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Results of the NCI Breast Cancer Screening Consortium and National Health Interview Survey Studies

The NCI Breast Cancer Screening Consortium

JAMA. 1990;264(1):54-58.

Abstract
Data from seven studies sponsored by the National Cancer Institute (NCI) were used to determine current rates of breast cancer screening and to identify the characteristics of and reasons for women not being screened. All seven studies were population-based surveys of women aged 50 to 74 years without breast cancer. While over 90% of non-Hispanic white respondents had regular sources of medical care, 46% to 76% had had a clinical breast examination within the previous year, and only 25% to 41% had had a mammogram. Less educated and poorer women had had fewer mammograms. The two most common reasons women gave for never having had a mammogram were that they did not know they needed it and that their physician had not recommended it. Many physicians may have overlooked the opportunity to recommend mammography for older women when performing a clinical breast examination and to educate their patients about the benefit of screening mammography.

(JAMA. 1990;264:54-58)

Footnotes
The data in this report come from studies of the National Cancer Institute (NCI) Breast Cancer Screening Consortium and the National Health Interview Survey. The report was written by a committee chaired by Russell Harris, MD, MPH, of the University of North Carolina, Chapel Hill.

Reprint requests to Chief, Health Promotion Sciences Branch, Division of Cancer Prevention and Control, Executive Plaza North, Room 241, 9000 Rockville Pike, Bethesda, MD 20892 (Dr Haynes).

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