Open AccessComparative Access to and Use of Digital Breast Tomosynthesis Screening by Women’s Race/Ethnicity and Socioeconomic Status
Author(s) -
Christoph I. Lee,
Weiwei Zhu,
Tracy Onega,
Louise M. Henderson,
Karla Kerlikowske,
Brian L. Sprague,
Garth H. Rauscher,
Ellen S. O’Meara,
An.A. Tosteson,
Jennifer S. Haas,
Roberta M. diFlorioAlexander,
Celia P. Kaplan,
Diana L. Miglioretti
Publication year - 2021
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2020.37546
Subject(s) - medicine , ethnic group , socioeconomic status , demography , breast cancer screening , mammography , breast cancer , gerontology , cancer , population , environmental health , anthropology , sociology
Key Points Question Do access to and use of digital breast tomosynthesis (DBT) screening differ based on women’s sociodemographic characteristics? Findings In this cross-sectional study involving 2 313 118 screening examinations performed at 92 Breast Cancer Surveillance Consortium facilities from 2011 to 2017, women of minority race/ethnicity, lower educational attainment, and lower income were less likely to attend a facility offering screening DBT and to obtain DBT rather than digital mammography when both modalities were available at the time of imaging. Meaning These findings suggest that women of minority race/ethnicity and lower socioeconomic status experience lower DBT screening access and/or use, especially during the early technology adoption period, suggesting potential widening in persistent breast cancer screening disparities.
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