Self-report and Primary Care Medical Record Documentation of Mammography and Pap Smear Utilization Among Low-income Women

Overview

Journal J Natl Med Assoc

Publisher Elsevier

Specialty General Medicine

Date 2004 Dec 30

PMID 15622694

Citations 11

Authors

Laurene M Tumiel-Berhalter

Maureen F Finney

Carlos R Jaen

Affiliations

Soon will be listed here.

Abstract

Purpose: To determine whether self-report of mammography and Pap smear utilization was accurate and to determine whether racial/ethnic differences existed.

Methods: Face-to-face surveys were administered to 314 consecutively selected women over 40 attending two low-income inner-city family practice sites. Medical records were reviewed for documentation of mammography and Pap smear utilization. Level of agreement between self-report and chart review was reported. Sensitivity, specificity, positive predictive value and negative predictive value were calculated.

Main Findings: Puerto Rican women had lower income levels and were less educated than African-American and non-Latina white women. Self-report of mammograms and Pap smears were higher than medical record documentation. Level of agreement was higher for more recent tests. Negative predictive values for mammography were high (75-95.5%). Lower sensitivity, specificity, positive predictive value and negative predictive value for mammography were seen among Puerto Rican women compared to African-American and non-Latina white women.

Conclusions: High negative predictive values suggest that asking women about mammography use may be an inexpensive, easy intervention in the primary care setting to increase screening among women currently not being screened by increasing conversations between patients and providers to address personal barriers to screening.

Citing Articles

Lack of validity of self-reported mammography data.

Levine R, Kilbourne B, Sanderson M, Fadden M, Pisu M, Salemi J Fam Med Community Health. 2020; 7(1):e000096.

PMID: 32148699 PMC: 6910732. DOI: 10.1136/fmch-2018-000096.

Health insurance and chronic conditions in low-income urban whites.

Smolen J, Thorpe Jr R, Bowie J, Gaskin D, LaVeist T J Urban Health. 2014; 91(4):637-47.

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Validating self-reported mammography use in vulnerable communities: findings and recommendations.

Allgood K, Rauscher G, Whitman S, Vasquez-Jones G, Shah A Cancer Epidemiol Biomarkers Prev. 2014; 23(8):1649-58.

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Does social disadvantage affect the validity of self-report for cervical cancer screening?.

Lofters A, Moineddin R, Hwang S, Glazier R Int J Womens Health. 2013; 5:29-33.

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Casillas J, Castellino S, Hudson M, Mertens A, Lima I, Liu Q Cancer. 2011; 117(9):1966-75.

PMID: 21509774 PMC: 3433164. DOI: 10.1002/cncr.25688.

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