Women's perceptions of dense breast notifications in a Massachusetts safety net hospital: "So what is that supposed to mean?"
Women's perceptions of dense breast notifications in a Massachusetts safety net hospital: "So what is that supposed to mean?"
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DOI：
10.1016/j.pec.2018.01.017
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发表时间：
2018-06-01
影响因子：
3.5
通讯作者：
Kressin, Nancy R.
中科院分区：
文献类型：
--
作者：
Gunn, Christine M.;Battaglia, Tracy A.;Kressin, Nancy R.
目标：目前，美国 30 个州强制要求放射科医生在乳房 X 光检查发现致密乳腺组织时通知女性。人们对收件人如何看待通知知之甚少。这项定性研究旨在了解密集乳房通知 (DBN) 如何影响女性的认知及其参与后续护理的程度。 方法：我们评估了 DBN 回忆率，并对 30 名 40 至 74 岁的英语女性在从马萨诸塞州一家医院接受 DBN 后进行了半结构化电话采访。内容编码描述了女性对通知内容的回忆、对乳房密度的看法以及计划或实际参与后续护理的情况。结果：大多数女性 (81%) 回忆起接受过 DBN，但很少有人能回忆起具体内容。女性描述了她们很难理解乳房密度的含义，并创建了自己的与医学解释不同的致密乳房解释模型。许多女性在收到通知后计划或确实与医生讨论了乳房密度问题。结论：接受 DBN 的女性对于拥有致密乳房的影响了解有限，并且存在许多误解。实践影响：需要教育支持来促进有关乳腺癌筛查的知情决策，将个人风险纳入致密乳房立法的背景下。 (C) 2018 Elsevier B.V. 保留所有权利。
Objective: Currently, 30 US states mandate that radiologists notify women when dense breast tissue is found on mammography. Little is understood about how notifications are perceived by recipients. This qualitative study sought to understand how dense breast notifications (DBNs) impact women's perceptions and their participation in follow-up care.Methods: We assessed rates of DBN recall and conducted semi-structured telephone interviews with 30 English-speaking women ages 40 to 74 after receiving a DBN from a Massachusetts hospital. Content coding characterized women's recall of the notification content, perceptions of breast density, and planned or actual participation in follow-up care.Results: Most women (81%) recalled receiving a DBN, but few could recall specific content. Women described struggling to understand the meaning of breast density and created their own explanatory models of dense breasts that differed from medical explanations. Many women planned to or did talk with their doctors about breast density as a result of receiving the notification.Conclusions: Women receiving DBNs have limited knowledge and many misperceptions about the implications of having dense breasts.Practice implications: Educational support is needed to promote informed decision- making about breast cancer screening that incorporates personal risk in the setting of dense breast legislation. (C) 2018 Elsevier B.V. All rights reserved.