Mammography use among women with and without diabetes: results from the Southern Community Cohort Study

J Epidemiol Glob Health. 2014 Sep;4(3):223-30. doi: 10.1016/j.jegh.2014.03.001. Epub 2014 Apr 19.

Abstract

Studies have shown an increased risk of breast cancer associated with diabetes which may be due to differences in mammography use among women who have diabetes compared with women who do not have diabetes. Baseline data was used from the Southern Community Cohort Study - a prospective cohort study conducted primarily among low-income persons in the southeastern United States - to examine the association between diabetes and mammography use. In-person interviews collected information on diabetes and mammography use from 14,665 white and 30,846 black women aged 40-79years between 2002 and 2009. After adjustment for potential confounding, white women with diabetes were no more likely (odds ratio [OR] 0.95, 95% confidence interval [CI] 0.85-1.06) to undergo mammography within the past 12months than white women without diabetes. Nor was there an association between diabetes and mammography use among black women (OR 1.00, 95% CI 0.93-1.07). An increase in mammography use was seen within one year following diabetes diagnosis, more so among white than black women, but this was offset by decreases thereafter. Although there was some evidence of an increase in mammography use within one year of diabetes diagnosis, these results suggest that mammography use is not related to diabetes.

Keywords: Cohort; Diabetes; Mammography use; Racial differences.

Publication types

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

MeSH terms

  • Adult
  • African Americans / statistics & numerical data*
  • Aged
  • Body Mass Index
  • Breast Neoplasms / diagnosis*
  • Breast Neoplasms / ethnology*
  • Diabetes Mellitus / diagnosis*
  • Diabetes Mellitus / ethnology*
  • Ethnic Groups / statistics & numerical data
  • European Continental Ancestry Group / statistics & numerical data*
  • Female
  • Humans
  • Mammography / statistics & numerical data*
  • Mass Screening
  • Middle Aged
  • Motor Activity
  • Poverty / statistics & numerical data
  • Prospective Studies
  • Risk Factors
  • Tennessee / epidemiology