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Article on parental notification law draws criticism. Cause-and-effect relationship not proven.

Article on parental notification law draws criticism. Cause-and-effect relationship not proven. The early detection and treatment of breast cancer in elderly women is efficacious.1 A study funded by Health Care Financing Administration and PacifiCare of California/Secure Horizons evaluated the relationship between age and the use of mammograms in an older, insured population, while controlling for demographic and other factors. Subjects (n = 822)were female members of a Medicare risk-based capitated Health Maintenance Organization (HMO) without a prior history of cancer who had been randomly selected to participate in a controlled trial of the costeffectiveness of preventive services.2 The costs for screening mammograms ordered by health plan physicians, who were members of a multispecialty group practice, were covered by the plan. The data were collected via a paper-and-pencil health appraisal. The subjects were predominantly White (95%) and between 65 and 79 years of age (90%). Fifty-seven percent had completed at least some college, and 40% had a household income of $20 000 per year or more. Eighty-four percent rated their health as "good" or better. The majority of subjects (88%) had had two or more outpatient physician visits in the past year (the median of visits was four). Age was strongly associated with mammography, with the frequency of mammograms declining http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Public Health American Public Health Association

Article on parental notification law draws criticism. Cause-and-effect relationship not proven.

B Ferguson
American Journal of Public Health , Volume 82 (5) – May 1, 1992
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Publisher
American Public Health Association
Copyright
Copyright © by the American Public Health Association
ISSN
0090-0036
eISSN
1541-0048
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Abstract

The early detection and treatment of breast cancer in elderly women is efficacious.1 A study funded by Health Care Financing Administration and PacifiCare of California/Secure Horizons evaluated the relationship between age and the use of mammograms in an older, insured population, while controlling for demographic and other factors. Subjects (n = 822)were female members of a Medicare risk-based capitated Health Maintenance Organization (HMO) without a prior history of cancer who had been randomly selected to participate in a controlled trial of the costeffectiveness of preventive services.2 The costs for screening mammograms ordered by health plan physicians, who were members of a multispecialty group practice, were covered by the plan. The data were collected via a paper-and-pencil health appraisal. The subjects were predominantly White (95%) and between 65 and 79 years of age (90%). Fifty-seven percent had completed at least some college, and 40% had a household income of $20 000 per year or more. Eighty-four percent rated their health as "good" or better. The majority of subjects (88%) had had two or more outpatient physician visits in the past year (the median of visits was four). Age was strongly associated with mammography, with the frequency of mammograms declining

Journal

American Journal of Public Health – American Public Health Association

Published: May 1, 1992

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