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Year:: 2023
Contributor:: Kim, Ji-Eun (Creator); Sarkar, Neil, (Creator); Chen, Elizabeth (Creator); Thakkallapally, Mounika (Creator); Bradenday, Jonah (Creator)
Subject:: mammography; Breast Cancer; COVID-19 pandemic; Screening Rates; Screening Disparities
DOI: https://doi.org/10.26300/jwpc-3986

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Abstract:: Background: Routine screening with mammography reduces breast cancer mortality by 40%. Minority groups tend to have more advanced breast cancer presentations due to reduced screening. Due to the COVID-19 pandemic, mammography rates in the United States across all populations fell sharply. Objectives: This study analyzes the changes in mammography rates for the RI population from 2018 to 2022 and the possible impact of COVID-19, with a focus on disparities between the Hispanic/Latino and non-Hispanic/Latino population. Methods and Analysis: Quantitative data was obtained from the Rhode Island Quality Institute’s COVID-19 adult dataset. This dataset was created for the purpose of COVID-19 research. The dataset was queried using 26 different OMOP concept identifiers for procedures/diagnoses and results were sorted by ethnicity. Data were analyzed using basic statistics. Mammography counts were gathered then converted to percentages based on ethnicity and compared to the 2021 Census ethnicity data. Results: Out of the total eligible population within the COVID-19 Adult dataset, 855, 1181, 1026, 1431, and 2859 were screened with mammography in 2018, 2019, 2020, 2021, and 2022 respectively. Although the overall trend showed an increase in screening post-2020, the percentage of mammograms received by the Hispanic/Latino population lagged significantly. Mammogram percentage for the Hispanic/Latino population remained lower than 17.1%, the estimated Hispanic/Latino population in RI, across all years. The percentage was sharply dropped in 2020, with the percentage not fully recovering to pre-pandemic values in 2022. Conclusion: Findings reflected the national trend of decreased screening during the pandemic and detected a disparity in screening. This disparity between ethnicities could be related to many factors including socioeconomic status, language barriers, insurance access, and overall health.

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Kim, Ji-Eun, Sarkar, Neil,, Chen, Elizabeth, et al., "Mammography Rates in Rhode Island: Identifying Screening Disparities During the COVID-19 Pandemic" (2023). Gateways to Medicine, Health Care, and Research. Brown Digital Repository. Brown University Library. https://doi.org/10.26300/jwpc-3986

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Gateways to Medicine, Health Care, and Research

The Gateways Program at the Warren Alpert Medical School of Brown University provides academically promising, motivated students new pathways to careers in the health sciences. This collection houses scholarly works produced by Master of Science in Medical Sciences (ScM) students …
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Mammography Rates in Rhode Island: Identifying Screening Disparities During the COVID-19 Pandemic