A letter is not enough: Women’s preferences for and experiences of receiving breast density information

Kressin, Nancy R.; Wormwood, Jolie B.; Battaglia, Tracy A.; Slanetz, Priscilla J.; Gunn, Christine M.

doi:10.1016/j.pec.2022.03.014

Cited by 4 publications

(13 citation statements)

References 22 publications

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“…Table 1 summarises the study characteristics. There were 28 quantitative studies (20 cross-sectional studies including two with a qualitative interview component [ 17 , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] ], five cohort studies including one with a qualitative survey component [ [44] , [45] , [46] , [47] , [48] ], two randomised trials [ 49 , 50 ] and one quasi-experimental study [ 51 ], and four qualitative studies (three interviews [ [52] , [53] , [54] ] and one focus group [ 55 ]). Among quantitative studies, the sample size ranged from 77 to 631,478.…”

Section: Resultsmentioning

confidence: 99%

“… N = 2306 n = 1248 (54) 1058 (46) Non-Hispanic White 581 (25) Non-Hispanic Black 338 (14) Hispanic 168 (7) Asian 160 (7) Other Both Mod Kressin et al, 2022a [ 28 ] US (national) Both Cross-sectional (qualitative component with brief reference to race) Telephone survey, interview Covariate Survey in English and Spanish. N = 754 N = 61 (qualitative part) n = 436 (58) 318 (42) Non-Hispanic White 190 (25) Non-Hispanic Black 122 (16) Hispanic 124 (16) Asian/Other Personal Mod Kressin et al, 2022b [ 29 ] US (national) Both Cross-sectional (qualitative component with brief reference to race) Telephone survey, interview Covariate Survey in English and Spanish. N = 2306 n = 1248 (54) N = 61 (qualitative part) 1058 (48) Non-Hispanic White 581 (24) Non-Hispanic Black 338 (15) Hispanic, 168 (9) Asian 160 (5) Other Both Mod Kressin et al, 2023 [ 17 ] US (national) Both Cross-sectional Telephone survey Main factor Survey in English and Spanish.…”

Section: Resultsmentioning

confidence: 99%

“…All but one study [ 46 ] were conducted in the US. Among US studies, there were eight national studies [ 17 , [26] , [27] , [28] , [29] , [30] , 40 , 41 ], six from New York [ [42] , [43] , [44] , 47 , 48 , 54 ], six from Michigan [ [32] , [33] , [34] , [35] , 49 , 51 ], two from Massachusetts [ 52 , 53 ], two from Arizona [ 39 , 50 ] and one from California [ 45 ], Virginia [ 25 ], Washington [ 31 ], Florida [ 55 ], District of Columbia [ 38 ], Maryland [ 37 ] and Connecticut [ 36 ] respectively.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The impact of breast density notification on psychosocial outcomes in racial and ethnic minorities: A systematic review

Isautier,

Wang,

Houssami

et al. 2024

The Breast

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The impact of breast density notification on psychosocial outcomes in racial and ethnic minorities: A systematic review

Isautier,

Wang,

Houssami

et al. 2024

The Breast

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“…Within the population-based sampling, efforts were made to ensure a sufficient sample of women from diverse racial and ethnic backgrounds, from states with and without breast density notification laws, and with lower literacy levels, as detailed in prior publications. 20 , 21 Participants were asked in the survey to self-identify their race or ethnicity. We collected race and ethnicity data to allow for oversampling across some groups to ensure that we could conduct analyses that compared findings across groups.…”

Section: Methodsmentioning

confidence: 99%

“…Eligible participants were aged 40 to 76 years, reported having undergone mammography in the prior 2 years, had no history of breast cancer, and had heard of breast density. Within the population-based sampling, efforts were made to ensure a sufficient sample of women from diverse racial and ethnic backgrounds, from states with and without breast density notification laws, and with lower literacy levels, as detailed in prior publications . Participants were asked in the survey to self-identify their race or ethnicity.…”

Section: Methodsmentioning

confidence: 99%

Perceptions of Breast Cancer Risks Among Women Receiving Mammograph Screening

et al. 2023

Self Cite

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ImportanceBreast density is an independent risk factor for breast cancer. Despite the proliferation of mandated written notifications about breast density following mammography, there is little understanding of how women perceive the relative breast cancer risk associated with breast density.ObjectiveTo assess women’s perception of breast density compared with other breast cancer risks and explore their understanding of risk reduction.Design, Setting, and ParticipantsThis mixed-methods qualitative study used telephone surveys and semistructured interviews to investigate perceptions about breast cancer risk among a nationally representative, population-based sample of women. Eligible study participants were aged 40 to 76 years, reported having recently undergone mammography, had no history of prior breast cancer, and had heard of breast density. Survey participants who had been informed of their personal breast density were invited for a qualitative interview. Survey administration spanned July 1, 2019, to April 30, 2020, with 2306 women completing the survey. Qualitative interviews were conducted from February 1 to May 30, 2020.Main Outcomes and MeasuresRespondents compared the breast cancer risk associated with breast density with 5 other risk factors. Participants qualitatively described what they thought contributed to breast cancer risk and ways to reduce risk.ResultsOf the 2306 women who completed the survey, 1858 (166 [9%] Asian, 503 [27%] Black, 268 [14%] Hispanic, 792 [43%] White, and 128 [7%] other race or ethnicity; 358 [19%] aged 40-49 years, 906 [49%] aged 50-64 years, and 594 [32%] aged ≥65 years) completed the revised risk perception questions and were included in the analysis. Half of respondents thought breast density to be a greater risk than not having children (957 [52%]), having more than 1 alcoholic drink per day (975 [53%]), or having a prior breast biopsy (867 [48%]). Most respondents felt breast density was a lesser risk than having a first-degree relative with breast cancer (1706 [93%]) or being overweight or obese (1188 [65%]). Of the 61 women who were interviewed, 6 (10%) described breast density as contributing to breast cancer risk, and 43 (70%) emphasized family history as a breast cancer risk factor. Of the interviewed women, 17 (28%) stated they did not know whether it was possible to reduce their breast cancer risk.Conclusions and RelevanceIn this qualitative study of women of breast cancer screening age, family history was perceived as the primary breast cancer risk factor. Most interviewees did not identify breast density as a risk factor and did not feel confident about actions to mitigate breast cancer risk. Comprehensive education about breast cancer risks and prevention strategies is needed.

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Screening mammography frequency following dense breast notification among a predominantly Hispanic/Latina screening cohort

Lee Argov,

Rodriguez,

Agovino

et al. 2024

Cancer Causes Control

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A letter is not enough: Women’s preferences for and experiences of receiving breast density information

Cited by 4 publications

References 22 publications

The impact of breast density notification on psychosocial outcomes in racial and ethnic minorities: A systematic review

The impact of breast density notification on psychosocial outcomes in racial and ethnic minorities: A systematic review

Perceptions of Breast Cancer Risks Among Women Receiving Mammograph Screening

Screening mammography frequency following dense breast notification among a predominantly Hispanic/Latina screening cohort

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