IDEAS home Printed from https://ideas.repec.org/p/mcm/sedapp/238.html
   My bibliography  Save this paper

Determinants of Mammography Usage across Rural and Urban Regions of Canada

Author

Listed:
  • James Ted McDonald
  • Angela Sherman

Abstract

Breast cancer is a leading source of mortality among Canadian women; however early detection via mammography considerably improves survival rates. Accordingly, national guidelines advocate biennial screening for asymptomatic women aged 50 to 69 years. Unfortunately many women do not abide by such recommendations, and there is some evidence that compliance rates are lower in rural areas. This report explores the extent of regional variation within and between Canadian provinces using a new and more detailed set of rural indicators based on economic zones of influence. We find the incidence of ever having a mammogram and screening within the last two years are significantly lower for women most removed from large urban centers. This result is obtained after controlling for demographic and socio-economic characteristics, concentration of physicians and specialists in the local area and whether the woman has a regular family doctor. An important reason for the observed differences across rural and urban areas is found to be awareness of the need for regular screening. We also observe that differences in mammography usage between rural and urban areas vary significantly across Canadian provinces.

Suggested Citation

  • James Ted McDonald & Angela Sherman, 2008. "Determinants of Mammography Usage across Rural and Urban Regions of Canada," Social and Economic Dimensions of an Aging Population Research Papers 238, McMaster University.
  • Handle: RePEc:mcm:sedapp:238
    as

    Download full text from publisher

    File URL: http://socserv.mcmaster.ca/sedap/p/sedap238.pdf
    Download Restriction: no

    References listed on IDEAS

    as
    1. Cloutier-Fisher, Denise & Joseph, Alun E., 2000. "Long-term care restructuring in rural Ontario: retrieving community service user and provider narratives," Social Science & Medicine, Elsevier, vol. 50(7-8), pages 1037-1045, April.
    2. Bottorff, Joan L. & Johnson, Joy L. & Bhagat, Radhika & Grewal, Sukhdev & Balneaves, Lynda G. & Clarke, Heather & Hilton, B. Ann, 1998. "Beliefs related to breast health practices: the perceptions of South Asian women living in Canada," Social Science & Medicine, Elsevier, vol. 47(12), pages 2075-2085, December.
    3. Wilson, Kathi & Rosenberg, Mark W., 2004. "Accessibility and the Canadian health care system: squaring perceptions and realities," Health Policy, Elsevier, vol. 67(2), pages 137-148, February.
    4. Vernon, Sally W. & Laville, Elizabeth A. & Jackson, Gilchrist L., 1990. "Participation in breast screening programs: A review," Social Science & Medicine, Elsevier, vol. 30(10), pages 1107-1118, January.
    5. Heather Conde & James Ted McDonald, 2007. "The Health Services Use Among Older Canadians in Rural and Urban Areas," Social and Economic Dimensions of an Aging Population Research Papers 178, McMaster University.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Corallo, Ashley N. & Croxford, Ruth & Goodman, David C. & Bryan, Elisabeth L. & Srivastava, Divya & Stukel, Therese A., 2014. "A systematic review of medical practice variation in OECD countries," Health Policy, Elsevier, vol. 114(1), pages 5-14.

    More about this item

    Keywords

    mammography; cancer screening; rural health; women's health;

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I19 - Health, Education, and Welfare - - Health - - - Other
    • R23 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - Household Analysis - - - Regional Migration; Regional Labor Markets; Population

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:mcm:sedapp:238. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (). General contact details of provider: http://edirc.repec.org/data/demcmca.html .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.