Trend analysis of social and economic indicators of mammography use in Hawaii.
We examine the relationship between ethnicity and income as determinants of mammography use over a span of four years as a means of assessing community intervention impacts. The sample consisted of 1,447 women older than 34 years, living in Hawaii, who participated in the Behavioral Risk Factor Surveillance System (BRFSS). The percentage of women in the sample reporting a screening mammogram within the past two years was 31.4% in 1987, 54.1% in 1989, and 51.6% in 1990. Women of Hawaiian ancestry had the lowest percentage of mammogram use in the past two years (38.7%), while Japanese women had the highest percentage (49.8%). Results of logistic regression analysis indicate a significant increase in mammography use from 1987 to 1989 and no difference from 1989 to 1990. Findings also showed an association between age, income, and ethnicity with use in the past two years. Greater age, higher income, and Japanese origin, compared to Hawaiian, were all independently associated with increased odds of having had a mammogram in the past two years. We discuss results in terms of program evaluation and future research implications for community health surveys.
Serxner
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Cancer Research Center of Hawaii, University of Hawaii, Honolulu 96813.
Chung
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D000328:Adult; D000367:Age Factors; D000368:Aged; D001943:Breast Neoplasms / Q000517:prevention & control; D004522:Educational Status; D004651:Employment; D005006:Ethnicity / Q000706:statistics & numerical data*; D005260:Female; D006254:Hawaii; D006801:Humans; D007182:Income; D007564:Japan / Q000208:ethnology; D008327:Mammography / Q000706:statistics & numerical data*; D008393:Marriage; D008403:Mass Screening; D008875:Middle Aged; D012044:Regression Analysis; D012307:Risk Factors