Breast Cancer Risk Among Women in Jail

Michelle L Pickett, Molly Allison, Katelyn Twist, Jennifer R Klemp, Megha Ramaswamy, Michelle L Pickett, Molly Allison, Katelyn Twist, Jennifer R Klemp, Megha Ramaswamy

Abstract

Over 200,000 women are diagnosed with breast cancer each year, and incarcerated women face unique risks associated with poor access to healthcare. Regular mammography can diagnose breast cancer early, giving the patient the best chance of survival. The objective of this study was to determine the proportion of jail incarcerated women who have received a mammogram and were up-to-date based on the most recent United States Preventive Services Task Force recommendations. This was a secondary analysis of data collected among jailed women who participated in a cervical cancer literacy program. Rates of mammography were calculated for the group overall and for those women 50 years or older. Subgroups were compared using chi-squared tests. Two hundred sixty-one women were included in the analysis, of which 42.1% (N = 110) had ever had a mammogram. Of women 50 years old or older (N = 28), 75.0% had ever received a mammogram, yet only 39.3% were up-to-date (within the past 2 years). Factors associated with up-to-date mammography included being up-to-date on cervical cancer screening (76.9%) compared with women who were not up-to-date on cervical cancer screening (12.5%), p < 0.01, and women experiencing intimate partner violence (IPV) in the past year (71.4%) compared with women with no IPV in the past year (14.2%), p = 0.02. The low rates of up-to-date mammography highlight the need for more breast cancer prevention programming among women with criminal justice histories.

Keywords: breast cancer; incarceration; jail; mammogram.

Conflict of interest statement

No competing financial interests exist.

References

    1. Centers for Disease Control and Prevention. Breast cancer statistics. Breast Cancer web site. Updated 2017. Available at: (Accessed February27, 2018)
    1. Smith-Bindman R, Miglioretti DL, Lurie N, et al. . Does utilization of screening mammography explain racial and ethnic differences in breast cancer? Ann Intern Med. 2006;144:541–553
    1. Silva A, Molina Y, Hunt B, et al. . Potential impact of the affordable care act's preventive services provision on breast cancer stage: a preliminary assessment. Cancer Epidemiol. 2017;49:108–111
    1. Ooi SL, Martinez ME, Li CI. Disparities in breast cancer characteristics and outcomes by race/ethnicity. Breast Cancer Res Treat. 2011;127:729–738
    1. McCarthy AM, Yang J, Armstrong K. Increasing disparities in breast cancer mortality from 1979 to 2010 for US black women aged 20 to 49 years. Am J Public Health. 2015;105:S446–S448
    1. Gordon NH. Socioeconomic factors and breast cancer in black and white Americans. Cancer Metastasis Rev. 2003;22:55–65
    1. Thomson CS, Hole DJ, Twelves CJ, et al. . Prognostic factors in women with breast cancer: distribution by socioeconomic status and effect on differences in survival. J Epidemiol Community Health. 2001;55:308–315
    1. O'Keefe EB, Meltzer JP, Bethea TN. Health disparities and cancer: racial disparities in cancer mortality in the United States, 2000–2010. Front Public Health. 2015;3:51.
    1. U.S. Preventive Services Task Force. Final recommendation statement: breast cancer screening. Updated 2016. Available at: (Accessed March15, 2018)
    1. Federal Bureau of Prisons. Preventive health care screening. Federal Bureau of Prisons web site. Updated 2018. Available at: (Accessed August20, 2018)
    1. Centers for Disease Control and Prevention. Mammography. National Center for Health Statistics web site. Updated 2017. Available at: (Accessed March1, 2018)
    1. Binswanger IA, White MC, Pérez-Stable EJ, et al. . Cancer screening among jail inmates: frequency, knowledge, and willingness. Am J Public Health. 2005;95:1781–1787
    1. Centers for Disease Control and Prevention. What are the risk factors for breast cancer?. Breast Cancer web site. Updated 2017. Available at: (Accessed March1, 2018)
    1. Nijhawan AE, Salloway R, Nunn AS, et al. . Preventive healthcare for underserved women: results of a prison survey. J Womens Health (Larchmt). 2010;19:17–22
    1. Minton TD, Ginder S, Brumbaugh SM, et al. . Census of jails: Population changes, 1999–2013. US Department of Justice web site. Updated 2015. Available at: (Accessed March1, 2018)
    1. Ramaswamy M, Lee J, Wickliffe J, et al. . Impact of a brief intervention on cervical health literacy: a waitlist control study with jailed women. Prev Med Rep. 2017;6:314–321
    1. Ramaswamy M, Simmons R, Kelly PJ. The development of a brief jail-based cervical health promotion intervention. Health Promot Pract. 2015;16:432–442
    1. Kelly PJ, Cheng AL, Spencer-Carver E, et al. . A syndemic model of women incarcerated in community jails. Public Health Nurs. 2014;31:118–125
    1. Schoenberg NE, Studts CR, Hatcher-Keller J, et al. . Patterns and determinants of breast and cervical cancer non-screening among Appalachian women. Women Health. 2013;53:552–571
    1. Gandhi S, Rovi S, Vega M, et al. . Intimate partner violence and cancer screening among urban minority women. J Am Board Fam Med. 2010;23:343–353
    1. McCall-Hosenfeld JS, Chuang CH, Weisman CS. Prospective association of intimate partner violence with receipt of clinical preventive services in women of reproductive age. Womens Health Issues. 2013;23:e109–e116
    1. Lo Fo Wong S, Wester F, Mol S, et al. . Utilisation of health care by women who have suffered abuse: a descriptive study on medical records in family practice. Br J Gen Pract. 2007;57:396–400
    1. Beydoun HA, Williams M, Beydoun MA, et al. . Relationship of physical intimate partner violence with mental health diagnoses in the nationwide emergency department sample. J Womens Health (Larchmt). 2017;26:141–151
    1. Prosman GJ, Lo Fo Wong SH, Bulte E, et al. . Healthcare utilization by abused women: a case control study. Eur J Gen Pract. 2012;18:107–113
    1. Centers for Disease Control and Prevention. BRFSS web enabled analysis tool. Behavioral Risk Factor Surveillance System web site. Updated 2016. Available at: (Accessed February27, 2018)
    1. Miranda PY, Tarraf W, González P, et al. . Breast cancer screening trends in the united states and ethnicity. Cancer Epidemiol Biomarkers Prev. 2012;21:351–357
    1. Centers for Disease Control and Prevention. 2016 Behavioral Risk Factor Surveillence System Questionnaire. BRFSS Questionnaires web site. Updated 2015. Available at: (Accessed April19, 2018)
    1. Oeffinger KC, Fontham ET, Etzioni R, et al. . Breast cancer screening for women at average risk: 2015 guideline update from the american cancer society. JAMA. 2015;314:1599–1614
    1. Wang AT, Fan J, Van Houten HK, et al. . Impact of the 2009 US Preventive Services Task Force guidelines on screening mammography rates on women in their 40s. PLoS One. 2014;9:e91399.
    1. Bryan TJ, Estrada CA, Castiglioni A, et al. . Impact of an educational intervention on provider knowledge, attitudes, and comfort level regarding counseling women ages 40–49 about breast cancer screening. J Multidiscip Healthc. 2015;8:209–216
    1. US Centers for Medicare & Medicaid. Preventive care benefits for women. web site. Available at: (Accessed April23, 2018)
    1. Ramaswamy M, Kelly PJ. “The vagina is a very tricky little thing down there”: cervical health literacy among incarcerated women. J Health Care Poor Underserved. 2015;26:1265–1285

Source: PubMed

3
Se inscrever