Perception of Breast Density Information Among Women in Miami, FL: a Qualitative Study

Breast Density Awareness and Knowledge in a Mammography Screening Cohort of Predominantly Hispanic Women: Does Breast Density Notification Matter?

“…[28][29][30] Thus, amending DBN content to improve readability level combined with efforts to facilitate patientprovider communication could help to improve the reach and effectiveness of DBN, particularly for women with lower literacy levels and ethnically diverse populations. [28][29][30]32 The low level of BD awareness and knowledge among women receiving DBN in our study suggests somewhat limited benefit of DBN for improving quality and informed decisionmaking about breast cancer screening. However, the public discourse around BD presents an opportune time for healthcare providers, researchers, and public health experts to broadly increase informed decision making as well as risk-and preference-based breast cancer screening.…”

The impact of breast density notification on psychosocial outcomes in racial and ethnic minorities: A systematic review

“…Table 1 summarises the study characteristics. There were 28 quantitative studies (20 cross-sectional studies including two with a qualitative interview component [ 17 , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] ], five cohort studies including one with a qualitative survey component [ [44] , [45] , [46] , [47] , [48] ], two randomised trials [ 49 , 50 ] and one quasi-experimental study [ 51 ], and four qualitative studies (three interviews [ [52] , [53] , [54] ] and one focus group [ 55 ]). Among quantitative studies, the sample size ranged from 77 to 631,478.…”

“…All but one study [ 46 ] were conducted in the US. Among US studies, there were eight national studies [ 17 , [26] , [27] , [28] , [29] , [30] , 40 , 41 ], six from New York [ [42] , [43] , [44] , 47 , 48 , 54 ], six from Michigan [ [32] , [33] , [34] , [35] , 49 , 51 ], two from Massachusetts [ 52 , 53 ], two from Arizona [ 39 , 50 ] and one from California [ 45 ], Virginia [ 25 ], Washington [ 31 ], Florida [ 55 ], District of Columbia [ 38 ], Maryland [ 37 ] and Connecticut [ 36 ] respectively.…”

“…Four were conducted prior to the BD notification mandate [ 34 , 35 , 38 , 49 ], 18 post-mandate (including the Australian study, conducted in Western Australia which has a BD notification policy but not a mandate) [ 25 , [31] , [32] , [33] , 36 , 37 , 39 , [42] , [43] , [44] , [46] , [47] , [48] , 50 , [52] , [53] , [54] , [55] ], eight US-wide studies capturing women residing in both BD notification and non-BD notification mandated states [ 17 , [26] , [27] , [28] , [29] , [30] , 40 , 41 ], and two studying both pre- and post-legislation periods [ 45 , 51 ]. Four assessed general BD information [ 25 , 39 , 40 , 49 ], 16 assessed the woman's personal BD notification [ 17 , 28 , 30 , [32] , [33] , [34] , 36 , 41 , [45] , [46] , [47] , [51] , [52] , [53] , [54] , [55] ], three gave hypothetical BD notifications [ 37 , 42 , 43 ] and nine assessed both general and personal BD information [ 26 , 27 , 29 , 31 , 35 ...…”

“…In 12 studies, race and ethnicity (or a related factor) was a main study factor [ 17 , [32] , [33] , [34] , [35] , 39 , 47 , [49] , [50] , [51] , 53 , 54 ], including four which included only Hispanic, Latina or Spanish-speaking women [ 39 , 50 , 53 , 54 ], and in 20 studies race and ethnicity was a covariate [ [25] , [26] , [27] , [28] , [29] , [30] , [31] , [36] , [37] , [38] , [40] , [41] , [42] , [43] , [44] , [45] , [46] , 48 , 52 , 55 ]. It should be noted that 12 studies reported on Asian communities [ 17 , 25 , 26 , 28 , 29 , [36] , [37] , [38] , [45] , [46] , [47] , 55 ], however these studies were all conducted in the United States except for one study that was conducted in Australia [ 47 ]. The proportion of women in the sample who were racial and ethnic minorities ranged from 5 to 100%.…”