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Do mobile units contribute to spatial accessibility to mammography for uninsured women?
Journal article   Open access   Peer reviewed

Do mobile units contribute to spatial accessibility to mammography for uninsured women?

Amy E. Hughes, Simon C. Lee, Jan M. Eberth, Emily Berry and Sandi L. Pruitt
Preventive medicine, v 138, 106156
01 Sep 2020
DOI: https://doi.org/10.1016/j.ypmed.2020.106156
PMID: 32473958
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7388587View
Accepted (AM)Open Access (License Unspecified),  Open

Abstract

Breast cancer Mammography Mobile mammography Rural Spatial accessibility
Limited spatial accessibility to mammography, and socioeconomic barriers (e.g., being uninsured), may contribute to rural disparities in breast cancer screening. Although mobile mammography may contribute to population-level access, few studies have investigated this relationship. We measured mammography access for uninsured women using the variable two-step floating catchment area (V2SFCA) method, which estimates access at the local level using estimated potential supply and demand. Specifically, we measured supply with mammography machine certifications in 2014 from FDA and brick-and-mortar and mobile facility data from the community-based Breast Screening and Patient Navigation (BSPAN) program. We measured potential demand using Census tract-level estimates of female residents aged 45–74 from 5-year 2012–2016 American Community Survey data. Using the sign test, we compared mammography access estimates based on 3 facility groupings: FDA-certified, program brick-and-mortar only, and brick-and-mortar plus mobile. Using all mammography facilities, accessibility was high in urban Dallas-Ft. Worth, low for the ring of adjacent counties, and high for rural counties outlying this ring. Brick-and-mortar-based estimates were lower for the outlying ring, and mobile-unit contribution to access was observed more in urban tracts. Weak mobile-unit contribution across the study area may indicate suboptimal dispatch of mobile units to locations. Geospatial methods could identify the optimal locations for mobile units, given existing brick-and-mortar facilities, to increase access for underserved areas. •We compared V2SFCA access estimates for uninsured women across 3 sets of facilities.•Estimating mammography access for uninsured women with all facilities overstates it.•Adding mobile mammography (MM) to brick-and-mortar (BM) facilities alters access.•MM units visited areas of different access, not insurance rates, compared to BM facilities.

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8 Record Views
15 citations in Web of Science
12 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#5 Gender Equality
#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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