Chronic Medical Illness as a Risk Factor for Poor Mammography Screening Adherence

• DOI: 10.1089/jwh.2018.7315
• Publication Date: 2018-12-19T16:12:55Z
• Authors: Randy C. Miles; Anand K. Narayan; Diego B. Lopez; Constance D. Lehman; H. Benjamin Harvey; Vishala Mishra; McKinley Glover; Efren J. Flores
• Keywords: Breast Neoplasms; Middle Aged; 3. Good health; Cohort Studies; 03 medical and health sciences; 0302 clinical medicine; Risk Factors; Chronic Disease; Humans; Mass Screening; Patient Compliance; Female; Longitudinal Studies; Mammography; Retrospective Studies

Objective: The aim of this study was to determine the association between presence chronic medical disease and mammography screening adherence. Materials Methods: We performed a retrospective on women ages 50 64 who received in 2005 had at least 8 years follow-up. Demographic clinical information obtained from our centralized patient data registry. Women diagnosed with one or more following diseases for 3 months before their index mammogram were considered have disease, including atrial fibrillation, congestive heart failure, Chronic Obstructive Pulmonary Disease (COPD), diabetes mellitus type II, and/or peripheral vascular disease. Generalized estimating equations used evaluate correlated observations. Multivariable regression analyses effects selected longitudinal engagement routine mammography. Results: Of 9575 identified, 1669 (17.7%) diseases. these associated reduced (-0.29; confidence interval [CI] = -0.36 -0.14; p < 0.01) compared without over period. Within group, failure (-0.88; CI -0.84 -0.45; ≤ 0.01), COPD (-0.39; -0.57 -0.21; II (-0.37; -0.17; individually respective Compared multiple (-0.62; -0.93 -0.30; significantly (p 0.05) less likely receive screening, while no significant difference seen only (-0.18; -0.39 -0.02; 0.08). Conclusion: Despite experiencing longer life expectancies, specific may experience additional barriers uptake which is compounded by comorbidity burden being simultaneously treated conditions. Increased health care interactions group represent missed opportunities improve