IDEAS home Printed from
MyIDEAS: Log in (now much improved!) to save this paper

Determinants of Mammography Usage across Rural and Urban Regions of Canada

Listed author(s):
  • James Ted McDonald
  • Angela Sherman

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.

If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.

File URL:
Download Restriction: no

Paper provided by McMaster University in its series Social and Economic Dimensions of an Aging Population Research Papers with number 238.

in new window

Length: 37 pages
Date of creation: Dec 2008
Handle: RePEc:mcm:sedapp:238
Contact details of provider: Postal:
1280 Main Street West, Hamilton, Ontario, L8S 4M4

Phone: (905) 525-9140 ext. 22765
Fax: (905) 521-8232
Web page:

More information through EDIRC

References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:

in new window

  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)

This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

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: ()

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 references are entirely missing, you can add them using this form.

If the full references list an item that is present in RePEc, but the system did not link 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 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.

This information is provided to you by IDEAS at the Research Division of the Federal Reserve Bank of St. Louis using RePEc data.