{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T22:08:14Z","timestamp":1783116494409,"version":"3.54.6"},"reference-count":26,"publisher":"Wiley","issue":"24","license":[{"start":{"date-parts":[[2024,12,16]],"date-time":"2024-12-16T00:00:00Z","timestamp":1734307200000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1S10OD021644\u201001A1"],"award-info":[{"award-number":["1S10OD021644\u201001A1"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["P30CA042014"],"award-info":[{"award-number":["P30CA042014"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01 CA244326"],"award-info":[{"award-number":["R01 CA244326"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01 RR021746"],"award-info":[{"award-number":["R01 RR021746"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["NU58DP0063200\u201001"],"award-info":[{"award-number":["NU58DP0063200\u201001"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Annual or biennial breast cancer screenings are recommended for women 40 and older. Women residing in rural areas have worse breast cancer survival rates than urban women, but no study has focused on rural versus urban residence in Utah regarding breast cancer screening and mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Cases (<jats:italic>n<\/jats:italic>\u2009=\u200914,516) were women aged &gt;\u200939 diagnosed with a first primary invasive breast cancer between 1998 and 2017 in Utah. Controls (<jats:italic>n<\/jats:italic>\u2009=\u200963,117) without a history of breast cancer were matched to cases by birth year and birth state. Mammography screening status was identified by Current Procedural Terminology (CPT) codes. Logistic regression was used to assess the odds of breast cancer diagnosis. The Cox proportional hazards model was used to assess survival outcomes for rural and urban breast cancer patients based on screening status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Screening mammography usage among rural patients diagnosed with breast cancer was lower (17.7%) than urban usage (20.7%). Usage of screening mammograms resulted in higher odds of breast cancer diagnosis at localized stage rather than at a regional and distant stage. Rural breast cancer cases had a higher proportion of deaths, and a lower proportion screened, than urban breast cancer cases. Hazard ratios showed that screening mammography usage was associated with better survival among both rural (HR\u2009=\u20090.50, 95% CI\u2009=\u20090.44\u20130.57) and urban (HR\u2009=\u20090.56, 95% CI\u2009=\u20090.39\u20130.82) breast cancer cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Screening mammography usage was associated with better overall survival regardless of place of residence. Removing barriers and improving information regarding breast cancer screenings are needed in both rural and urban settings in Utah to increase mammography usage, with the overall goal of increasing early detection and outcomes of breast cancer.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cam4.70505","type":"journal-article","created":{"date-parts":[[2024,12,16]],"date-time":"2024-12-16T13:08:54Z","timestamp":1734354534000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Mammography Among Women Residing in Urban Versus Rural Utah: Breast Cancer Survival"],"prefix":"10.1002","volume":"13","author":[{"given":"Quinn","family":"Tanner","sequence":"first","affiliation":[{"name":"Division of Public Health, Department of Family &amp; Preventive Medicine University of Utah School of Medicine  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0878-997X","authenticated-orcid":false,"given":"Chun\u2010Pin","family":"Chang","sequence":"additional","affiliation":[{"name":"Division of Public Health, Department of Family and Preventive Medicine Huntsman Cancer Institute, University of Utah School of Medicine  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Curtin","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University of Utah School of Medicine  Salt Lake City Utah USA"},{"name":"Pedigree and Population Resource, Huntsman Cancer Institute University of Utah School of Medicine  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"VanDerslice","sequence":"additional","affiliation":[{"name":"Division of Public Health, Department of Family &amp; Preventive Medicine University of Utah School of Medicine  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Gren","sequence":"additional","affiliation":[{"name":"Division of Public Health, Department of Family &amp; Preventive Medicine University of Utah School of Medicine  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikrant","family":"Deshmukh","sequence":"additional","affiliation":[{"name":"University of Utah Health  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Newman","sequence":"additional","affiliation":[{"name":"University of Utah Health  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ankita","family":"Date","sequence":"additional","affiliation":[{"name":"Pedigree and Population Resource, Population Sciences Huntsman Cancer Institute  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Dodson","sequence":"additional","affiliation":[{"name":"Gynecologic Oncology Intermountain Healthcare  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N. Lynn","family":"Henry","sequence":"additional","affiliation":[{"name":"Division of Hematology\/Oncology, Department of Internal Medicine University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6903-2049","authenticated-orcid":false,"given":"Mia","family":"Hashibe","sequence":"additional","affiliation":[{"name":"Division of Public Health, Department of Family and Preventive Medicine Huntsman Cancer Institute, University of Utah School of Medicine  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,16]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2009.09.022"},{"key":"e_1_2_9_3_1","unstructured":"The International Agency for Research on Cancer (IARC) \u201cGlobal Cancer Observatory [Internet] \u201d2022Gco.iarc.fr 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