Mammography screening in Tennessee: a tract-level spatial analysis of geographic and socioeconomic disparities

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Urbanicity and education level are the primary drivers of disparities in mammography screening rates in Tennessee, with socioeconomic factors explaining approximately 61% of the variance. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Sima Namin; Jonathan S. Wall; R Eric Heidel; Ashton Brooks; S Dawson Allen; J. Ferris

doi:10.1007/s10552-026-02190-9

June 4, 2026Cancer Causes & ControlOpen Access

Mammography screening in Tennessee: a tract-level spatial analysis of geographic and socioeconomic disparities

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Key Points

The aim is to analyze how geographic and socioeconomic factors influence mammography screening rates in Tennessee.
Merged CDC PLACES estimates of screening among women aged 50-74 with geocoded mammography facilities.
Analyzed drive-time categories and tract-level covariates including education, poverty, and urban/rural status.
Mapped hot/cold spots using Getis-Ord Gi* and fit four beta-regression models.
Urban tracts screened 0.72 percentage points higher than rural tracts.
Each 1-percentage point rise in adults without a high school diploma predicted a 0.13 percentage point decrease in screening rates.
Drive-time and Appalachian effects were attenuated in combined regression models.

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Implication

Reveals geographic and socioeconomic disparities affecting mammography screening in Tennessee, suggesting necessary interventions for improvement.

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Cite This Study

Namin et al. (2026) studied this question.

synapsesocial.com/papers/6a23bb4471a5da9775e76df0 https://doi.org/10.1007/s10552-026-02190-9

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Mammography screening in Tennessee: a tract-level spatial analysis of geographic and socioeconomic disparities

Key Points

No abstract yet

Implication

Discussion

Cite This Study

Mammography screening in Tennessee: a tract-level spatial analysis of geographic and socioeconomic disparities

Key Points

No abstract yet

Implication

Discussion

Cite This Study

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