A recent study reveals significant disparities in breast cancer screening rates among women aged 40-49 in the United States, highlighting concerns about early detection efforts in minority and socioeconomically disadvantaged populations. The research, published in JAMA Network Open, analyzed data from the National Health Interview Survey in 2019 and 2021, encompassing 20.1 million women.
The findings show that only 59.2% of women in this age group underwent biennial mammography screening as recommended. Alarmingly, 15.2% were overdue for screening, and 25.6% had never received a mammogram. The study uncovered notable disparities among various demographic groups, with lower screening rates observed in racial and ethnic minorities, sexual minorities, and socioeconomically disadvantaged populations.
Key factors associated with inadequate screening included lack of a usual place for care, being non-Hispanic Asian, lower family income, and uninsured status. The absence of a regular healthcare provider was particularly impactful, significantly increasing the likelihood of both overdue and no mammography screening.
The researchers emphasize the critical need for equitable adherence to U.S. Preventive Services Task Force recommendations to optimize early breast cancer detection. They stress the importance of addressing delays and ensuring guideline-concordant treatment to reduce racial disparities in breast cancer mortality.
This study underscores the urgent need for targeted interventions and policies to enhance healthcare access, coverage, and affordability for underserved populations. By addressing these disparities, the medical community can work towards improving breast cancer outcomes and reducing mortality rates across all demographic groups.
See “Are We Meeting Breast Cancer Screening Goals for Women Aged 40-49 Years?” (December 24, 2024)
