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Factors Associated with Adherence to Routine Screening Mammography in HIV-Infected Women
Journal article   Open access   Peer reviewed

Factors Associated with Adherence to Routine Screening Mammography in HIV-Infected Women

Zoe M. Weinstein, Tracy A. Battaglia and Amy S. Baranoski
Journal of women's health (Larchmont, N.Y. 2002), v 25(5), pp 473-479
01 May 2016
PMID: 27168388
url
https://doi.org/10.1089/jwh.2015.5430View
Published, Version of Record (VoR)Open Access (License Unspecified) Open

Abstract

General & Internal Medicine Life Sciences & Biomedicine Medicine, General & Internal Obstetrics & Gynecology Public, Environmental & Occupational Health Science & Technology Social Sciences Women's Studies
Background: Both HIV-infected women and minority women have historically lower rates of screening mammography. The objective of this study was to identify factors related to adherence to routine screening mammography in a diverse inner-city cohort of HIV-infected women, to inform future work on targeted interventions to address disparities. Materials and Methods: This retrospective cohort study reviewed the electronic medical record of HIV-infected women aged 40 and older engaged in care between October 1, 2003 and March 31, 2008 at a large urban safety-net HIV clinic. Analyses included chi square testing and multivariate logistic regression to assess for patient-specific factors associated with adherence to breast cancer screening, defined as obtaining a screening mammogram within 2 years of engaging in care. Results: The 292 women were a racially diverse group, with 70% black, 11% Hispanic, and 42% foreign born. There was suboptimal HIV control, with only 33% having an undetectable viral load (VL). One hundred forty-six (50%) were adherent to screening mammography. In multivariate analysis, women who were foreign born (OR 2.65 [CI 1.52-4.64]) had not completed high school (OR 1.77 [CI 1.06-2.95]) or had an undetectable VL (OR 2.51 [CI 1.44-4.40]) had increased odds of obtaining a mammogram. Conclusions: Among a racially diverse urban population of HIV-infected women engaged in care, only half had a mammogram. Foreign-born women had higher odds of undergoing mammography, suggesting that nativity status and social determinants of health are under-recognized drivers of adherence in this population. Future programs targeting screening must be mindful of the multiple predictors of adherence.

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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
Obstetrics & Gynecology
Public, Environmental & Occupational Health
Women's Studies
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