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Ethnic Differences in Mammography Use among Older Women: Overcoming the Barriers

Generosa Grana, MD
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University of Medicine and Dentistry of New Jersey/Robert Wood Johnson School of Medicine; Camden, NJ 08103 Requests for Reprints: Generosa Grana, MD, University of Medicine and Dentistry of New Jersey/Robert Wood Johnson School of Medicine, Cooper Hospital/University Medical Center, 3 Cooper Plaza, Suite 215, Camden, NJ 08103.

Copyright ©2004 by the American College of Physicians

Ann Intern Med. 1998;128(9):773-775. doi:10.7326/0003-4819-128-9-199805010-00013
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Ethnicity is thought to be a significant factor in breast cancer. Although the incidence of the disease is lower among black women, mortality in this group is disproportionally high [1]. Improvements in mortality have been seen across all age and ethnic groups, but the 5-year disease-free survival rate among black women with breast cancer (69%) continues to lag behind that in white women (84%) [2]. Several studies [34] show that older black women have substantially lower rates of mammography use and higher rates of late-stage breast cancer at diagnosis than their white counterparts. Whether this differential use of mammography explains the ethnic differences in stage at diagnosis has been the subject of ongoing debate [56].


mammography ; elderly

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