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Research Studies is a monthly compilation of research articles funded by AHRQ or authored by AHRQ researchers and recently published in journals or newsletters.
Results1 to 3 of 3 Research Studies Displayed
Ellison J, Griffith K, Thursby M
The impact of driving time to family planning facilities on preventive service use in Ohio.
This study examined the impact of driving time to family planning facilities for preventive service use in Ohio due to newly enacted restrictions in public funding for organizations that provide or refer patients to abortion care, often resulting in clinic closures. Data from the 2010 to 2015 Ohio Behavioral Risk Factor Surveillance System was assessed for female respondents aged 18-45 years with household incomes <$50,000. Clinic locations were combined with restricted-access survey ZIP codes to compute driving times to the nearest family planning clinic. Each additional 10 minutes of driving time was associated with an 8.9 percentage point increase in the likelihood of avoided care owing to cost, a 10.4 percentage point decrease in the likelihood of a mammogram during the past 12 months, and a 12.5 percentage point decrease in the likelihood of ever receiving a clinical breast examination. Results were similar for driving distance increases.
Citation: Ellison J, Griffith K, Thursby M . The impact of driving time to family planning facilities on preventive service use in Ohio. Am J Prev Med 2021 Apr;60(4):542-45. doi: 10.1016/j.amepre.2020.11.009..
Keywords: Access to Care, Women, Prevention, Screening, Mammogram
Miglioretti DL, Bissell MCS, Kerlikowske K
Assessment of a risk-based approach for triaging mammography examinations during periods of reduced capacity.
Breast cancer screening, surveillance, and diagnostic imaging services were profoundly limited during the initial phase of the coronavirus disease 2019 (COVID-19) pandemic. The objective of this population-based cohort study was to develop a risk-based strategy for triaging mammograms during periods of decreased capacity. The investigators found that clinical indication and individual risk factors were associated with cancer detection and suggest these may be useful for prioritizing mammography in times and settings of decreased capacity.
Citation: Miglioretti DL, Bissell MCS, Kerlikowske K . Assessment of a risk-based approach for triaging mammography examinations during periods of reduced capacity. JAMA Netw Open 2021 Mar;4(3):e211974. doi: 10.1001/jamanetworkopen.2021.1974..
Keywords: Mammogram, Screening, Cancer: Breast Cancer, Cancer, Women, Imaging, Access to Care, COVID-19
Lee CI, Zhu W, Onega T
Comparative access to and use of digital breast tomosynthesis screening by women's race/ethnicity and socioeconomic status.
This study looked at access to digital breast tomography (DBT) versus regular mammography and whether women of minority race/ethnicity and lower socioeconomic status experienced lower DBT access during the early adoption period and persistently lower DBT use over time. This cross-sectional study included 92 geographically diverse imaging facilities across 5 US states, with over 2.3 million screening examinations performed among women aged 40 to 89 years from January 1, 2011, to December 31, 2017. Data were analyzed from June 2019, to August 2020. Women who used DBT increased for all women from 3.3% in 2011 to 82.6% in 2017. In 2012, Black, Hispanic, Asian American, and women with less than a high school education had lower DBT access compared to White women attending the same facility and also college graduates. Lower DBT access continued over time regardless of the number of years after facility-level DBT adoption.
Citation: Lee CI, Zhu W, Onega T . Comparative access to and use of digital breast tomosynthesis screening by women's race/ethnicity and socioeconomic status. JAMA Netw Open 2021 Feb;4(2):e2037546. doi: 10.1001/jamanetworkopen.2020.37546..
Keywords: Cancer: Breast Cancer, Cancer, Mammogram, Imaging, Access to Care, Women, Social Determinants of Health, Racial / Ethnic Minorities, Screening