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Does Supply Influence Mammography Screening

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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: 0.620.75) compared to women in large metro counties. This difference was reduced after adjusting for predisposing and enabling factors (OR 0.843, CI: 0.760.93).

Conclusions : Contextual-level enabling factors mediated the rural-urban difference in mammography screening.

Keywords: ARF; BRFSS; mammography screening; physician supply

Document Type: Research Article


Affiliations: 1 Assistant Professor, College of Pharmacy, University of New Mexico, Albuquerque, NM.

Publication date: 2010-07-01

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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