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Characteristics of US counties with no mammography capacity
#MMPMID22477670
Peipins LA
; Miller J
; Richards TB
; Bobo JK
; Liu T
; White MC
; Joseph D
; Tangka F
; Ekwueme DU
J Community Health
2012[Dec]; 37
(6
): 1239-48
PMID22477670
show ga
Access to screening mammography may be limited by the availability of facilities
and machines, and nationwide mammography capacity has been declining. We assessed
nationwide capacity at state and county levels from 2003 to 2009, the most recent
year for which complete data were available. Using mammography facility
certification and inspection data from the Food and Drug Administration, we
geocoded all mammography facilities in the United States and determined the total
number of fully accredited mammography machines in each US County. We categorized
mammography capacity as counties with zero capacity (i.e., 0 machines) or
counties with capacity (i.e.,?1 machines), and then compared those two categories
by sociodemographic, health care, and geographic characteristics. We found that
mammography capacity was not distributed equally across counties within states
and that more than 27 % of counties had zero capacity. Although the number of
mammography facilities and machines decreased slightly from 2003 to 2009, the
percentage of counties with zero capacity changed little. In adjusted analyses,
having zero mammography capacity was most strongly associated with low population
density (OR = 11.0; 95 % CI 7.7-15.9), low primary care physician density (OR =
8.9; 95 % CI 6.8-11.7), and a low percentage of insured residents (OR = 3.3; 95 %
CI 2.5-4.3) when compared with counties having at least one mammography machine.
Mammography capacity has been and remains a concern for a portion of the US
population--a population that is mostly but not entirely rural.
|Breast Neoplasms/diagnosis
[MESH]
|Early Detection of Cancer
[MESH]
|Female
[MESH]
|Health Resources/*supply & distribution
[MESH]
|Health Services Accessibility/*statistics & numerical data
[MESH]
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