MMWR Morb Mortal Wkly Rep. 1998 Oct 9;47(39):825-30.
In the United States, breast cancer is the most commonly diagnosed malignancy among women and the second leading cause of cancer death. Lack of health insurance coverage often is an important financial barrier to seeking preventive health care such as mammography screenings. To assess mammography use and the impact of insurance status on mammography use, state-specific proportions of women aged > or =40 years who reported receiving a mammogram during the preceding 2 years by insurance status were derived using data from the Behavioral Risk Factor Surveillance System (BRFSS) for 1991-1992 and 1996-1997. This report describes the results of this analysis, which indicate that the percentage of women reporting having had a screening mammogram during the previous 2 years increased, but women with insurance were substantially more likely than women without insurance to have had a mammogram.
在美国,乳腺癌是女性中最常被诊断出的恶性肿瘤,也是癌症死亡的第二大主要原因。缺乏医疗保险覆盖往往是寻求诸如乳房X光检查等预防性医疗保健的一个重要经济障碍。为了评估乳房X光检查的使用情况以及保险状况对乳房X光检查使用的影响,利用1991 - 1992年和1996 - 1997年行为危险因素监测系统(BRFSS)的数据,得出了按保险状况划分的40岁及以上女性在前两年报告接受过乳房X光检查的各州特定比例。本报告描述了这一分析的结果,结果表明,报告在前两年进行过乳房X光筛查的女性比例有所上升,但有保险的女性比没有保险的女性进行乳房X光检查的可能性要大得多。