title: The recent decline in mammography rates is limited to low- to average-risk women.
abstract: BACKGROUND
  There has recently been a decline in mammography rates noted in the general population. We sought to determine whether similar trends hold in high-risk populations.
  
  
  METHODS
  Mammography rates from the National Health Interview Survey for 2000 and 2005 were analyzed for differences among risk-stratified populations of women over the age of 40.
  
  
  RESULTS
  Although high-risk women (those with a personal of family history of breast cancer) were more likely to report having had a mammogram than lower risk women, they, too, showed a small decline in mammography rates. This, however, did not reach statistical significance. The decline in mammography rates in lower risk women, however, was significant and correlated with that of the general population.
  
  
  CONCLUSIONS
  The decline in breast cancer-screening rates noted over the past 5 years has been predominantly in lower-risk women.
authors.affiliation: Department of Surgery, Division of Surgical Oncology, University of Louisville, 315 E Broadway, Suite 312, Louisville, KY 40202, USA.
authors.forename: Beatrix A
authors.initials: BA
authors.lastname: Slomiany
authors.forename: Kelly M
authors.initials: KM
authors.lastname: McMasters
authors.forename: Anees B
authors.initials: AB
authors.lastname: Chagpar
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000453:epidemiology; D005260:Female; D006801:Humans; D015994:Incidence; D008327:Mammography / Q000639:trends*; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D011159:Population Surveillance; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors; D014481:United States / Q000453:epidemiology