Mammography self-report and mammography claims: racial, ethnic, and socioeconomic discrepancies among elderly women

Med Care. 2006 Jun;44(6):513-8. doi: 10.1097/01.mlr.0000215884.81143.da.

Abstract

Background: National self-report surveys show minimal racial disparity in mammography, whereas analyses of administrative data show large disparity.

Methods: Using the 1998-2002 Medicare Current Beneficiary Surveys, which contain participants' self-report and claims data, we developed multivariable adjusted models examining factors associated with self-reported mammography and self-reported mammography verified by billing records.

Results: No racial/ethnic disparities were found in self-reported mammography. Verified mammography, however, revealed significant disparities for race, education, income, insurance, and health status.

Conclusions: Race, education, income, insurance, and health status are associated with a lower likelihood of self-reported mammography verified by the existence of claims data. These data caution against exclusive reliance on self-report survey data to assess disparity in mammography.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Continental Population Groups*
  • Data Collection / methods*
  • Ethnic Groups*
  • Female
  • Health Status
  • Humans
  • Insurance Coverage
  • Insurance, Health
  • Mammography / statistics & numerical data*
  • Multivariate Analysis
  • Socioeconomic Factors