The aim of this data brief is to investigate the disparities in mammogram use among women over 40 years old in New York City (NYC), based on race, ethnicity, and access to primary care providers (PCPs). Breast cancer is a leading cause of cancer death in women, and mammograms are effective in reducing the likelihood of getting breast cancer. However, there are disparities in mammogram use due to historical racial and ethnic discrimination and limited healthcare access among certain groups.
The analysis shows that access to a Primary Care Physician (PCP) is a critical factor in mammogram use among women over the age of 40. Women who have a PCP are more likely to receive mammogram screening, indicating that healthcare access and quality are crucial in affecting mammogram use outcomes. Although white, non-Hispanic women over 40 had the highest rate of mammogram use, the distribution of other racial and ethnic groups using mammograms roughly mirrored the city's population. The findings suggest that one's access to a PCP may be a more significant influence on mammogram use outcomes than their racial and ethnic identity. However, we must remain mindful of the structural barriers to healthcare access due to race and economic status. In particular, Hispanic women face more significant challenges in accessing PCPs due to cultural, language, or economic barriers. Initiatives like the New York State Cancer Services Program provide free screenings for uninsured, eligible New Yorkers and aim to reduce economic barriers to healthcare.
The findings of this study will provide valuable information for healthcare providers and policymakers to develop targeted interventions to increase mammogram use and reduce health disparities among different racial and ethnic groups in NYC.