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

Kathleen Holt, Peter Franks, Sean Meldrum, Kevin Fiscella

Research output: Contribution to journalArticlepeer-review

41 Scopus citations

Abstract

Background: National self-report surveys show minimal racial disparity in mammography, whereas analyses of administrative data show large disparity. Methods: Using the 1998ĝ€"2002 Medicare Current Beneficiary Surveys, which contain participantsĝ€™ 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.

Original languageEnglish (US)
Pages (from-to)513-518
Number of pages6
JournalMedical Care
Volume44
Issue number6
DOIs
StatePublished - Jun 2006

Keywords

  • Disparities
  • Mammography
  • Self-report

ASJC Scopus subject areas

  • Nursing(all)
  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)

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