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

Authors :
Holt K
Franks P
Meldrum S
Fiscella K
Source :
Medical Care; Jun2006, Vol. 44 Issue 6, p513-518, 6p
Publication Year :
2006

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. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
00257079
Volume :
44
Issue :
6
Database :
Supplemental Index
Journal :
Medical Care
Publication Type :
Academic Journal
Accession number :
106118251
Full Text :
https://doi.org/10.1097/01.mlr.0000215884.81143.da