The Impact of Breast Density Reporting Laws on Women's Awareness of Density-Associated Risks and Conversations Regarding Supplemental Screening With Providers
The Impact of Breast Density Reporting Laws on Women's Awareness of Density-Associated Risks and Conversations Regarding Supplemental Screening With Providers
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DOI：
10.1016/j.jacr.2018.08.009
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发表时间：
2019-02-01
影响因子：
4.5
通讯作者：
Lee, Christoph I.
中科院分区：
文献类型：
--
作者：
Cappello, Nancy M.;Richetelli, Dorinda;Lee, Christoph I.
目的：我们进行了一项全国调查，以了解州一级密度报告法对妇女密度风险意识水平的影响，以及她们与提供者就补充筛查进行对话的参与程度。方法：2018年2月，对1500名年龄在40至74岁之间、在2年内接受乳房x光检查的美国女性进行了调查。抽样设计产生了300名受访者，每组分为五组，根据密度报告法的特征进行分类。研究人员询问了妇女的乳腺密度相关知识、告知的重要性、信息来源，以及是否与提供者就密度和补充筛查进行了交谈。调查结果在不同群体之间以及居住在有人口密度法和没有人口密度法的州的妇女之间进行了比较。结果：所有群体中的大多数受访者都认为女性了解自己的乳房密度类型很重要（范围为85% - 90%）。妇女最有可能通过医疗保健提供者了解乳腺密度类型（范围，68%-72%），其次是乳房x光检查结果信（范围，48%-68%），然后是放射科医生（范围，46%-61%）。有密度法的州的妇女比没有密度法的州的妇女更有可能从乳房x光检查结果信中了解自己的乳房组织类型（60%对48%，P = 0.011），并讨论补充筛查（分别为67%对53%，P = 0.008）。结论：州一级的密度报告法律与提高乳房密度意识和增加妇女与其提供者之间关于补充筛查的对话的可能性有关。
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 asked about their breast density-related knowledge, importance of being notified, and sources of information and if conversations with providers regarding density and supplemental screening occurred. Survey results were compared across groups and between women residing in states with versus without density laws.Results: The majority of respondents in all groups felt that it is important for women to know their breast density type (range, 85%90%). Women were most likely informed of breast density type by a health care provider (range, 68%-72%), followed by the mammography result letter (range, 48%-68%), and then a radiologist (range, 46%-61%). Women from states with a density law were significantly more likely to have learned of their breast tissue type from a mammogram results letter (60% versus 48%, P = .011) and discuss supplemental screening (67% versus 53%, respectively; P = .008) than women from states without a law.Conclusion: State-level density reporting laws are associated with increased breast density awareness and increased likelihood of conversations between women and their providers regarding supplemental screening.