Changes in geographic accessibility to mammography by state and rural-urban status, United States, 2006-2022.

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  • Additional Information
    • Source:
      Publisher: Oxford University Press Country of Publication: United States NLM ID: 7503089 Publication Model: Print Cited Medium: Internet ISSN: 1460-2105 (Electronic) Linking ISSN: 00278874 NLM ISO Abbreviation: J Natl Cancer Inst Subsets: MEDLINE
    • Publication Information:
      Publication: <2003-> : Cary, NC : Oxford University Press
      Original Publication: Bethesda, Md., U. S. Dept. of Health, Education, and Welfare, Public Health Service, National Institutes of Health; Washington, for sale by the Supt. of Docs., U. S. Govt. Print. Off.
    • Subject Terms:
      Health Services Accessibility* ; Breast Neoplasms*/diagnostic imaging ; Breast Neoplasms*/epidemiology; United States/epidemiology ; Female ; Humans ; Mammography ; Travel ; Early Detection of Cancer ; Rural Population ; Urban Population
    • Abstract:
      Although mammography is widely available in the United States, differences in accessibility in rural and urban areas and changes over time are not well described. In this study, we estimated the number and proportion of women aged 45-84 years who had limited travel time-based geographic accessibility to mammography by urban-rural status and state in the contiguous United States in 2006 and 2022. The proportion of women aged 45-84 years with limited accessibility to mammography did not substantially change from 2006 (12.7%; representing 7.5 million women) to 2022 (12.2%; 8.2 million women). Accessibility to mammography varied by state, but in 10 states, more than 26% of the statewide female population aged 45-84 years had limited accessibility in 2022. This proportion was substantially higher in rural areas (50.6% overall; ≥50% in 28 states in 2022) than in urban areas (3.0% overall). Increasing accessibility to mammography could increase utilization of breast cancer screening and, potentially, improve breast cancer survival.
      (© The Author(s) 2022. Published by Oxford University Press. All rights reserved. For permissions, please email: [email protected].)
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    • Publication Date:
      Date Created: 20221214 Date Completed: 20230310 Latest Revision: 20231215
    • Publication Date:
      20231215
    • Accession Number:
      PMC9996203
    • Accession Number:
      10.1093/jnci/djac217
    • Accession Number:
      36515214