title: Mammography use among women with and without diabetes: results from the Southern Community Cohort Study.
abstract: Studies have shown an increased risk of breast cancer associated with diabetes which may be due to differences in mammography use among women who have diabetes compared with women who do not have diabetes. Baseline data was used from the Southern Community Cohort Study - a prospective cohort study conducted primarily among low-income persons in the southeastern United States - to examine the association between diabetes and mammography use. In-person interviews collected information on diabetes and mammography use from 14,665 white and 30,846 black women aged 40-79years between 2002 and 2009. After adjustment for potential confounding, white women with diabetes were no more likely (odds ratio [OR] 0.95, 95% confidence interval [CI] 0.85-1.06) to undergo mammography within the past 12months than white women without diabetes. Nor was there an association between diabetes and mammography use among black women (OR 1.00, 95% CI 0.93-1.07). An increase in mammography use was seen within one year following diabetes diagnosis, more so among white than black women, but this was offset by decreases thereafter. Although there was some evidence of an increase in mammography use within one year of diabetes diagnosis, these results suggest that mammography use is not related to diabetes.
authors.affiliation: Department of Family and Community Medicine, Meharry Medical College, Nashville, TN 37208, United States. Electronic address: msanderson@mmc.edu.
authors.forename: Maureen
authors.initials: M
authors.lastname: Sanderson
authors.affiliation: Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, United States.
authors.forename: Loren
authors.initials: L
authors.lastname: Lipworth
authors.affiliation: International Epidemiology Institute, Rockville, MD 20850, United States.
authors.forename: Xijing
authors.initials: X
authors.lastname: Han
authors.affiliation: Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, United States.
authors.forename: Alicia
authors.initials: A
authors.lastname: Beeghly-Fadiel
authors.affiliation: Department of Psychology, Tennessee State University, Nashville, TN 37208, United States.
authors.forename: David
authors.initials: D
authors.lastname: Shen-Miller
authors.affiliation: Department of Public Health, Health Administration, and Health Sciences, Tennessee State University, Nashville, TN 37208, United States.
authors.forename: Kushal
authors.initials: K
authors.lastname: Patel
authors.affiliation: Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, United States; International Epidemiology Institute, Rockville, MD 20850, United States.
authors.forename: William J
authors.initials: WJ
authors.lastname: Blot
authors.affiliation: Department of Internal Medicine, Meharry Medical College, Nashville, TN 37208, United States.
authors.forename: Margaret K
authors.initials: MK
authors.lastname: Hargreaves
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D000368:Aged; D015992:Body Mass Index; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000208:ethnology*; D003920:Diabetes Mellitus / Q000175:diagnosis* / Q000208:ethnology*; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D008403:Mass Screening; D008875:Middle Aged; D009043:Motor Activity; D011203:Poverty / Q000706:statistics & numerical data; D011446:Prospective Studies; D012307:Risk Factors; D013714:Tennessee / Q000453:epidemiology; D044465:White People / Q000706:statistics & numerical data*
keywords: Cohort; Diabetes; Mammography use; Racial differences
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