Breast Density Knowledge and Awareness

Santiago-Rivas, Marimer; Benjamin, Shayna; Jandorf, Lina

doi:10.1177/2150131916633138

Cited by 16 publications

(25 citation statements)

References 26 publications

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“…Despite having a history of dense breasts, the majority of women in the current study did not recall receiving written communication of this information, and were unaware of and unfamiliar with the construct of breast density. These findings are congruent with the majority of survey studies reporting low levels of awareness and understanding of breast density, particularly in women of lower socioeconomic status and those from racial/ethnic minority groups . To our knowledge, fewer studies to date have assessed women’s knowledge of their personal breast density or women’s understanding of the BDN information that is communicated to them.…”

Section: Discussionsupporting

confidence: 84%

“…In the current study, we explored women’s perspectives regarding BDN through qualitative interviews and open‐ended questions, thereby contributing more in‐depth information concerning emotional, cognitive, and behavioral responses to BDN among predominantly immigrant women, who may face unique linguistic and health care access barriers . In addition, we focused on Hispanic women, who have been found in prior studies to have very low knowledge of breast density . The current study sample, although primarily composed of Caribbean Hispanic women recruited from a large urban community mammography clinic, had substantial diversity with regard to sociodemographic characteristics, including educational background and health literacy, and represented nearly equal numbers of English‐speaking and Spanish‐speaking women.…”

Section: Discussionmentioning

confidence: 99%

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“You probably can’t feel as safe as normal women”: Hispanic women’s reactions to breast density notification

Pacsi‐Sepulveda

Shelton

Rodríguez

et al. 2019

Cancer

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Background Patient advocacy has led to state‐level legislative mandates for the release of personal mammographic breast density information to women undergoing screening mammography. More research is needed to understand the impact of this information on women’s perceptions and mammography screening behavior. Methods Semistructured interviews were conducted in English and Spanish with 24 self‐identified Hispanic women who had undergone at least 1 mammogram since breast density notification was enacted in New York State. The women ranged in age from 43 to 63 years. Women were asked about their understanding and perceptions of the communication of New York State‐mandated breast density information, and any actions they have taken or would take in response to this information. A content analysis of the qualitative data from the translated and transcribed interviews was conducted. Results The majority of participants had no prior knowledge of breast density and expressed confusion and apprehension regarding the meaning of dense breasts when presented with the notification information. Many participants understood having dense breasts to be a serious and abnormal condition, and reported feelings of worry and vulnerability. Participants mostly expressed a strong interest in learning about breast density and obtaining additional and more frequent breast cancer screening tests. These behavioral intentions were consistent with participants’ overall favorable view of breast cancer screening and a belief that their faith, as well as regular screening, can help to protect them from breast cancer morbidity and mortality. Conclusions Hispanic women conveyed proactive breast cancer screening intentions in response to breast density notification, despite inadequate comprehension of this information and negative emotional responses.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

“You probably can’t feel as safe as normal women”: Hispanic women’s reactions to breast density notification

Pacsi‐Sepulveda

Shelton

Rodríguez

et al. 2019

Cancer

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“…Research on how to support women in initiating conversations about breast health with providers, particularly those who are less engaged in their health care, is also needed. Prior studies have documented variations in breast density awareness and knowledge by women's sociodemographic factors …”

Section: Discussionmentioning

confidence: 99%

“…Prior research presents conflicting messages about current breast density awareness, knowledge, and communication in the United States . Although radiologists believe that patient knowledge has increased because of density notification laws, empirical studies with patients paint a more complex picture.…”

Section: Introductionmentioning

confidence: 99%

“…Prior research presents conflicting messages about current breast density awareness, knowledge, and communication in the United States. [15][16][17] Although radiologists believe that patient knowledge has increased because of density notification laws, 18 empirical studies with patients paint a more complex picture. For example, qualitative work has revealed poor understanding and negative emotional responses to breast density notification, particularly among women who identify as Hispanic or receive care in safety net settings.…”

Section: Introductionmentioning

confidence: 99%

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Prior breast density awareness, knowledge, and communication in a health system–embedded behavioral intervention trial

Mahorter

Knerr

Bowles

et al. 2020

Cancer

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Background Breast density is an important breast cancer risk factor and a focus of recent national and state health policy efforts. This article describes breast density awareness, knowledge, and communication among participants in a health system–embedded trial with clinically elevated breast cancer risk 1 year before state‐mandated density disclosure. Methods Trial participants' demographics and prior health history were ascertained from electronic health records. The proportions of women reporting prior breast density awareness, knowledge of density's masking effect, and communication with a provider about their own breast density were calculated using baseline interview data collected from 2017 to 2018. Multiple logistic regression was used to estimate associations between women's characteristics and density awareness, knowledge, and communication. Results Although the overwhelming majority of participants had heard of breast density (91%) and were aware of breast density's masking effect (87%), only 60% had ever discussed their breast density with a provider. Annual mammography screening was associated with prior breast density awareness (odds ratio [OR], 2.97; 95% confidence interval [CI], 1.29‐6.81), knowledge (OR, 2.83; 95% CI, 1.20‐6.66), and communication (OR, 2.87; 95% CI, 1.34‐6.16) compared with an infrequent or unknown screening interval. Receipt of breast biopsy was also associated with prior knowledge (OR, 1.60; 95% CI, 1.04‐2.45) and communication (OR, 1.36; 95% CI, 1.00‐1.85). Conclusions Breast density awareness and knowledge are high among insured women participating in clinical research, even in the absence of mandated density disclosure. Patient‐provider communication about personal density status is less common, particularly among women with fewer interactions with breast health specialists.

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Fibroglandular tissue distribution in the breast during mammography and tomosynthesis based on breast CT data: A patient‐based characterization of the breast parenchyma

Fedon

Caballo

García³

et al. 2021

Medical Physics

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Purpose To develop a patient‐based breast density model by characterizing the fibroglandular tissue distribution in patient breasts during compression for mammography and digital breast tomosynthesis (DBT) imaging. Methods In this prospective study, 88 breast images were acquired using a dedicated breast computed tomography (CT) system. The breasts in the images were classified into their three main tissue components and mechanically compressed to mimic the positioning for mammographic acquisition of the craniocaudal (CC) and mediolateral oblique (MLO) views. The resulting fibroglandular tissue distribution during these compressions was characterized by dividing the compressed breast volume into small regions, for which the median and the 25th and 75th percentile values of local fibroglandular density were obtained in the axial, coronal, and sagittal directions. The best fitting function, based on the likelihood method, for the median distribution was obtained in each direction. Results The fibroglandular tissue tends to concentrate toward the caudal (about 15% below the midline of the breast) and anterior regions of the breast, in both the CC‐ and MLO‐view compressions. A symmetrical distribution was found in the MLO direction in the case of the CC‐view compression, while a shift of about 12% toward the lateral direction was found in the MLO‐view case. Conclusions The location of the fibroglandular tissue in the breast under compression during mammography and DBT image acquisition is a major factor for determining the actual glandular dose imparted during these examinations. A more realistic model of the parenchyma in the compressed breast, based on patient image data, was developed. This improved model more accurately reflects the fibroglandular tissue spatial distribution that can be found in patient breasts, and therefore might aid in future studies involving radiation dose and/or cancer development risk estimation.

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Breast Density Knowledge and Awareness

Cited by 16 publications

References 26 publications

“You probably can’t feel as safe as normal women”: Hispanic women’s reactions to breast density notification

“You probably can’t feel as safe as normal women”: Hispanic women’s reactions to breast density notification

Prior breast density awareness, knowledge, and communication in a health system–embedded behavioral intervention trial

Fibroglandular tissue distribution in the breast during mammography and tomosynthesis based on breast CT data: A patient‐based characterization of the breast parenchyma

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