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Breast Density Awareness and Knowledge, and Intentions for Breast Cancer Screening in a Diverse Sample of Women Age Eligible for Mammography

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Abstract

The objectives of this study were to assess breast density knowledge and breast density awareness, and to identify information associated with intention to complete routine and supplemental screening for breast cancer in a diverse sample of women age eligible for mammography. We quantitatively (self-report) assessed breast density awareness and knowledge (N = 264) in black (47.7%), Latina (35.2%), and white (17%) women recruited online and in the community. Most participants reported having heard about breast density (69.2%); less than one third knew their own breast density status (30.4%). Knowing their own breast density, believing that women should be notified of their breast density in their mammogram report, and feeling informed if being provided this information are associated with likelihood of completing mammogram. Intending mammogram completion and knowledge regarding the impact of breast density on mammogram accuracy are associated with likelihood of completing supplemental ultrasound tests of the breast. These findings help inform practitioners and policy makers about information and communication factors that influence breast cancer screening concerns and decisions. Knowing this information should prepare practitioners to better identify women who may have not been exposed to breast density messages.

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References

  1. Kerlikowske K, Phipps AI (2011) Breast density influences tumor subtypes and tumor aggressiveness. J Natl Cancer Inst 103(15):1143–1145

    Article  Google Scholar 

  2. Ravert PK, Huffaker C (2010) Breast cancer screening in women: an integrative literature review. J Am Acad Nurse Pract 22(12):668–673

    Article  Google Scholar 

  3. Machida Y, Tozaki M, Shimauchi A, Yoshida T (2015) Breast density: the trend in breast cancer screening. Breast Cancer 22(3):253–261

    Article  Google Scholar 

  4. Habel LA, Capra AM, Achacoso NS, Janga A, Acton L, Puligandla B et al (2010) Mammographic density and risk of second breast cancer after ductal carcinoma in situ. Cancer Epidemiol Biomark Prev 19(10):2488–2495

    Article  Google Scholar 

  5. Kerlikowske K, Zhu W, Tosteson AN, Sprague BL, Tice JA, Lehman CD et al (2015) Identifying women with dense breasts at high risk for interval cancer: a cohort study. Ann Intern Med 162(10):673–681

    Article  Google Scholar 

  6. McCormack VA, dos Santos Silva I (2006) Breast density and parenchymal patterns as markers of breast cancer risk: a meta-analysis. Cancer Epidemiol Biomark Prev 15(6):1159–1169

    Article  Google Scholar 

  7. Pettersson A, Graff RE, Ursin G, dos Santos Silva I, McCormack V, Baglietto L et al (2014) Mammographic density phenotypes and risk of breast cancer: a meta-analysis. J Natl Cancer Inst 106(5):dju078. doi:10.1093/jnci/dju078

    Article  PubMed  PubMed Central  Google Scholar 

  8. Santiago-Rivas M, Benjamin S, Jandorf L (2016) Breast density knowledge and awareness: a review of literature. J Prim Care Commun Health 7(3):207–214

    Article  Google Scholar 

  9. Are you dense? Are you dense advocacy, http://www.areyoudenseadvocacy.org/. Accessed Oct 8 2016

  10. Freer PE (2015) Mammographic breast density: impact on breast cancer risk and implications for screening. Radiographics 35(2):302–315

    Article  Google Scholar 

  11. Destounis S, Arieno A, Morgan R (2015) Initial experience with the New York State breast density inform law at a community-based breast center. J Ultrasound Med 34:993–1000

    Article  Google Scholar 

  12. PsychData, https://www.psychdata.com. Accessed Oct 25 2016

  13. Amazon Mechanical Turk, https://www.mturk.com/mturk/welcome. Accessed Oct 25 2016

  14. Amazon Web Services, Amazon Mechanical Turk: requester UI guide, Amazon Web Services, Inc., 2014

  15. Kicked It In heels, http://www.kickeditinheels.com/. Accessed Oct 25 2016

  16. Ochoa-Frongia L, Thompson HS, Lewis-Kelly Y, Deans-McFarlane T, Jandorf L (2012) Breast and cervical cancer screening and health beliefs among African American women attending educational programs. Health Promot Pract 13(4):447–453

    Article  Google Scholar 

  17. Saad-Harfouche FG, Jandorf L, Gage E, Thelemaque LD, Colón J, Castillo AG, Treviño M, Erwin DO (2011) Esperanza y Vida: training lay health advisors and cancer survivors to promote breast and cervical cancer screening in Latinas. J Community Health 36(2):219–227

    Article  Google Scholar 

  18. Rhodes DJ, Radecki Breitkopf C, Ziegenfuss JY, Jenkins SM, Vachi CM (2015) Awareness of breast density and its impact on breast cancer detection and risk. J Clin Oncol 33(10):1143–1150

    Article  Google Scholar 

  19. Trinh L, Ikeda DM, Miyake KK, Trinh J, Lee KK, Dave H et al (2015) Patient awareness of breast density and interest in supplemental screening tests: comparison of an academic facility and a county hospital. J Am Coll Radiol 12(3):249–255

    Article  Google Scholar 

  20. Chew LD, Bradley KS, Boyko E (2004) Brief questions to identify patients with inadequate health literacy. Fam Med 36(6):588–594

    PubMed  Google Scholar 

  21. IBM SPSS Statistics for Windows Version 20.0, IBM Corporation, 2011

  22. Weigert JM (2016) The Connecticut experiment; the third installment: 4 years of screening women with dense breasts with bilateral ultrasound. Breast J. doi:10.1111/tbj.12678

  23. Cho MW, Grimm LJ, Johnson KS (2016) Focal breast pain: does breast density affect the need for ultrasound? Acad Radiol. doi:10.1016/j.acra.2016.09.004

  24. Horny M, Burgess JF, Cohen AB (2015) Advanced imaging utilization trends in privately insured patients from 2007 to 2013. J Am Coll Radiol 12:1380–1387

    Article  Google Scholar 

  25. Sobotka J, Hinrichs C (2015) Breast density legislation: discussion of patient utilization and subsequent direct financial ramifications for insurance providers. J Am Coll Radiol 12(10):1011–1015

    Article  Google Scholar 

  26. Bientzle M, Cress U, Kimmerle J (2015) The role of tentative decisions and health concepts in assessing information about mammography screening. Psychol Health Med 20(6):670–679

    Article  Google Scholar 

  27. Lin ZC, Effken JA (2010) Effects of a tailored web-based educational intervention on women’s perceptions of and intentions to obtain mammography. J Clin Nurs 19:1261–1269

    Article  Google Scholar 

  28. Nekhlyudov L, Li R, Fltecher SW (2008) Informed decision-making before initiating screening mammography: does it occur or does it make a difference. Health Expect 11(4):366–375

    Article  Google Scholar 

  29. Yeh VM, Schnur JB, Margolies L, Montgomery GH (2015) Dense breast tissue notification: impact on women’s perceived risk, anxiety, and intentions for future breast cancer screening. J Am Coll Radiol 12(2):261–266

    Article  Google Scholar 

  30. Manning M, Albrecht TL, Yilmaz-Saab Z, Shultz J, Purrington K (2016) Influences of race and breast density on related cognitive and emotion outcomes before mandated breast density notification. Soc Sci Med 169:171–179

    Article  Google Scholar 

  31. Maimone S, McDonough M (2017) Dense breast notification and supplemental screening: a survey of current strategies and sentiments. Breast J 23(2):193–199

    Article  Google Scholar 

  32. New York State Cancer Registry. Data provisional, Nov 2012

  33. Lourenco AP, DiFlorio-Alexander RM, Slanetz PJ (2017) Breast density legislation in New England: a survey study of practicing radiologists. Acad Radiol. doi:10.1016/j.acra.2017.03.009

  34. Chau SL, Alabaster A, Luikart K, Brenman LM, Habel LA (2017) The effect of California’s breast density notification legislation on breast cancer screening. J Prim Care Commun Health 8(2):55–62

    Article  Google Scholar 

  35. Sanders LM, King AB, Goodman KS (2016) Impact of the New Jersey breast density law on imaging and intervention volumes and breast cancer diagnosis. J Am Coll Radiol 13(10):1189–1194

    Article  Google Scholar 

  36. New York passes insurance bill requiring coverage breast screening. Supplemental Imaging, http://www.itnonline.com/article/new-york-passes-insurance-bill-requiring-coverage-breast-screening-supplemental-imaging, Accessed Oct 27 2016

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Acknowledgements

We acknowledge the support provided to the first author by the American Cancer Society Postdoctoral Fellowship PF-15-019-01 and the National Cancer Institute Grant R03CA195039-01A1. We also acknowledge the support provided by the Kicked it in Heels foundation.

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Correspondence to Marimer Santiago-Rivas.

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The authors declare that they have no conflict of interest.

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Informed consent was obtained from all individual participants included in the study.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Santiago-Rivas, M., Benjamin, S., Andrews, J.Z. et al. Breast Density Awareness and Knowledge, and Intentions for Breast Cancer Screening in a Diverse Sample of Women Age Eligible for Mammography. J Canc Educ 34, 90–97 (2019). https://doi.org/10.1007/s13187-017-1271-y

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  • DOI: https://doi.org/10.1007/s13187-017-1271-y

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