sabatino, S. A., ... Taplin, S. H. (2011). Was the drop in mammography rates in 2005 associated with the drop in hormone therapy use? Cancer, 117(24), 5450-5460. https://doi.org/10.1002/cncr.26218

Was the drop in mammography rates in 2005 associated with the drop in hormone therapy use? / Breen, Nancy; Cronin, Kathleen A.; Tiro, Jasmin A.; Meissner, Helen I.; McNeel, Timothy S.; Sabatino, Susan A.; Tangka, Florence K.; Taplin, Stephen H.

In: Cancer, Vol. 117, No. 24, 15.12.2011, p. 5450-5460.

Research output: Contribution to journalArticle

Breen, N, Cronin, KA, Tiro, JA, Meissner, HI, McNeel, TS, Sabatino, SA, Tangka, FK & Taplin, SH 2011, 'Was the drop in mammography rates in 2005 associated with the drop in hormone therapy use?', Cancer, vol. 117, no. 24, pp. 5450-5460. https://doi.org/10.1002/cncr.26218
Breen N, Cronin KA, Tiro JA, Meissner HI, McNeel TS, Sabatino SA et al. Was the drop in mammography rates in 2005 associated with the drop in hormone therapy use? Cancer. 2011 Dec 15;117(24):5450-5460. https://doi.org/10.1002/cncr.26218
Breen, Nancy ; Cronin, Kathleen A. ; Tiro, Jasmin A. ; Meissner, Helen I. ; McNeel, Timothy S. ; Sabatino, Susan A. ; Tangka, Florence K. ; Taplin, Stephen H. / Was the drop in mammography rates in 2005 associated with the drop in hormone therapy use?. In: Cancer. 2011 ; Vol. 117, No. 24. pp. 5450-5460.
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abstract = "BACKGROUND: 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. METHODS: 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). RESULTS: 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. CONCLUSIONS: 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.",
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