title: Mammography rates for breast cancer screening: a comparison of First Nations women and all other women living in Manitoba, Canada, 1999-2008.
abstract: BACKGROUND
  First Nations (FN) women historically have low rates of preventive care, including breast cancer screening. We describe the frequency of breast cancer screening among FN women living in Manitoba and all other Manitoba (AOM) women after the introduction of a provincial, organized breast screening program and explore how age, area of residence, and time period influenced breast cancer screening participation.
  
  
  METHODS
  The federal Indian Registry was linked to 2 population-based, provincial data sources. A negative binomial model was used to compare breast cancer screening for FN women with screening for AOM women.
  
  
  RESULTS
  From 1999 through 2008, 37% of FN and 59% of AOM women had a mammogram in the previous 2 years. Regardless of area of residence, FN women were less likely to have had a mammogram than AOM women (relative rate [RR] = 0.69 in the north, RR = 0.55 in the rural south, and RR = 0.53 in urban areas).
  
  
  CONCLUSIONS
  FN women living in Manitoba had lower mammography rates than AOM women. To ensure equity for all Manitoba women, strategies that encourage FN women to participate in breast cancer screening should be promoted.
authors.affiliation: Epidemiology and Cancer Registry, CancerCare Manitoba, Winnipeg, Manitoba, and Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba.
authors.forename: Alain A
authors.initials: AA
authors.lastname: Demers
authors.affiliation: Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, and Screening Programs, CancerCare Manitoba, Winnipeg, Manitoba.
authors.forename: Kathleen M
authors.initials: KM
authors.lastname: Decker
authors.affiliation: Epidemiology and Cancer Registry, CancerCare Manitoba, Winnipeg, Manitoba, Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, and Cancer Control Research, British Columbia Cancer Agency, Vancouver, British Columbia.
authors.forename: Erich V
authors.initials: EV
authors.lastname: Kliewer
authors.affiliation: Epidemiology and Cancer Registry, CancerCare Manitoba, Winnipeg, Manitoba.
authors.forename: Grace
authors.initials: G
authors.lastname: Musto
authors.affiliation: Epidemiology and Cancer Registry, CancerCare Manitoba, Winnipeg, Manitoba.
authors.forename: Emma
authors.initials: E
authors.lastname: Shu
authors.affiliation: Screening Programs, CancerCare Manitoba, Winnipeg, Manitoba.
authors.forename: Natalie
authors.initials: N
authors.lastname: Biswanger
authors.affiliation: Epidemiology and Cancer Registry, CancerCare Manitoba, Winnipeg, Manitoba.
authors.forename: Katherine
authors.initials: K
authors.lastname: Fradette
authors.affiliation: Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba.
authors.forename: Brenda
authors.initials: B
authors.lastname: Elias
authors.affiliation: Epidemiology and Cancer Registry, CancerCare Manitoba, Winnipeg, Manitoba, and Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba.
authors.forename: Jane
authors.initials: J
authors.lastname: Griffith
authors.affiliation: Epidemiology and Cancer Registry, CancerCare Manitoba, 675 McDermot, Winnipeg, Manitoba R3E 0V9. Email: donna.turner@cancercare.mb.ca.
authors.forename: Donna
authors.initials: D
authors.lastname: Turner
mesh_terms: D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis*; D055088:Early Detection of Cancer; D005260:Female; D006801:Humans; D007198:Indians, North American / Q000523:psychology* / Q000706:statistics & numerical data; D008327:Mammography / Q000523:psychology / Q000706:statistics & numerical data*; D008350:Manitoba / Q000208:ethnology; D008403:Mass Screening / Q000706:statistics & numerical data* / Q000639:trends; D008875:Middle Aged; D015233:Models, Statistical; D011159:Population Surveillance; D015397:Program Evaluation; D012042:Registries; D016387:Women's Health