Does Supply Influence Mammography Screening?
March 11th, 2010 Posted by: admin
American Journal of Health Behavior 34(4): 465-475 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: 0.62-0.75) compared to women in large metro counties. This difference was reduced after adjusting for predisposing and enabling factors (OR = 0.843, CI: 0.76-0.93). Conclusions: Contextual-level enabling factors mediated the rural-urban difference in mammography screening.
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