UMMS Affiliation

Department of Family Medicine and Community Health; Center for Health Policy and Research

Publication Date


Document Type



Neoplasms, Breast; Disabled Persons; Medicaid


Community Health and Preventive Medicine | Neoplasms | Preventive Medicine | Primary Care


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.

Rights and Permissions

All material in the Medicare and Medicaid Research Review is in the public domain and may be duplicated without permission.

DOI of Published Version



Medicare Medicaid Res Rev. 2011 Nov 4;1(4). doi: 10.5600/mmrr.001.04.a02. Link to article on publisher's site

Journal/Book/Conference Title

Medicare and medicaid research review

Related Resources

Link to Article in PubMed

PubMed ID




To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.