Novel mapping methods to describe utilization of free breast cancer screening from a state program
Introduction: The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) is a cancer screening program whose mission is to reduce cancer morbidities for uninsured and underinsured women. A primary activity is to connect women to breast cancer screening. The eligible population and uti...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-09-01
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| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335521001054 |
| _version_ | 1818438102118563840 |
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| author | Kelly D. Hughes David Haynes Anne M. Joseph |
| author_facet | Kelly D. Hughes David Haynes Anne M. Joseph |
| author_sort | Kelly D. Hughes |
| collection | DOAJ |
| description | Introduction: The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) is a cancer screening program whose mission is to reduce cancer morbidities for uninsured and underinsured women. A primary activity is to connect women to breast cancer screening. The eligible population and utilization of NBCCEDP screening services have never been quantified at a sub-state level, which hampers effective program evaluation. Here, the Minnesota NBCCEDP, “Sage”, serves as a case study to demonstrate novel spatial analysis methods that depict variation of screening rates at the local level. Methods: Women who received breast cancer screening through Sage between 2011 and 2015 were geocoded (N = 74,712 screenings); analysis occurred between 2017 and 2019. We determine an eligible population using a synthetic population dataset that provides geographic residence and demographic information. We introduce a novel spatial analysis technique, spatially adaptive filters (SAFs), to create a utilization map of Sage breast screening services by Minnesota women. Results: Between 2011 and 2015, an average of 36,979 women per year were eligible for NBCCEDP breast cancer screening services, representing 3% of the Minnesota female population 40 and older. For Minnesota NBCCEDP eligible women, the state average breast cancer screening utilization rate was 37.2%, but varied considerably by local regions within the state (range 0% to 131%, SD = 18.7%). Conclusions: This geospatial model estimated screening service utilization at the local level and enables Minnesota’s Sage program to target specific areas they have yet to reach. Similar programs could employ this model to direct program activities. |
| first_indexed | 2024-12-14T17:35:13Z |
| format | Article |
| id | doaj.art-db11032ed821419482c9f4fff50d5505 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-12-14T17:35:13Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-db11032ed821419482c9f4fff50d55052022-12-21T22:53:00ZengElsevierPreventive Medicine Reports2211-33552021-09-0123101415Novel mapping methods to describe utilization of free breast cancer screening from a state programKelly D. Hughes0David Haynes1Anne M. Joseph2Minnesota Department of Health, Sage Program, 85 7th Place E, St. Paul, MN 55101 USA; Corresponding author.University of Minnesota, Institute for Health Informatics, Suite 8-100, 516 Delaware Street SE, Minneapolis, MN 55455 USAUniversity of Minnesota, Department of Medicine, Division of General Internal Medicine, 420 Delaware St SE, MMC 194, Minneapolis, MN 55455 USAIntroduction: The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) is a cancer screening program whose mission is to reduce cancer morbidities for uninsured and underinsured women. A primary activity is to connect women to breast cancer screening. The eligible population and utilization of NBCCEDP screening services have never been quantified at a sub-state level, which hampers effective program evaluation. Here, the Minnesota NBCCEDP, “Sage”, serves as a case study to demonstrate novel spatial analysis methods that depict variation of screening rates at the local level. Methods: Women who received breast cancer screening through Sage between 2011 and 2015 were geocoded (N = 74,712 screenings); analysis occurred between 2017 and 2019. We determine an eligible population using a synthetic population dataset that provides geographic residence and demographic information. We introduce a novel spatial analysis technique, spatially adaptive filters (SAFs), to create a utilization map of Sage breast screening services by Minnesota women. Results: Between 2011 and 2015, an average of 36,979 women per year were eligible for NBCCEDP breast cancer screening services, representing 3% of the Minnesota female population 40 and older. For Minnesota NBCCEDP eligible women, the state average breast cancer screening utilization rate was 37.2%, but varied considerably by local regions within the state (range 0% to 131%, SD = 18.7%). Conclusions: This geospatial model estimated screening service utilization at the local level and enables Minnesota’s Sage program to target specific areas they have yet to reach. Similar programs could employ this model to direct program activities.http://www.sciencedirect.com/science/article/pii/S2211335521001054Geographic MappingGeographic Information SystemsFemaleHumansBreast NeoplasmsEarly Detection of Cancer |
| spellingShingle | Kelly D. Hughes David Haynes Anne M. Joseph Novel mapping methods to describe utilization of free breast cancer screening from a state program Preventive Medicine Reports Geographic Mapping Geographic Information Systems Female Humans Breast Neoplasms Early Detection of Cancer |
| title | Novel mapping methods to describe utilization of free breast cancer screening from a state program |
| title_full | Novel mapping methods to describe utilization of free breast cancer screening from a state program |
| title_fullStr | Novel mapping methods to describe utilization of free breast cancer screening from a state program |
| title_full_unstemmed | Novel mapping methods to describe utilization of free breast cancer screening from a state program |
| title_short | Novel mapping methods to describe utilization of free breast cancer screening from a state program |
| title_sort | novel mapping methods to describe utilization of free breast cancer screening from a state program |
| topic | Geographic Mapping Geographic Information Systems Female Humans Breast Neoplasms Early Detection of Cancer |
| url | http://www.sciencedirect.com/science/article/pii/S2211335521001054 |
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