Numerator
Number of women aged 50 to 74 years who have had a mammogram in the past 2 years
Denominator
Number of women aged 50 to 74 years
Methodology
Data include women who have had a mammogram within the last 2 years. Healthy People 2020 uses the U.S. Preventative Services Task Force (USPSTF) guidelines to measure this objective, and the current USPSTF recommendation includes biennial mammography for women aged 50 to 74 years, with an additional recommendation that starting biennial mammography before age 50 should be an individual decision considering patient context, including a patient’s beliefs regarding possible benefits and harms.
From the 2008 National Health Interview Survey Cancer Control Supplement:
[NUMERATOR:]
Have you EVER HAD a mammogram?
- Yes
- No
[If yes:]
When did you have your MOST RECENT mammogram?
This Indicator uses Age-Adjustment Groups:
- Disability Status: 50-64, 65-74
- Education Level: 50-64, 65-74
- Race/Ethnicity: 50-64, 65-74
- Family Income Level: 50-64, 65-74
- Family Type: 50-64, 65-74
- Marital Status: 50-64, 65-74
- Metro Location: 50-64, 65-74
- Country of Birth: 50-64, 65-74
- Total: 50-64, 65-74
Interventions
The USPSTF recommends that clinicians discuss chemoprevention with women at high risk for breast cancer and at low risk for adverse effects of chemoprevention.
The USPSTF recommends that women whose family history is associated with an increased risk for deleterious mutations in BRCA1 or BRCA2 genes be referred for genetic counseling and evaluation for BRCA testing.
One-on-one education is provided in person or by telephone to encourage individuals to be screened for cancer.
Some interventions seek to increase cancer screening by reducing out-of-pocket costs.
Many barriers can make it difficult for people to seek screening for cancer.
Reminders include letters, postcards, or phone calls to alert clients that it is time for their cancer screening.
Small media such as videos, letters, brochures, and newsletters can be used to inform and motivate people to be screened for cancer; they can be tailored to specific persons or targeted to general audiences.
Provider-oriented interventions aim to increase recommendation and delivery of screening for cancers by health care providers.
The USPSTF recommends biennial screening mammography for women aged 50 to 74 years.