Aims<\/b> – There is evidence to suggest that mammography rates are decreased in women with diabetes and in women of lower socio-economic status. Because of the strong association between low socio-economic status and diabetes, we explored the extent to which socio-economic status differences explain lower mammography rates in women with diabetes.<\/p>\n
Methods<\/b> – A population-based retrospective cohort study in Ontario, Canada, of women aged 50 to 69 years with diabetes between 1999 and 2010 age matched 1:2 to women without diabetes. Main outcome measure is the likelihood of at least one screening mammogram in women with diabetes within a 36-month period, starting as of either 1 January 1999, their 50th birthday or 2 years after a diabetes diagnosis, whichever came last. Outcomes were compared with those in women without diabetes during the same period as their matched counterparts, adjusting for socio-economic status based on neighbourhood income and other demographic and clinical variables.<\/p>\n
Results<\/b> – Of 504 288 women studied (188 759 with diabetes, 315 529 with no diabetes), 63.8% had a screening mammogram. Women with diabetes were significantly less likely to have a mammogram after adjustment for socio-economic status and other factors (odds ratio 0.79, 95% CI 0.78-0.80). Diabetes was associated with lower mammogram use even in women from the highest socio-economic status quintile (odds ratio 0.79, 95% CI 0.75-0.83).<\/p>\n
Conclusions<\/b> – The <\/b>presence of diabetes was an independent barrier to breast cancer screening, which was not explained by differences in socio-economic status. Interventions that target patient, provider and health system factors are needed to improve cancer screening in this population.<\/p>\n","protected":false},"excerpt":{"rendered":"
Aims – There is evidence to suggest that mammography rates are decreased in women with diabetes and in women of lower socio-economic status. Because of the strong association between low socio-economic status and diabetes, we explored the extent to which socio-economic status differences explain lower mammography rates in women with diabetes. Methods – A population-based […]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[50,19,35,21],"migration-helper-qa-sample-set":[],"class_list":["post-1632","journal_article","type-journal_article","status-publish","hentry","topic-endocrinology","topic-marginalized-populations","topic-public-health","topic-women-or-gender-based-research"],"acf":{"citation":"Chan W, Yun L, Austin PC, Jaakkimainen RL, Booth GL, Hux J, Rochon PA, Lipscombe LL. Diabet Med<\/em>. 2014; 31(7):806-12. Epub 2014 Apr 11.","source_url":"","ices_scientist":[1385,1283,1175,1268,1340,1295],"site":[6733],"research_program":[6742,6746],"news_release":[7330],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"0E853B1F-FAE7-4270-A012-4F357749D432","sitecore_item_name":"Impact-of-socio-economic-status-on-breast-cancer-screening","sitecore_field_values":"{\n \"Title\": \"Impact of socio-economic status on breast cancer screening in women with diabetes: a population-based study\",\n \"Short title\": \"Impact of socio-economic status on\",\n \"Citation\": \" Chan W, Yun L, Austin PC, Jaakkimainen RL, Booth GL, Hux J, Rochon PA, Lipscombe LL. Diabet Med<\/em>. 2014; 31(7):806-12. Epub 2014 Apr 11.<\/p>\",\n \"Abstract\": \" Aims<\/b> – There is evidence to suggest that mammography rates are decreased in women with diabetes and in women of lower socio-economic status. Because of the strong association between low socio-economic status and diabetes, we explored the extent to which socio-economic status differences explain lower mammography rates in women with diabetes.<\/p>n Methods<\/b> – A population-based retrospective cohort study in Ontario, Canada, of women aged 50 to 69 years with diabetes between 1999 and 2010 age matched 1:2 to women without diabetes. Main outcome measure is the likelihood of at least one screening mammogram in women with diabetes within a 36-month period, starting as of either 1 January 1999, their 50th birthday or 2 years after a diabetes diagnosis, whichever came last. Outcomes were compared with those in women without diabetes during the same period as their matched counterparts, adjusting for socio-economic status based on neighbourhood income and other demographic and clinical variables.<\/p>n Results<\/b> – Of 504 288 women studied (188 759 with diabetes, 315 529 with no diabetes), 63.8% had a screening mammogram. Women with diabetes were significantly less likely to have a mammogram after adjustment for socio-economic status and other factors (odds ratio 0.79, 95% CI 0.78-0.80). Diabetes was associated with lower mammogram use even in women from the highest socio-economic status quintile (odds ratio 0.79, 95% CI 0.75-0.83).<\/p>n