Mammography Self-Report and Mammography Claims: Racial, Ethnic, and Socioeconomic Discrepancies Among Elderly Women

Background:National self-report surveys show minimal racial disparity in mammography, whereas analyses of administrative data show large disparity. Methods:Using the 1998–2002 Medicare Current Beneficiary Surveys, which contain participants’ self-report and claims data, we developed multivariable adjusted models examining factors associated with self-reported mammography and self-reported mammography verified by billing records. Results:No racial/ethnic disparities were found in self-reported mammography. Verified mammography, however, revealed significant disparities for race, education, income, insurance, and health status. Conclusions:Race, education, income, insurance, and health status are associated with a lower likelihood of self-reported mammography verified by the existence of claims data. These data caution against exclusive reliance on self-report survey data to assess disparity in mammography.

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