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Journal article
Factors Associated with Adherence to Routine Screening Mammography in HIV-Infected Women
Journal of women's health (Larchmont, N.Y. 2002), v 25(5), pp 473-479
01 May 2016
PMCID: PMC4876520
PMID: 27168388
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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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Details
- Title
- Factors Associated with Adherence to Routine Screening Mammography in HIV-Infected Women
- Creators
- Zoe M. Weinstein - Boston Med Ctr, Evans Dept Med, Gen Internal Med Sect, Clin Addict Res & Educ Unit, 801 Massachusetts Ave,Crosstown 2, Boston, MA 02118 USATracy A. Battaglia - Boston Med Ctr, Evans Dept Med, Gen Internal Med Sect, Womens Hlth Unit, Boston, MA 02118 USAAmy S. Baranoski - Drexel University
- Publication Details
- Journal of women's health (Larchmont, N.Y. 2002), v 25(5), pp 473-479
- Publisher
- Mary Ann Liebert, Inc
- Number of pages
- 7
- Grant note
- Avon Foundation Safety-net Grant K12HD043444 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) 5-K12-HD043444-07; 5-T32-AI52074-05; U54TR001012 / National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA U54TR001012 / NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- MD (Doctor of Medicine) Program
- Web of Science ID
- WOS:000376478100011
- Scopus ID
- 2-s2.0-84969594470
- Other Identifier
- 991019168247704721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Obstetrics & Gynecology
- Public, Environmental & Occupational Health
- Women's Studies