© 2003 American Public Health Association
The authors are with the Division of Population Science, Fox Chase Cancer Center, Philadelphia, Pa. Correspondence: Requests for reprints should be sent to Marilyn Tseng, PhD, Fox Chase Cancer Center, 7701 Burholme Ave, Philadelphia, PA 19111 (e-mail: m_tseng@fccc.edu).
A recent article by Leung et al.,1 concluding that annual, population-based screening mammograms are not justified in Hong Kong, would seem to have implications for screening of Asian women in Western countries. In US Asian/Pacific Islander women aged 50 years or older, for example, 1996 breast cancer incidence and mortality rates were 126.4 and 32.7 per 100 000, respectively,2 similar to rates in Hong Kong. Following the calculations described by Leung et al., we calculated a screening prevalence of 149.8 per 100 000 and assumed 95% sensitivity, 99.1% specificity, and an 8% complication rate among 18.6% of healthy women receiving
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