title: Does supply influence mammography screening?
abstract: OBJECTIVE
  To explain rural-urban differences in mammography screening by supply of health care services.
  
  
  METHODS
  Logistic regression models were used to assess whether variation in the supply of health care services related to mammography screening explained rural-urban differences in mammography screening rates.
  
  
  RESULTS
  Women living in small (thinly populated) rural areas not adjacent to a metro area were less likely to obtain a mammogram (OR = 0.682, CI: 0.62-0.75) compared to women in large metro counties. This difference was reduced after adjusting for predisposing and enabling factors (OR = 0.843, CI: 0.76-0.93).
  
  
  CONCLUSIONS
  Contextual-level enabling factors mediated the rural-urban difference in mammography screening.
authors.affiliation: College of Pharmacy, University of New Mexico, Albuquerque, NM 87131-0001, USA. nkhan@salud.unm.edu
authors.forename: Nasreen
authors.initials: N
authors.lastname: Khan
authors.forename: Robert
authors.initials: R
authors.lastname: Kaestner
authors.forename: J Warren
authors.initials: JW
authors.lastname: Salmon
authors.forename: Becky
authors.initials: B
authors.lastname: Gutierrez
mesh_terms: D000328:Adult; D040343:Behavioral Risk Factor Surveillance System; D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000517:prevention & control; D005260:Female; D015438:Health Behavior; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008327:Mammography / Q000706:statistics & numerical data*; D008403:Mass Screening; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data; D012307:Risk Factors; D019035:Rural Health Services / Q000600:supply & distribution*; D012424:Rural Population / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology; D014505:Urban Population / Q000706:statistics & numerical data