Screening mammography: a missed clinical opportunity? Results of the NCI Breast Cancer Screening Consortium and National Health Interview Survey Studies


UMMS Affiliation

Department of Medicine, Division of Hematology/Oncology ; Department of Medicine, Division of Preventive and Behavioral Medicine

Publication Date


Document Type



Aged; Breast Neoplasms; Educational Status; Female; Health Surveys; Humans; Interviews; Mammography; Mass Screening; Middle Aged; National Institutes of Health (U.S.); Patient Acceptance of Health Care; Socioeconomic Factors; United States


Life Sciences | Medicine and Health Sciences | Women's Studies


Data from seven studies sponsored by the National Cancer Institute (NCI) were used to determine current rates of breast cancer screening and to identify the characteristics of and reasons for women not being screened. All seven studies were population-based surveys of women aged 50 to 74 years without breast cancer. While over 90% of non-Hispanic white respondents had regular sources of medical care, 46% to 76% had had a clinical breast examination within the previous year, and only 25% to 41% had had a mammogram. Less educated and poorer women had had fewer mammograms. The two most common reasons women gave for never having had a mammogram were that they did not know they needed it and that their physician had not recommended it. Many physicians may have overlooked the opportunity to recommend mammography for older women when performing a clinical breast examination and to educate their patients about the benefit of screening mammography.

DOI of Published Version



JAMA. 1990 Jul 4;264(1):54-8.

Journal/Book/Conference Title

JAMA : the journal of the American Medical Association


Mary E. Costanza and Jane Zapka are identified on p. 54 as the participating investigators for UMass Worcester in the consortium.

Related Resources

Link to article in PubMed

PubMed ID