title: Receipt of mammography recommendations among White and non-White women before and after the 2009 United States Preventive Services Task Force recommendation change.
abstract: Receipt of a mammography recommendation from a physician is a strong predictor of obtaining a mammogram. In 2009, the United States Preventive Services Task Force (USPSTF) recommended routine biennial mammography for women aged 50-74 but not for women aged 40-49. We examined changes in reports of clinician recommendations for mammography among White and non-White women after these age-specific recommendations were issued.
  
  
  
  Data from women aged 40-49 and 50-74 were drawn from the 2008 and 2013 National Health Interview Surveys. We used linear probability models to determine whether the proportions of women reporting a mammography recommendation changed after the USPSTF recommendation was issued and whether any changes observed differed across White and non-White women. All analyses were stratified by age groups and mammography history.
  
  
  
  Among women without a recent mammogram, reported clinician recommendations did not change for White women, but they decreased by 13-percentage points (95 % CI -0.22, -0.03) among non-White women aged 40-49 (p = 0.01) and increased by 9-percentage points (95 % CI 0.01, 0.17) among non-White women aged 50-74 (p = 0.04). Among women with a mammogram in the past 2 years, reported mammography recommendation from a clinician did not change for White or non-White women.
  
  
  
  Recommendations to reduce screening may be differentially implemented across racial/ethnic groups. Changes in reports of mammography recommendation from a clinician after the USPSTF breast cancer screening recommendation change were observed only among non-White women without a recent history of mammography. It is unclear whether these differences are due to the clinician, the women, or both.
authors.affiliation: Division of Cancer Control and Population Sciences, National Cancer Institute, BG 9609 RM 3E502 MSC 9712, 9609 Medical Center Drive, Rockville, MD, 20850-9712, USA. Felisa.gonzales@nih.gov.
authors.forename: Felisa A
authors.initials: FA
authors.lastname: Gonzales
authors.affiliation: Division of Cancer Control and Population Sciences, National Cancer Institute, BG 9609 RM 3E342 MSC 9761, 9609 Medical Center Drive, Rockville, MD, 20850-9761, USA.
authors.forename: Stephen H
authors.initials: SH
authors.lastname: Taplin
authors.affiliation: Division of Cancer Control and Population Sciences, National Cancer Institute, BG 9609 RM 4E544 MSC 9765, 9609 Medical Center Drive, Rockville, MD, 20850-9765, USA.
authors.forename: Mandi
authors.initials: M
authors.lastname: Yu
authors.affiliation: Division of Cancer Control and Population Sciences, National Cancer Institute, BG 2DEM RM 800 MSC 5465, 6707 Democracy Blvd, Bethesda, MD, 20892-5465, USA.
authors.forename: Nancy
authors.initials: N
authors.lastname: Breen
authors.affiliation: Division of Cancer Control and Population Sciences, National Cancer Institute, BG 9609 RM 4E454 MSC 9765, 9609 Medical Center Drive, Rockville, MD, 20850-9765, USA.
authors.forename: Kathy A
authors.initials: KA
authors.lastname: Cronin
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis*; D055088:Early Detection of Cancer; D005260:Female; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D010818:Practice Patterns, Physicians'; D014481:United States
keywords: Breast cancer screening; Disparities; Mammography; Practice guidelines; United States Preventive Services Task Force