{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T14:57:27Z","timestamp":1781967447829,"version":"3.54.5"},"reference-count":67,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T00:00:00Z","timestamp":1761091200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"National Institutes of Health, Office of the Director: Regional Medical Centers"},{"name":"Sandra and Edward Meyer Cancer Center at Weill Cornell Medicine"},{"name":"Dean\u2019s Office of Weill Cornell Medicine through a Ritu Banga Healthcare Disparities Research Award"},{"name":"National Cancer Institute of the National Institutes of Health","award":["R00CA245900"],"award-info":[{"award-number":["R00CA245900"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Exposure to negative perceived individual and neighborhood determinants disproportionately impacts marginalized groups and can profoundly shape health behavior. We assessed the hypothesized relationship between exposure to adverse perceived individual and neighborhood determinants and rates of mammography. In this cohort study, we identified 31\u2009568 female participants aged 40-74 without history of breast cancer in the All of Us Research Program. Participant-reported levels of perceived stress, everyday discrimination, perceived neighborhood physical disorder, perceived neighborhood social cohesion, and receipt of mammography were ascertained in the linked participant survey and electronic health record data. Fifty-two percent of participants had at least 1 mammogram during follow-up. Women reporting high stress were screened at lower rates compared to low-stress individuals. Higher discrimination (incidence rate ratio [IRR]\u00a0=\u00a00.92 [95% CI, 0.88-0.95]) and higher perceived stress (IRR\u00a0=\u00a00.84 [95% CI, 0.79-0.90) were both respectively associated with lower breast cancer screening rates, while perceived neighborhood physical disorder and social cohesion were not. Women reporting high stress and discrimination were also less likely to be compliant with screening guidelines. The associations between the determinants and breast cancer screening rates did not differ by race and ethnicity. Women who report highest levels of discrimination and stress may face additional barriers obtaining breast cancer screening.<\/jats:p>","DOI":"10.1093\/aje\/kwaf234","type":"journal-article","created":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T11:37:33Z","timestamp":1761046653000},"page":"477-487","source":"Crossref","is-referenced-by-count":1,"title":["Evaluating the association between upstream perceived individual and neighborhood determinants of health and intensity of breast cancer screening"],"prefix":"10.1093","volume":"195","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-1179-0840","authenticated-orcid":false,"given":"Faith","family":"Morley","sequence":"first","affiliation":[{"name":"Department of Population Health Sciences, Weill Cornell Medicine , New York, NY ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5715-1710","authenticated-orcid":false,"given":"Anjile","family":"An","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences, Weill Cornell Medicine , New York, NY ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5658-9577","authenticated-orcid":false,"given":"Vivian","family":"Bea","sequence":"additional","affiliation":[{"name":"Department of Surgery, Weill Cornell Medical College , New York, NY ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2306-8668","authenticated-orcid":false,"given":"Rulla M","family":"Tamimi","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences, Weill Cornell Medicine , New York, NY ,","place":["United States"]},{"name":"Sandra and Edward Meyer Cancer Center, Weill Cornell Medicine , New York, NY ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7515-7270","authenticated-orcid":false,"given":"Kevin H","family":"Kensler","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences, Weill Cornell Medicine , New York, NY ,","place":["United States"]},{"name":"Sandra and Edward Meyer Cancer Center, Weill Cornell Medicine , New York, NY ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,10,22]]},"reference":[{"issue":"2","key":"2026020508031374700_ref1","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1001\/jamaoncol.2024.5381","article-title":"Estimation of cancer deaths averted from prevention, screening, and treatment efforts, 1975-2020","volume":"11","author":"Goddard","year":"2024","journal-title":"JAMA Oncol."},{"issue":"3","key":"2026020508031374700_ref2","doi-asserted-by":"publisher","first-page":"355","DOI":"10.1001\/jamaoncol.2020.7113","article-title":"Deconstructing racial and ethnic disparities in breast cancer. 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