Dense Breast Notification Laws' Association With Outcomes in the US Population: A Cross-Sectional Study.

Published on May 1, 2021in Journal of The American College of Radiology4.268
· DOI :10.1016/J.JACR.2020.11.012
Nancy R. Kressin48
Estimated H-index: 48
(BU: Boston University),
Tracy A. Battaglia22
Estimated H-index: 22
(BU: Boston University)
+ 2 AuthorsChristine M. Gunn9
Estimated H-index: 9
(BU: Boston University)
Source
Abstract
Abstract Objective Understanding whether states’ breast density notifications are associated with desired effects, or disparities, can inform federal policy. We examined self-reported receipt of personal breast density information, breast density discussions with providers, knowledge about density’s masking effect, and association with increased breast cancer risk by state legislation status and women’s sociodemographic characteristics. Methods Cross-sectional observational population-based telephone survey of women aged > 40 years who underwent mammography within prior 2 years, had no history of breast cancer, and had heard the term “breast density.” Results Among 2,306 women, 57% received personal breast density information. Multivariate regression models adjusted for covariates indicated that women in notification states were 1.5 times more likely to receive density information, and older Black and Asian women of lower income and lower health literacy were less likely. Overall, only 39% of women discussed density with providers; women in notification states were 1.75 times as likely. Older and Asian women were less likely to have spoken with providers; women with high literacy or prior biopsy were more likely. State legislation status was not associated with differences in density knowledge, but Hispanic women and women of lower income or low health literacy had less knowledge regarding density’s masking effects; older women were more knowledgeable. Hispanic women and women of lower income or low health literacy were more likely, and middle-aged women less likely, to recognize increased breast cancer risk. Discussion Some positive effects were observed, but sociodemographic disparities suggest tailoring of future breast density communications for specific populations of women to ensure equitable understanding.
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1 CitationsSource
#1Nancy R. Kressin (BU: Boston University)H-Index: 48
#1Nancy R. Kressin (BU: Boston University)H-Index: 3
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7 CitationsSource
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Background To date, 38 states have enacted dense breast notification (DBN) laws mandating that mammogram reports include language informing women of risks related to dense breast tissue.
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Abstract Objective We conducted a national survey to understand the impact of state-level density reporting laws on women’s level of density risk awareness and their engagement in conversations with providers regarding supplemental screening. Methods In all, 1,500 US women aged 40 to 74 years who obtained a mammogram within 2 years were surveyed in February 2018. The sampling design yielded 300 respondents in each of five groups categorized based on density reporting law features. Women were ask...
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40 CitationsSource
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41 CitationsSource
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