Mammography prevalence in Mexico from 2001-2018: Results from the Mexican Health and Aging study

Sean P McClellan; Karla Unger-Saldaña; John M Neuhaus; Michael B Potter; Carmen García-Peña; Jacqueline M Torres

doi:10.1016/j.pmedr.2023.102150

Mammography prevalence in Mexico from 2001-2018: Results from the Mexican Health and Aging study

Prev Med Rep. 2023 Feb 14:32:102150. doi: 10.1016/j.pmedr.2023.102150. eCollection 2023 Apr.

Authors

Sean P McClellan¹, Karla Unger-Saldaña², John M Neuhaus³, Michael B Potter¹, Carmen García-Peña⁴, Jacqueline M Torres³

Affiliations

¹ Department of Family and Community Medicine, University of California San Francisco, San Francisco, CA, USA.
² National Cancer Institute, Mexico City, Mexico.
³ Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.
⁴ National Institute of Geriatrics, Mexico City, Mexico.

Abstract

After introducing guidelines for breast cancer screening in 2003, Mexico began to prioritize the implementation of mammography screening nationally. Since then, there have been no studies assessing changes in mammography in Mexico using the two-year prevalence interval that corresponds to national guidelines for screening frequency. The present study analyzes the Mexican Health and Aging Study (MHAS), a national population-based panel study of adults aged 50 and older, to evaluate changes in 2-year mammography prevalence among women aged 50 to 69 across five survey waves from 2001 to 2018 (n = 11,773). We calculated unadjusted and adjusted mammography prevalence by survey year and health insurance type. Overall prevalence increased substantially from 2003 to 2012 and leveled off in the period from 2012 to 2018 (2001: 20.2 % [95 % CI 18.3, 22.1]; 2003: 22.7 % [20.4, 25.0]; 2012: 56.5 % [53.2, 59.7]; 2015: 62.0 % [58.8, 65.2]; 2018: 59.4 % [56.7,62.1]; unadjusted prevalence). Prevalence was higher among respondents with social security insurance, who are more likely to work in the formal economy, than among respondents without social security, who are more likely to work in the informal economy or be unemployed. The overall prevalence estimates observed were higher than previously published estimates of mammography prevalence in Mexico. More research is needed to confirm findings regarding two-year mammography prevalence in Mexico and to better understand the causes of observed disparities.