PMID- 36013477
OWN - NLM
STAT- MEDLINE
DCOM- 20220829
LR  - 20220830
IS  - 1648-9144 (Electronic)
IS  - 1010-660X (Print)
IS  - 1010-660X (Linking)
VI  - 58
IP  - 8
DP  - 2022 Jul 28
TI  - Sociodemographic Determinants in Breast Cancer Screening among Uninsured Women of 
      West Texas.
LID - 10.3390/medicina58081010 [doi]
LID - 1010
AB  - Background and Objectives: Early detection through appropriate screening is key 
      to curing breast cancer. The Access to Breast Care for West Texas (ABC4WT) 
      program offers no-cost mammography to underserved women in West Texas. The U.S. 
      Preventative Task Force (USPSTF) guidelines are breast cancer screening 
      guidelines which suggest screening for all women at the age of 50 years. The 
      focus of this study was to identify sociodemographic barriers and determinants 
      for breast cancer screenings, as well as screening outcomes, in low income, 
      uninsured, or under-insured communities in West Texas. Materials and Methods: The 
      ABC4WT program's patient database was queried from 1 November, 2018, to 1 June, 
      2021, for sociodemographic variables, screening history, and results to identify 
      high-risk groups for outreach. The American College of Radiology's risk 
      assessment and quality assurance tool, BI-RADS (Breast Imaging-Reporting and Data 
      System), a widely accepted lexicon and reporting schema for breast imaging, was 
      used for risk differentiation. Results: The cancer rate for ABC4WT's program was 
      significantly higher than the national mean (5.1), at 23.04 per 1000 mammograms. 
      Of the 1519 mammograms performed, women between 40 and 49 years old represented 
      the highest percentages of BI-RADS 4 and 5 (42.0% and 28.0%, respectively; p = 
      0.049). This age group also received 43.7% of biopsies performed and comprised 
      28.6% (n = 10) of cancers diagnosed (n = 35) (p = 0.031). Additionally, 
      participants with a monthly household income of less than USD 800/month/person 
      were more likely to result in a cancer diagnosis (70.6%) than higher incomes 
      (29.4%) (p = 0.021). Conclusions: These determinants most starkly impacted women 
      40-49 years old who would not have been screened by U.S. Preventative Services 
      Task Force (USPSTF) guidelines. This population with increased cancer risk should 
      be encouraged to undergo screening for breast cancer via mammography.
FAU - Jensen, Brooke
AU  - Jensen B
AD  - School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX 
      79430, USA.
FAU - Khan, Hafiz
AU  - Khan H
AD  - Julia Jones Matthews Department of Public Health, Texas Tech University Health 
      Sciences Centre, Lubbock, TX 79430, USA.
FAU - Layeequr Rahman, Rakhshanda
AU  - Layeequr Rahman R
AD  - Department of Surgery, School of Medicine, Texas Tech University Health Sciences 
      Center, Lubbock, TX 79430, USA.
AD  - Southwest Cancer Center, University Medical Center Lubbock, Lubbock, TX 79430, 
      USA.
LA  - eng
PT  - Journal Article
DEP - 20220728
PL  - Switzerland
TA  - Medicina (Kaunas)
JT  - Medicina (Kaunas, Lithuania)
JID - 9425208
SB  - IM
MH  - Adult
MH  - *Breast Neoplasms/diagnosis/epidemiology/pathology
MH  - Early Detection of Cancer/methods
MH  - Female
MH  - Humans
MH  - Mammography/methods
MH  - Mass Screening/methods
MH  - Medically Uninsured
MH  - Middle Aged
MH  - Texas/epidemiology
PMC - PMC9416323
OTO - NOTNLM
OT  - BI-RADS
OT  - breast cancer
OT  - mammogram
OT  - medically underserved
COIS- The authors declare no conflict of interest.
EDAT- 2022/08/27 06:00
MHDA- 2022/08/30 06:00
PMCR- 2022/07/28
CRDT- 2022/08/26 01:30
PHST- 2022/05/24 00:00 [received]
PHST- 2022/07/23 00:00 [revised]
PHST- 2022/07/25 00:00 [accepted]
PHST- 2022/08/26 01:30 [entrez]
PHST- 2022/08/27 06:00 [pubmed]
PHST- 2022/08/30 06:00 [medline]
PHST- 2022/07/28 00:00 [pmc-release]
AID - medicina58081010 [pii]
AID - medicina-58-01010 [pii]
AID - 10.3390/medicina58081010 [doi]
PST - epublish
SO  - Medicina (Kaunas). 2022 Jul 28;58(8):1010. doi: 10.3390/medicina58081010.