Cigarette smoking, alcohol consumption, and screening mammography among women ages 50 and older.

Abstract:

BACKGROUND:The associations among cigarette smoking and alcohol consumption with recent screening mammograms were evaluated among women ages 50 years and older. METHODS:The sample included 946 white and African-American women ages 50 years and older from the 1995 Maryland Behavioral Risk Factor Survey. Bivariate and logistic regression analyses were performed to evaluate the associations between current cigarette smoking and alcohol consumption in the past month (none, 1-7 drinks, >7 drinks) with obtaining a screening mammogram in the past 2 years (recent mammogram), controlling for sociodemographic and health variables. RESULTS:Seventy-eight percent of respondents had recent mammograms, 15% smoked cigarettes, 18% reported 1-7 drinks, and 12% reported >7 drinks in the past month. Smokers had lower mammography rates than nonsmokers (odds ratio (OR) = 0.47, 95% confidence interval (CI) = 0.30-0.75). Women who drank alcoholic beverages had higher mammography rates than nondrinkers (OR = 1.37, 95% CI = 1.03-1.83). Smokers had the lowest mammography rates, regardless of their consumption of alcohol. An interaction was observed among white but not African-American women: nonsmokers who consumed moderate amounts of alcohol (1-7 drinks) had the highest mammography rates in this subgroup. CONCLUSIONS:To reduce breast cancer mortality, it is important to increase screening mammography among all women over age 50 and especially among smokers and the oldest women.

journal_name

Prev Med

journal_title

Preventive medicine

authors

Fredman L,Sexton M,Cui Y,Althuis M,Wehren L,Hornbeck P,Kanarek N

doi

10.1006/pmed.1998.0445

subject

Has Abstract

pub_date

1999-04-01 00:00:00

pages

407-17

issue

4

eissn

0091-7435

issn

1096-0260

pii

S0091-7435(98)90445-5

journal_volume

28

pub_type

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