Disparities in routine breast cancer screening for medicaid managed care members with a work-limiting disability
Authors
Weir, Sharada G.Posner, Heather
Jones, Whitney C.
Willis, Georgianna
Baxter, Jeffrey D.
Clark, Robin E.
UMass Chan Affiliations
Center for Health Policy and ResearchDepartment of Family Medicine and Community Health
Document Type
Journal ArticlePublication Date
2011-11-04Keywords
Neoplasms, BreastDisabled Persons
Medicaid
Community Health and Preventive Medicine
Neoplasms
Preventive Medicine
Primary Care
Metadata
Show full item recordAbstract
Objective: Examine disparities in routine mammography for women who qualify for Medicaid, because of a work-limiting disability. Methods: Individual-level data were obtained for women enrolled in Massachusetts Medicaid Managed Care plans who met the 2007 Healthcare Effectiveness Data and Information Set (HEDIS) criteria for the breast cancer screening measure (n=35,171). Disability status was determined from Medicaid eligibility records. Mammography screening was modeled using multivariate logistic regression. Separate models for women with and without a disability were also estimated. Results: Although unadjusted breast cancer screening rates were roughly equal for women with and without disability, after adjusting for confounders disability status had a significant negative association with screening mammography (OR=0.74; p Conclusion: Nationwide, rates of routine mammography for Medicaid managed care plans averaged below 50% in 2006. Given that a majority of eligible women served by Medicaid have disabilities, and studies have shown that women with disabilities are more likely to be diagnosed with late stage disease, a focus on improving rates of screening for women with disabilities is overdue.Source
Medicare Medicaid Res Rev. 2011 Nov 4;1(4). doi: 10.5600/mmrr.001.04.a02. Link to article on publisher's site
DOI
10.5600/mmrr.001.04.a02Permanent Link to this Item
http://hdl.handle.net/20.500.14038/30865PubMed ID
22340778Related Resources
Rights
All material in the Medicare and Medicaid Research Review is in the public domain and may be duplicated without permission.ae974a485f413a2113503eed53cd6c53
10.5600/mmrr.001.04.a02