A. Marshall McBean|Xinhua Yu
The Underuse of Screening Services Among Elderly Women With Diabetes
University of Minnesota|University of Minnesota
determine whether use nondiabetesrelated preventive services mammography colorectal cancer screening bone density testing among elderly diabetic women different use among nondiabetic womenusing representative sample us elderly female population linked surveillance epidemiology end results seermedicare files identified women without diabetes 67 years age 1 january 1999 women prior history cancer excluded bivariate multivariate analyses used compare rates preventive service use understand factors influencing use next 24 yearswomen diabetes less likely mammogram odds ratio 083 95 ci 078088 colorectal cancer screening 079 070088 bone density testing 063 058069 women diabetes seen endocrinologists significantly higher rates bone density testing women seen primary care physicians women seen obstetriciangynecologists highest rates use three serviceselderly women diabetes less likely receive cancer osteoporosis screening women without diabetes physicians treating patients need assure receive recommended preventive services appropriate age additional national guidelines practicebased improvements patient education targeting greatest risk receiving services may needed achieve parity