San Francisco, CA (February 22, 2010) - In some states women ages 40
to 49 have less access to mammograms since the U.S. Preventive Services Task
Force (USPSTF) released its recommendations to change breast cancer screening
guidelines last November, according to a recent survey conducted by the Avon
Foundation For Women. The USPSTF recommended changing the current mammography
screening guidelines for average risk women to begin biennial screening at age
50 instead of annual mammograms starting at age 40.
At its annual Avon Foundation Breast Cancer Forum, the Avon Foundation for Women
released data from an online survey of more than 150 breast cancer health
educators and providers from 48 states and the District of Columbia, all of
which are Avon Foundation grant recipients.
The purpose of the survey was to determine what, if any, affect the new USPSTF-recommended
guidelines may be having on the number of women under age 50 accessing
mammograms and other early detection programs. These organizations are attending
the Forum and range from small community groups like the YWCA North Rhode Island
to leading cancer centers like Johns Hopkins University.
"Our survey gives us an early indication from those working on the front lines
of breast cancer education, screening and treatment as to how the recommended
guidelines may be affecting their work," said Marc Hurlbert, director of the
Avon Foundation Breast Cancer Crusade.
Respondents from 25 percent of the states represented in the nationwide survey
report changes in their states' Breast & Cervical Cancer Early Detection
programs. According to these respondents, the USPSTF-recommended guidelines
combined with other factors, such as budget cuts, have resulted in fewer
mammograms or the elimination of early screening programs for women under age 50
offered through state-administered breast cancer screening programs.
According to respondents, California, New York, Florida, Illinois and Michigan
are among those states that have made changes in their state's breast cancer
screening programs since the USPSTF released its guidelines.
"Budget cuts are a reality, but we are concerned that the new USPSTF guidelines
may be making it easier for state government-funded programs to stop providing
mammograms to women under the age of 50 who may need to be screened," said Forum
speaker Barbara Cicerelli, Health Program Coordinator, San Francisco Department
of Public Health. "Fortunately for women in San Francisco, under our Healthy San
Francisco program, the San Francisco Department of Public Health continues to
provide mammograms to women under the age of 50."
In addition to limiting access, the USPSTF-recommended guidelines may be the
reason fewer women under the age of 50 are seeking mammograms. Twenty-four
percent of survey respondents report a decrease in the number of women under the
age of 50 being screened or seeking appointments for mammograms at their
facilities. According to some of these survey respondents, many women who were
already reluctant to have a mammogram are using the guidelines as their
rationale to put off screening.
"We are concerned that some women may simply accept the new recommended
guidelines as standard - not taking into consideration their own health history
and other breast cancer risk factors," said Hurlbert.
The new USPSTF recommendations address limitations with current mammography
technology and the level of scientific understanding about breast cancer disease
progression, aggressiveness, and likelihood of metastasis. That is why the Avon
Foundation for Women continues its commitment to fund cutting-edge research to
develop new tests for more accurate risk assessment, to better determine which
women benefit from mammography, ultrasound or MRI screening, and accelerate
advances in tumor analysis technology to better determine the appropriate level
of aggressiveness for treatment.
"The decision as to when and how often to have a mammogram is between a women
and her health care provider, said Hurlbert. "We believe every woman regardless
of income or age should have access to early breast cancer screening services
and education, as well as quality treatment."
The Avon Foundation for Women along with other expert groups, including the
American Cancer Society, American College of Radiology and Susan G. Komen for
the Cure, supports current mammography guidelines starting screening at age 40
until better alternatives are developed.
The 2010 Avon Foundation Breast Cancer Forum brought together more than 275 of
its grantees, including breast cancer community health educators, patient
navigators, nurses and physicians from all 50 states to participate in
discussions about programs that enable women to access early detection programs
and breast cancer treatment.
Collectively, this network of Avon Foundation for Women-funded programs educates
more than 1,000,000 people each year on breast health care, links 150,000 women
to mammography screening and navigates thousands of breast cancer patients
through treatment and care.
About the Avon Foundation for Women
The Avon Foundation for Women is the world's largest corporate-affiliated
philanthropy focused on women's issues. Since it was founded in 1955, the Avon
Foundation has been committed to the mission to improve the lives of women and
their families. Now past the half century milestone, the Avon Foundation is a
501(c)(3) public charity that brings this mission to life through two key areas
of focus: breast cancer and domestic violence. Through 2009, Avon global
philanthropy has donated more than $725 million in over 50 countries for causes
most important to women.
About the Avon Foundation Breast Cancer Forum Survey
The Avon Foundation for Women conducted this survey online from February 1-8,
2010. The survey population included 151 breast cancer health educators and
providers from 48 states and the District of Columbia that receive funding from
the Avon Foundation to provide education and health services.