PMID- 37775609
OWN - NLM
STAT- MEDLINE
DCOM- 20240115
LR  - 20240115
IS  - 1573-7225 (Electronic)
IS  - 0957-5243 (Linking)
VI  - 35
IP  - 2
DP  - 2024 Feb
TI  - Estimating uninsured and underinsured women eligible for Minnesota's Breast 
      Cancer Screening Program.
PG  - 359-366
LID - 10.1007/s10552-023-01792-x [doi]
AB  - Since its inception in 1991, the mission of the National Breast and Cervical 
      Cancer Early Detection Program's (NBCCEDP) mission is to improve access to 
      mammography. This program has demonstrated evidence showing that it 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.
CI  - (c) 2023. The Author(s), under exclusive licence to Springer Nature Switzerland AG.
FAU - Haynes, David
AU  - Haynes D
AD  - Institute for Health Informatics, Suite 8-100, 516 Delaware Street SE, 
      Minneapolis, MN, 55455, USA. dahaynes@umn.edu.
FAU - Hughes, Kelly D
AU  - Hughes KD
AD  - Minnesota Department of Health, Sage Program, 85 7th Place E, St. Paul, MN, 
      55101, USA.
FAU - Borrero, Maria
AU  - Borrero M
AD  - School of Medicine, University of Minnesota, Minneapolis, MN, 55445, USA.
FAU - Haas, McKenna
AU  - Haas M
AD  - School of Public Health, University of Minnesota, Minneapolis, MN, 55445, USA.
FAU - Roach, Lauren
AU  - Roach L
AD  - School of Public Health, University of Minnesota, Minneapolis, MN, 55445, USA.
FAU - Blaes, Anne
AU  - Blaes A
AD  - School of Medicine, University of Minnesota, Minneapolis, MN, 55445, USA.
LA  - eng
GR  - UL1TR002494/NH/NIH HHS/United States
GR  - UL1TR002494/NH/NIH HHS/United States
PT  - Journal Article
DEP - 20230929
PL  - Netherlands
TA  - Cancer Causes Control
JT  - Cancer causes & control : CCC
JID - 9100846
SB  - IM
UOF - Res Sq. 2023 May 16;:. PMID: 37293106
MH  - Female
MH  - Humans
MH  - United States
MH  - *Breast Neoplasms/diagnosis/epidemiology
MH  - Medically Uninsured
MH  - Early Detection of Cancer
MH  - Minnesota/epidemiology
MH  - Poverty
MH  - Mammography
MH  - *Uterine Cervical Neoplasms/diagnosis/epidemiology
MH  - Mass Screening
OTO - NOTNLM
OT  - Health geography
OT  - Mammography services
OT  - Prevention
OT  - Small area estimates
EDAT- 2023/09/30 09:42
MHDA- 2024/01/15 12:42
CRDT- 2023/09/29 23:20
PHST- 2023/05/02 00:00 [received]
PHST- 2023/09/06 00:00 [accepted]
PHST- 2024/01/15 12:42 [medline]
PHST- 2023/09/30 09:42 [pubmed]
PHST- 2023/09/29 23:20 [entrez]
AID - 10.1007/s10552-023-01792-x [pii]
AID - 10.1007/s10552-023-01792-x [doi]
PST - ppublish
SO  - Cancer Causes Control. 2024 Feb;35(2):359-366. doi: 10.1007/s10552-023-01792-x. 
      Epub 2023 Sep 29.