James Ted McDonald, PhD
Angela Sherman, MA
Department of Economics, University of New Brunswick, Fredericton, NB
Can J Rural Med 2010;15(2)
asymptomatic women aged 50–69 years. Unfortunately many women do not abide by
such recommendations, and evidence indicates that compliance rates are lower in rural
areas.
Methods: We estimated logistic regression models using data from the Canadian Community
Health Survey for 2002/03 and 2004/05. We identified the extent of regional
variation within and between Canadian provinces using a new and more detailed set of
rural indicators based on economic zones of influence, after accounting for a range of
demographic and socio-economic factors.
Results: The odds of asymptomatic women aged 50–69 years having undergone mammography
during the previous 2 years were significantly lower for those residing in
relatively remote and rural areas than for those residing in census metropolitan areas
(odds ratio [OR] 0.58, confidence interval [CI] 0.42–0.80). This was also true of
women residing in certain other rural areas that had some limited labour market
attachment to larger urban areas (OR 0.81, CI 0.70–0.93), but there were no significant
differences between smaller and larger urban areas. We also found variation in
mammography use among women living in rural and urban areas across provinces.
during the previous 2 years were significantly lower for those residing in
relatively remote and rural areas than for those residing in census metropolitan areas
(odds ratio [OR] 0.58, confidence interval [CI] 0.42–0.80). This was also true of
women residing in certain other rural areas that had some limited labour market
attachment to larger urban areas (OR 0.81, CI 0.70–0.93), but there were no significant
differences between smaller and larger urban areas. We also found variation in
mammography use among women living in rural and urban areas across provinces.
Conclusion: Mammography use is significantly lower in rural and remote areas, even
after a range of other demographic and socio-economic factors are accounted for. One
important factor underpinning this result appears to be differences in attitude about
the importance of regular mammography screening between women residing in rural
and urban areas. Information campaigns raising awareness about the importance of
mammography screening should be targeted, in particular, at women residing in rural
and remote areas.
after a range of other demographic and socio-economic factors are accounted for. One
important factor underpinning this result appears to be differences in attitude about
the importance of regular mammography screening between women residing in rural
and urban areas. Information campaigns raising awareness about the importance of
mammography screening should be targeted, in particular, at women residing in rural
and remote areas.
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