Impact of Geographic Barriers on the Utilization of Mammograms by Older Rural Women

Engelman, Kimberly K.; Hawley, Daniel; Gazaway, Rona; Mosier, Michael; Ahluwalia, Jasjit S.; Ellerbeck, Edward F.

doi:10.1046/j.1532-5415.2002.50009.x

Cited by 92 publications

(85 citation statements)

References 29 publications

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“…This is not consistent with prior literature that shows rural populations have lower opportunity and participation rates 5, 22, 23, 24, 25, 26. This unexpected finding could be influenced by the extensive community‐based participatory research capacity that the states only academic medical center (University of Arkansas for Medical Sciences) had invested in to better engage rural and minority participants.…”

Section: Discussioncontrasting

confidence: 88%

Health Research Participation, Opportunity, and Willingness Among Minority and Rural Communities of Arkansas

McElfish

Long

Selig

et al. 2018

Clinical Translational Sci

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Prior research suggests that rural and minority communities participate in research at lower rates. While rural and minority populations are often cited as being underrepresented in research, population‐based studies on health research participation have not been conducted. This study used questions added to the 2015 Behavioral Risk Factor Surveillance System to understand factors associated with i) health research participation, ii) opportunities to participate in health research, and iii) willingness to participate in health research from a representative sample (n = 5,256) of adults in Arkansas. Among all respondents, 45.5% would be willing to participate in health research if provided the opportunity and 22.1% were undecided. Only 32.4% stated that they would not be willing to participate in health research. There was no significant difference in participation rates for rural or racial/ethnic minority communities. Furthermore, racial/ethnic minority respondents (Black or Hispanic) were more likely to express their willingness to participate.

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Section: Discussioncontrasting

confidence: 88%

Health Research Participation, Opportunity, and Willingness Among Minority and Rural Communities of Arkansas

McElfish

Long

Selig

et al. 2018

Clinical Translational Sci

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“…Two studies, including one in a major metropolitan area, have found that people who lived farther away from facilities were less likely to undergo mammography than those who lived closer to facilities. 29,30 Another found no association between distance or travel time and compliance with screening mammography recommendations in rural Michigan. 31 Most studies of the association between distance and health care utilization have examined this relationship among residents of rural areas or large regions such as states that include areas of varying rurality.…”

Section: Introductionmentioning

confidence: 98%

Spatial Equity in Facilities Providing Low- or No-Fee Screening Mammography in Chicago Neighborhoods

Zenk

Tarlov²,

Sun³

2006

J Urban Health

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Recent research suggests living in an economically disadvantaged neighborhood is associated with decreased likelihood of undergoing mammography and increased risk of late-stage breast cancer diagnosis. Long distances and travel times to facilities offering low-or no-fee mammography may be important barriers to adherence to mammography screening recommendations for women living in economically disadvantaged urban neighborhoods, in which African-Americans are disproportionately represented. The purpose of this study was to examine whether the spatial distribution of facilities providing low-or no-fee screening mammography in Chicago, Illinois, is equitable on the basis of neighborhood socioeconomic and racial characteristics. We found that distance and travel times via automobile and public transportation to facilities generally decrease as neighborhood poverty increases. However, we also found that the strength of the association between neighborhood poverty level and two of the spatial accessibility measures-distance and public transportation travel time-is less strong in African-American neighborhoods. Among neighborhoods with the greatest need for facilities (i.e., neighborhoods with the highest proportions of residents in poverty), African-American neighborhoods have longer travel distances and public transportation travel times than neighborhoods with proportionately fewer African-American residents. Thus, it appears that the spatial accessibility of low-and no-fee mammography services is inequitable in Chicago. In view of persistent social disparities in health such as breast cancer outcomes, these findings suggest it is important for researchers to examine the spatial distribution of health resources by both the socioeconomic and racial characteristics of urban neighborhoods.

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“…However, later local studies have found no rural and urban differences in mammography screening. For example, geographic differences were not a barrier in getting mammograms in studies conducted in the Upper Peninsula of Michigan [22] or among older women in Kansas [23].…”

Section: Introductionmentioning

confidence: 99%

Impact of geography on mammography use in California

Jackson

Davis

Waldron

et al. 2009

Cancer Causes Control

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Impact of Geographic Barriers on the Utilization of Mammograms by Older Rural Women

Abstract: The majority of Kansans live near a mammography facility. Although there is a large variation in county-level mammography rates across Kansas, this disparity is not well explained by proximity to mammography facilities.

Cited by 92 publications

References 29 publications

Health Research Participation, Opportunity, and Willingness Among Minority and Rural Communities of Arkansas

Health Research Participation, Opportunity, and Willingness Among Minority and Rural Communities of Arkansas

Spatial Equity in Facilities Providing Low- or No-Fee Screening Mammography in Chicago Neighborhoods

Impact of geography on mammography use in California

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