Clarke Tainya C, Endeshaw Meheret, Duran Denise, Saraiya Mona
Natl Health Stat Report. 2019 Oct(129):1-15.
Objective-The U.S. Preventive Services Task Force (USPSTF) recommends biennial mammography screening for women aged 50-74 to reduce mortality from breast cancer. In the United States, foreign-born women have historically had higher breast cancer mortality rates than their U.S.-born peers. This report presents national estimates of mammography screening among women by nativity, birthplace, and percentage of lifetime living in the United States. Methods-Combined data were analyzed from 29,951 women aged 50-74 years who participated in the 2005, 2008, 2010, 2013, and 2015 National Health Interview Survey. The percentage of these women who ever had a mammogram and met the USPSTF recommendations for screening by nativity, birthplace, and percentage of lifetime in the United States was generated. Estimates were adjusted for selected demographic, socioeconomic, and health care access and utilization factors and presented as predictive margins. Results-Overall, foreign-born women were less likely than U.S.-born women to have ever had a mammogram (88.3% compared with 94.1%). Foreign-born women living in the United States for less than 25% of their lifetime were less likely to have ever had a mammogram (76.4%) or meet the USPSTF recommendations (55.0%) compared with U.S.-born women. Foreign-born women living in the United States for 25% or more of their lifetime were also less likely to have ever had a mammogram (90.9%) compared with U.S.-born women. After adjustment for selected sociodemographic characteristics, the percentage of foreign-born women who ever received a mammogram increased but was still lower than that of U.S.-born women. Foreign-born women residing in the United States for less than 25% of their lifetime were as likely as U.S.-born women to have met the USPSTF recommendations (72.1% and 72.4%, respectively), while those residing in the United States for 25% or more of their lifetime (75.1%) were more likely to do so than U.S.-born women. Differences by birthplace were also observed.
目的——美国预防服务工作组（USPSTF）建议对50至74岁的女性进行两年一次的乳房X光筛查，以降低乳腺癌死亡率。在美国，外国出生的女性历来比在美国出生的同龄人有更高的乳腺癌死亡率。本报告呈现了按出生地、出生国家以及在美国居住时间百分比划分的女性乳房X光筛查的全国估计数据。方法——对参加2005年、2008年、2010年、2013年和2015年全国健康访谈调查的29951名50至74岁女性的合并数据进行分析。得出这些女性中曾进行过乳房X光检查且符合USPSTF筛查建议的比例，按出生地、出生国家以及在美国居住时间百分比划分。估计值针对选定的人口统计学、社会经济以及医疗保健获取和利用因素进行了调整，并以预测边际值呈现。结果——总体而言，外国出生的女性比在美国出生的女性进行乳房X光检查的可能性更低（分别为88.3%和94.1%）。在美国居住时间少于其一生25%的外国出生女性进行乳房X光检查（76.4%）或符合USPSTF建议（55.0%）的可能性低于在美国出生的女性。在美国居住时间达到或超过其一生25%的外国出生女性进行乳房X光检查的可能性（90.9%）也低于在美国出生的女性。在对选定的社会人口特征进行调整后，外国出生女性中曾接受乳房X光检查的比例有所增加，但仍低于在美国出生的女性。在美国居住时间少于其一生25%的外国出生女性与在美国出生的女性符合USPSTF建议的可能性相当（分别为72.1%和72.4%），而在美国居住时间达到或超过其一生25%的外国出生女性（75.1%）比在美国出生的女性更有可能符合该建议。在出生地方面也观察到了差异。
