Health insurance and household income associated with mammography utilization among Americ

Health insurance and household income associated with mammography utilization among American

women, 2000-2008

ZHAO Da-hai;ZHANG Zhi-ruo;RAO Ke-qin

【期刊名称】《中华医学杂志（英文版）》 【年(卷),期】2011(124)020

【摘要】Background National Breast and Cervical Cancer Early Detection

Program

(NBCCEDP)

has

provided

free

or

low-

costmammograms to low-income or no health insurance women in all of the states of the United States (US) since 1997.The objective of this study was to understand whether health insurance and annual household income impacted the mammography utilization since the implementation

of

NBCCEDP,in

order

to

evaluate

how

the

implementation of NBCCEDP impacted mammography utilization among American women.Methods Data were from the database of Behavioral Risk Factor Surveillance System (BRFSS) of the CDC in US.Mammography utilization was measured by whether the American woman aged 40 to 64 years had the mammography within the last two years.The chi square test and multivariate Logistic regression were used to evaluate the associations between mammography utilization and health insurance,annual household income,and other factors for any given year.Results From 2000 to 2008,the rate of mammography