A prospective assessment of racial/ethnic differences in future mammography behavior among women who had early mammography

Cancer Epidemiol Biomarkers Prev. 2011 Apr;20(4):600-8. doi: 10.1158/1055-9965.EPI-10-1070. Epub 2011 Jan 17.


Background: Twenty-nine percent of women, aged 30 to 39, report having had a mammogram, though sensitivity and specificity are low. We investigate racial/ethnic differences in future mammography behavior among women who had a baseline screening mammogram prior to age 40.

Methods: Using 1994-2008 data from the Breast Cancer Surveillance Consortium (BCSC), we identified 29,390 women aged 35 to 39 with a baseline screening mammogram. We followed this cohort for 2 outcomes: (i) future BCSC mammography between ages 40 and 45; and (2) among those, delay in screening mammography until ages 43 to 45 compared with ages 40 to 42. Using adjusted log-linear models, we estimated the relative risk (RR) of these outcomes by race/ethnicity, while also considering the impact of false-positive/true-negative (FP/TN) baseline mammography results on these outcomes.

Results: Relative to non-Hispanic white women, Hispanic women had an increased risk of no future BCSC mammography (RR: 1.21, 95% CI: 1.13-1.30); Asian women had a decreased risk (RR: 0.67, 95% CI: 0.61-0.74). Women with a FP result, compared with a TN result, had a decreased risk of no future BCSC mammography (RR: 0.89, 95% CI: 0.85-0.95). Among those with future BCSC screening mammography, African American women were more likely to delay the timing (RR: 1.26, 95% CI: 1.09-1.45). The interaction between race/ethnicity and FP/TN baseline results was not significant.

Conclusions: Race/ethnicity is differentially associated with future BCSC mammography and the timing of screening mammography after age 40.

Impact: These findings introduce the need for research that examines disparities in lifetime mammography use patterns from the initiation of mammography screening.

Publication types

  • Multicenter Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Age Factors
  • Breast Neoplasms / diagnostic imaging*
  • Breast Neoplasms / ethnology*
  • Breast Neoplasms / psychology
  • Cohort Studies
  • Ethnicity
  • Female
  • Humans
  • Mammography / psychology
  • Mammography / statistics & numerical data*
  • Middle Aged
  • Prospective Studies