PMID- 37293106
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240113
DP  - 2023 May 16
TI  - Estimating Uninsured and Underinsured Women Eligible for Minnesota's Breast 
      Cancer Screening Program.
LID - rs.3.rs-2886477 [pii]
LID - 10.21203/rs.3.rs-2886477/v1 [doi]
AB  - The mission of the National Breast and Cervical Cancer Early Detection Program's 
      (NBCCEDP) mission is to improve access to mammography and other health services 
      for underserved women. Since its inception in 1991, this national program has 
      improved breast cancer screening rates for women who are uninsured and 
      underinsured. However, the literature has shown that NBCCEDP screenings are 
      decreasing, and only reach a portion of eligible women. Reliable estimates at the 
      sub-county level are needed to identify and reach eligible women. Our work builds 
      upon previous estimates by integrating uninsured and insurance status into 
      spatially adaptive filters. We use spatially adaptive filters to create small 
      area estimates of standardized incidence ratios describing the utilization rate 
      of NBCCEDP services in Minnesota. We integrate the American Community Survey 
      (2010-2014) insurance status data to account for the percentage that an 
      individual is uninsured. We test five models that integrate insurance status by 
      age, sex, and race/ethnicity. Our composite model, which adjusts for age, sex, 
      and race/ethnicity insurance statuses, reduces 95% of the estimation error. We 
      estimate that there approximately 49,913.7 women eligible to receive services for 
      Minnesota. We also create small geography (i.e., county and sub-county) estimates 
      for Minnesota. The integration of the insurance data improved our utilization 
      estimate. The development of these methods will allow state programs to more 
      efficiently use their resources and understand their reach.
FAU - Haynes, David
AU  - Haynes D
AD  - University of Minnesota.
FAU - Hughes, Kelly D
AU  - Hughes KD
AD  - Minnesota Department of Health.
FAU - Borerro, Maria
AU  - Borerro M
AD  - University of Minnesota.
FAU - Haas, McKenna
AU  - Haas M
AD  - University of Minnesota.
FAU - Roach, Lauren
AU  - Roach L
AD  - University of Minnesota.
FAU - Blaes, Anne
AU  - Blaes A
AD  - University of Minnesota.
LA  - eng
GR  - R01 CA196873/CA/NCI NIH HHS/United States
PT  - Preprint
DEP - 20230516
PL  - United States
TA  - Res Sq
JT  - Research square
JID - 101768035
UIN - Cancer Causes Control. 2023 Sep 29;:. PMID: 37775609
PMC - PMC10246289
COIS- Disclosure of Potential Conflicts of Interest None of the authors have any 
      potential conflicts of interest. All authors participated equally in the writing 
      of the manuscript
EDAT- 2023/06/09 06:42
MHDA- 2023/06/09 06:43
PMCR- 2023/06/07
CRDT- 2023/06/09 04:30
PHST- 2023/06/09 06:43 [medline]
PHST- 2023/06/09 06:42 [pubmed]
PHST- 2023/06/09 04:30 [entrez]
PHST- 2023/06/07 00:00 [pmc-release]
AID - rs.3.rs-2886477 [pii]
AID - 10.21203/rs.3.rs-2886477/v1 [doi]
PST - epublish
SO  - Res Sq [Preprint]. 2023 May 16:rs.3.rs-2886477. doi: 10.21203/rs.3.rs-2886477/v1.