1. v v Mammography Screening Recommendations and Reading Level: Comparing Imaging Centers and Non Imaging Centers Haleigh Shadley, Veronica Irvin, PhD, MPH, Jessica Seifert School of Social & Behavioral Health Sciences, Health Promotion & Health Behavior COLLEGE OF PUBLIC HEALTH AND HUMAN SCIENCES Introduction The U.S. Preventative Services Task Force & American Cancer Society offer conflicting mammography screening which might lead to inconsistent provision of screening information between mammography facilities. Various information presented by mammography facilities could partially contribute to disparities in screening behaviors across Oregon Purpose This project examined the recommendation differences seen between Non-imaging centers and for profit imaging centers. We compared recommendations with a series of factors. how many mammography machines location-Urban versus Rural age at first screen screening intervals reading levels using SMOG Design and Methods Step 1: Obtain list and license for mammography machines in Oregon Step 2: Match each facility with a site and website ID Step 3: Search each facility website and captured screen shots for recommendations and pages related to mammography Step 4: Duel-coded each website using Qualtrics Step 5: Conducted analyses in Excel including t-tests, chi-square Variables Imaging Center: Exclusive outpatient imaging center Women’s centers excluded if they offered more than imaging. If linked to a clinic, does it have a unique address SMOG: Measure of readability that estimates the years of education needed to understand a piece of writing Mammography recommendations for Age of first screening Interval Grade Level Results small copyIm ipit, quam aliquis nullan volobor am quat vulla faci bla feuisl ea facidunt luptatin ut prat. Henim do conse feum nim velessim nulla augiat, quat acil ulla acin henim irit alit praesto commod te doloborperos acilla facincin henit lan henim ilit atincil laortisl enit praestie molore feugiam ver in eummy nos dolortisi bla faci Head 3 Head 3, to label the table below Summary & Conclusion Conclusion Imaging centers are more likely urban counties recommend screening earlier provide resources in a reading level easier for most women recommend yearly screening Imaging centers recommend more frequent and earlier screenings which do not match US Preventative Service Task Force recommendations Limitation: American Cancer Society recommendation updated to first screening at age 45 instead of age 40 in October 2015, data was collected prior to update. - Add rural/urban county map (could use ORH map below) - Add map of density of pharmacies, mammography machines, and DXAs per square mile by county? - Add map of number of pharmacies, mammography machines, and DXAs per incident breast cancer case. Figure 3: Percent of recommendations for annual screening for women under 50, by clinic type Figure 2: Percentage of recommendations of first screen starting at age 40 by type of clinic Figure 4: websites mean recommendations using SMOG reading level by type of clinic Figure 1: Percentage of sites that offered recommendations by type of clinic MAP