Summary
This review aims to highlight key social determinants of health associated with breast cancer screening behavior in United States women aged 40 years and older, identify public and private databases with social determinants of health (SDOH) data at city, state, and national levels, and share lessons learned from United States based observational studies in addressing SDOH in underserved women influencing breast cancer screening behaviors.
The Arksey and O’Malley York methodology was used as guidance for this review: (1) identifying research questions; (2) searching for relevant studies; (3) selecting studies relevant to the research questions; (4) charting the data; and (5) collating, summarizing, and reporting results.
This study uses 2005, 2007, 2009, 2011, and 2019 California Health Interview (CHIS) data.
Findings: The 72 studies included in this review were published between 2013 and 2023. Among the various SDOH identified, those related to socioeconomic status exhibited the highest frequency. The Health Care Access and Quality category was reported in the highest number of studies, showing its statistical significance in relation to access to mammography. Insurance status was the most reported sub-categorical factor of health care access and quality.
Results may inform future evidence-based interventions aiming to address the underlying factors contributing to low screening rates for breast cancer in the United States.
