PMID- 22340778
OWN - NLM
STAT- MEDLINE
DCOM- 20131223
LR  - 20211021
IS  - 2159-0354 (Electronic)
IS  - 2159-0354 (Linking)
VI  - 1
IP  - 4
DP  - 2011 Nov 4
TI  - Disparities in routine breast cancer screening for Medicaid managed care members 
      with a work-limiting disability.
LID - 10.5600/mmrr.001.04.a02 [doi]
LID - 001.04.a02
AB  - OBJECTIVE: Examine disparities in routine mammography for women who qualify for 
      Medicaid, because of a work-limiting disability. METHODS: Individual-level data 
      were obtained for women enrolled in Massachusetts Medicaid Managed Care plans who 
      met the 2007 Healthcare Effectiveness Data and Information Set (HEDIS) criteria 
      for the breast cancer screening measure (n=35,171). Disability status was 
      determined from Medicaid eligibility records. Mammography screening was modeled 
      using multivariate logistic regression. Separate models for women with and 
      without a disability were also estimated. RESULTS: Although unadjusted breast 
      cancer screening rates were roughly equal for women with and without disability, 
      after adjusting for confounders disability status had a significant negative 
      association with screening mammography (OR=0.74; p<0.0001). Living farther from a 
      mammography facility or having a diagnosis of domestic violence reduced the odds 
      of screening for women with disabilities, but not for other women. Having a 
      higher illness burden was more detrimental to screening for women with a 
      disability than for those without. Both groups benefited similarly from the first 
      26 ambulatory care visits, but the impact of additional visits on screening was 
      much larger among women with disabilities. CONCLUSION: Nationwide, rates of 
      routine mammography for Medicaid managed care plans averaged below 50% in 2006. 
      Given that a majority of eligible women served by Medicaid have disabilities, and 
      studies have shown that women with disabilities are more likely to be diagnosed 
      with late stage disease, a focus on improving rates of screening for women with 
      disabilities is overdue.
CI  - Public Domain.
FAU - Weir, Sharada
AU  - Weir S
AD  - Center for Health Policy and Research, University of Massachusetts Medical 
      School, Shrewsbury, MA 01545, USA. Sharada.weir@umassmed.edu
FAU - Posner, Heather E
AU  - Posner HE
FAU - Zhang, Jianying
AU  - Zhang J
FAU - Jones, Whitney C
AU  - Jones WC
FAU - Willis, Georgianna
AU  - Willis G
FAU - Baxter, Jeffrey D
AU  - Baxter JD
FAU - Clark, Robin E
AU  - Clark RE
LA  - eng
PT  - Journal Article
DEP - 20111104
PL  - United States
TA  - Medicare Medicaid Res Rev
JT  - Medicare & medicaid research review
JID - 101548901
MH  - Adult
MH  - Aged
MH  - Breast Neoplasms/*diagnosis
MH  - Disabled Persons/*statistics & numerical data
MH  - Female
MH  - Healthcare Disparities/*statistics & numerical data
MH  - Humans
MH  - Mammography/*statistics & numerical data
MH  - Managed Care Programs/*statistics & numerical data
MH  - Massachusetts/epidemiology
MH  - Medicaid/*statistics & numerical data
MH  - Middle Aged
MH  - United States/epidemiology
PMC - PMC4010450
EDAT- 2012/02/22 06:00
MHDA- 2013/12/24 06:00
PMCR- 2011/11/06
CRDT- 2012/02/21 06:00
PHST- 2012/02/21 06:00 [entrez]
PHST- 2012/02/22 06:00 [pubmed]
PHST- 2013/12/24 06:00 [medline]
PHST- 2011/11/06 00:00 [pmc-release]
AID - mmrr2011-001-04-a02 [pii]
AID - 10.5600/mmrr.001.04.a02 [doi]
PST - epublish
SO  - Medicare Medicaid Res Rev. 2011 Nov 4;1(4):001.04.a02. doi: 
      10.5600/mmrr.001.04.a02.