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Grant Details

Grant Number: 5R01CA070731-04 Interpret this number
Primary Investigator: Jones, Beth
Organization: Yale University
Project Title: Race Differences in the Screening Mammography Process
Fiscal Year: 1998


Abstract

Although the benefits of screening mammography are well established among white women, very little is known about the efficacy of mammography among black women. This is the starting point for the proposed project which is a direct outgrowth of an earlier study, supported by an AHCPR dissertation research grant, Race Differences in Stage at Diagnosis of Breast Cancer. The results of this earlier study suggested a race difference in efficacy of screening mammography: a positive history of screening mammography was protective against later stage at diagnosis in white women, but not in black women. Given the importance of ensuring that the benefits of screening mammography be the same for women of both races, this finding calls for further exploration. The general aims of this investigation are to: 1) assess variability in the quality of the screening mammography process in the state of Connecticut, and 2) examine how this variability is distributed between black and white women. A strategy of surveying mammography facilities in Connecticut to collect facility-based data (e.g., technical data on equipment, personnel, and techniques) will be combined with assembling a cohort of 1000 (minimum) black and white women, in approximately equal numbers, who have presented for a screening mammogram in selected facilities in urban centers. These women will be interviewed one month after the screening exam, and again two years later. The first interview will provide data on individual characteristics as well as the subject's encounter with the health care setting (e.g., did she receive notification of results and recommendations for future screening). These data will be used to evaluate race differences in various aspects of the mammography process and to predict subsequent screening behavior. The follow-up interview at 24 months will provide outcome data on repeat screening, interval of screening, and resolution of any breast problem which occurred since the index exam. A third component is a pilot study to review the mammographic films of a subset of study subjects to determine if there are differences in the quality of the film itself which may be related to underlying biologic processes. Together, these sources of data will be used to address the hypothesis that, in practice, there are barriers to the full promise of mammography for some women, and these women are more likely to be black than white.



Publications

Neighborhood- and individual-level socioeconomic variation in perceptions of racial discrimination.
Authors: Dailey A.B. , Kasl S.V. , Holford T.R. , Lewis T.T. , Jones B.A. .
Source: Ethnicity & health, 2010 Apr; 15(2), p. 145-63.
PMID: 20407967
Related Citations

Does gender discrimination impact regular mammography screening? Findings from the race differences in screening mammography study.
Authors: Dailey A.B. , Kasl S.V. , Jones B.A. .
Source: Journal of women's health (2002), 2008 Mar; 17(2), p. 195-206.
PMID: 18321171
Related Citations

Mammography screening of women in their 40s: impact of changes in screening guidelines.
Authors: Calvocoressi L. , Sun A. , Kasl S.V. , Claus E.B. , Jones B.A. .
Source: Cancer, 2008-02-01; 112(3), p. 473-80.
PMID: 18072258
Related Citations

Neighborhood-level socioeconomic predictors of nonadherence to mammography screening guidelines.
Authors: Dailey A.B. , Kasl S.V. , Holford T.R. , Calvocoressi L. , Jones B.A. .
Source: Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2007 Nov; 16(11), p. 2293-303.
PMID: 18006918
Related Citations

Perceived racial discrimination and nonadherence to screening mammography guidelines: results from the race differences in the screening mammography process study.
Authors: Dailey A.B. , Kasl S.V. , Holford T.R. , Jones B.A. .
Source: American journal of epidemiology, 2007-06-01; 165(11), p. 1287-95.
EPub date: 2007-03-10.
PMID: 17351294
Related Citations

Adequacy of communicating results from screening mammograms to African American and White women.
Authors: Jones B.A. , Reams K. , Calvocoressi L. , Dailey A. , Kasl S.V. , Liston N.M. .
Source: American journal of public health, 2007 Mar; 97(3), p. 531-8.
EPub date: 2007-01-31.
PMID: 17267723
Related Citations

Applying recursive partitioning to a prospective study of factors associated with adherence to mammography screening guidelines.
Authors: Calvocoressi L. , Stolar M. , Kasl S.V. , Claus E.B. , Jones B.A. .
Source: American journal of epidemiology, 2005-12-15; 162(12), p. 1215-24.
EPub date: 2005-10-12.
PMID: 16221800
Related Citations

Inadequate follow-up of abnormal screening mammograms: findings from the race differences in screening mammography process study (United States).
Authors: Jones B.A. , Dailey A. , Calvocoressi L. , Reams K. , Kasl S.V. , Lee C. , Hsu H. .
Source: Cancer causes & control : CCC, 2005 Sep; 16(7), p. 809-21.
PMID: 16132791
Related Citations

A prospective study of perceived susceptibility to breast cancer and nonadherence to mammography screening guidelines in African American and White women ages 40 to 79 years.
Authors: Calvocoressi L. , Kasl S.V. , Lee C.H. , Stolar M. , Claus E.B. , Jones B.A. .
Source: Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2004 Dec; 13(12), p. 2096-105.
PMID: 15598767
Related Citations

Identification of new JNK substrate using ATP pocket mutant JNK and a corresponding ATP analogue.
Authors: Habelhah H. , Shah K. , Huang L. , Burlingame A.L. , Shokat K.M. , Ronai Z. .
Source: The Journal of biological chemistry, 2001-05-25; 276(21), p. 18090-5.
EPub date: 2001-03-19.
PMID: 11259409
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Is variation in quality of mammographic services race linked?
Authors: Jones B.A. , Culler C.S. , Kasl S.V. , Calvocoressi L. .
Source: Journal of health care for the poor and underserved, 2001 Feb; 12(1), p. 113-26.
PMID: 11217224
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