Mammography use among women with and without diabetes

How to cite this article:
Joob B, Wiwanitkit V. Mammography use among women with and without diabetes. Ann Trop Med Public Health 2015;8:144


How to cite this URL:
Joob B, Wiwanitkit V. Mammography use among women with and without diabetes. Ann Trop Med Public Health [serial online] 2015 [cited 2021 Apr 14];8:144. Available from:

Dear Sir,

Breast cancer is an important problem in all countries and has become a serious threat to public health. Mammography is a useful tool for screening for breast malignancy. The use of this investigation is recommended worldwide. The use of mammography among women with and without diabetes is very interesting. [1] Sanderson et al. studied “the association between diabetes and mammography use” and concluded that “mammography use is not related to diabetes.” [1] This result is concordant with the report by Liu et al[2] Liu et al. noted that there was no relationship between having diabetes and receiving mammography screening, but reported a relationship between having diabetes and cervical cancer screening. [2] However, in another report from Spain, Martinez-Huedo et al. found that “women with diabetes consistently underuse breast and cervical cancer screening tests compared with non-diabetic women.” [3] Among patients with diabetes, it is interesting to assess the factors affecting the decision to have mammography screening. In a recent study, Chan et al. found that “the presence of diabetes was an independent barrier to breast cancer screening, which was not explained by differences in socio-economic status.” [4] In the report by Martinez-Huedo et al., [3] the positive predictor is “attending more physician visits.” This can imply that the physician in charge who takes care of the diabetic patient plays an important role in giving information to pursue the patient to undergo the mammography. Proper clinical practice guidelines should be set for general practitioners for the management of cancer screening for diabetic patients.



Sanderson M, Lipworth L, Han X, Beeghly-Fadiel A, Shen-Miller D, Patel K, et al. Mammography use among women with and without diabetes: Results from the Southern Community Cohort Study. J Epidemiol Glob Health 2014;4:223-30.
Liu BY, O’Malley J, Mori M, Fagnan LJ, Lieberman D, Morris CD, et al. The association of type and number of chronic diseases with breast, cervical, and colorectal cancer screening. J Am Board Fam Med 2014;27:669-81.
Martinez-Huedo MA, Lopez de Andres A, Hernandez-Barrera V, Carrasco-Garrido P, Martinez Hernandez D, Jiménez-Garcia R. Adherence to breast and cervical cancer screening in Spanish women with diabetes: Associated factors and trend between 2006 and 2010. Diabetes Metab 2012;38:142-8.
Chan W, Yun L, Austin PC, Jaakkimainen RL, Booth GL, Hux J, et al. Impact of socio-economic status on breast cancer screening in women with diabetes: A population-based study. Diabet Med 2014;31:806-12.

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.162400

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