Recorded presentation

Erica S. Breslau, PhD, Division of Cancer Control and Population Sciences, National Cancer Institute, Executive Plaza North, Suite 4098, 6130 Executive Blvd., MSC 7331, Bethesda, MD 20892-7331, 301-435-2839, eb228z@nih.gov, Diana Jeffery, PhD, Office of Cancer Survivorship, National Cancer Institute, Executive Plaza North, Suite 4088, 6130 Executive Blvd., Bethesda, MD 20892-7331, Timothy McNeel, Information Management Services, 12501 Prosperity Drive, Suite 200, Silver Spring, MD 20904, and Marjorie Kagawa-Singer, RN, MN, PhD, School of Public Health, University of California, Los Angeles, Box 951772, Los Angeles, CA 90095.

BACKGROUND: Breast cancer survivors are at high risk for developing a second breast cancer, and thus, are a group for whom annual mammography screening has been recommended. However, survivors' reported use of mammography has rarely been examined, especially in diverse populations. This analysis considers screening patterns of cancer survivors from diverse socioeconomic and racial/ethnic populations in California. METHODS: Secondary analysis was conducted using data from the 2001 California Health Interview Survey (CHIS). Random digit dialing methods were used to access health information from selected households in every California county between 2000 and September 2001. RESULTS: Of the total sample of women age 40 and older (n=21,328), 12.6% (n=2,689) reported a history of one or more cancers, including breast cancer (n=1,009,4.7%). The average length of survivorship from the time of breast cancer diagnosis was approximately 12 years. Among these survivors, 81.9% reported having a mammogram within the previous year, 6.8% between one to two years, 5.6% between two to five years, and 5.8% more than five years ago. Reasons for not having a mammogram within the past 12 months were related to socioeconomic factors, source of health care, and the subject's report of physician recommendation for screening. CONCLUSIONS: In this population based sample, most breast cancer survivors are receiving mammography as part of follow-up care, a positive finding that suggests high adherence to screening recommendations. Similar to preventive screening, public health efforts might focus on populations most vulnerable for inadequate follow-up after treatment.

Learning Objectives:

• To describe patterns of mammography screening among women already identified with breast cancer.
• To understand that recommended guidelines play an important role in longterm follow-up care of cancer survivors.

Keywords: Breast Cancer Screening, Cancer Screening

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Recorded presentation