Factors Influencing Patient Confidence in Screening Mammography
© Copyright by the American Board of Family Medicine..
BACKGROUND: We aimed to assess factors associated with patients' confidence in the ability of screening mammography to detect breast cancer.
METHODS: Data were analyzed from a cross-sectional, prospective survey conducted in 2017 of women without a breast cancer history who were undergoing screening mammography at our institution.
RESULTS: In total, 390 women completed the survey questions relevant to this study. Most respondents were 46 years or older (89.7%), White (87.6%), and college-educated (66.1%). Approximately 80% of respondents reported having confidence in the ability of screening mammography to detect breast cancer. Factors significantly associated with lower confidence in screening mammography were higher education (P = .01) and dense breast tissue (P < .001). Age (P = .12), race (P = .64), family history of breast cancer (P = .17), prior abnormal mammogram (P = .07), and mammogram frequency (P = .42) were nonsignificant. Women with a college education or higher were less likely to report confidence in routine mammography than women with less education (odds ratio [OR]= 0.43; 95% CI, 0.20-0.84; P = .02). Compared with women who reported their breast tissue as not dense, women who were aware they had increased breast density (OR = 0.16; 95% CI, 0.04-0.49; P = .004) or were unaware whether they had increased breast density (OR = 0.17; 95% CI, 0.04-0.51; P = .005) reported less confidence in screening mammography.
DISCUSSION: Most respondents were confident in the ability of screening mammography to detect breast cancer. Confidence was inversely associated with education level and self-reported increased breast density.
CONCLUSIONS: These findings highlight the importance of continued patient education about the effectiveness of screening mammography for patients with dense breast tissue.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:36 |
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| Enthalten in: |
Journal of the American Board of Family Medicine : JABFM - 36(2024), 6 vom: 05. Jan., Seite 942-951 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Jarvis, Hannah [VerfasserIn] |
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| Links: |
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| Themen: |
Breast Cancer |
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| Anmerkungen: |
Date Completed 08.01.2024 Date Revised 08.01.2024 published: Electronic Citation Status MEDLINE |
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| doi: |
10.3122/jabfm.2023.230055R1 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © Copyright by the American Board of Family Medicine. | ||
| 520 | |a BACKGROUND: We aimed to assess factors associated with patients' confidence in the ability of screening mammography to detect breast cancer | ||
| 520 | |a METHODS: Data were analyzed from a cross-sectional, prospective survey conducted in 2017 of women without a breast cancer history who were undergoing screening mammography at our institution | ||
| 520 | |a RESULTS: In total, 390 women completed the survey questions relevant to this study. Most respondents were 46 years or older (89.7%), White (87.6%), and college-educated (66.1%). Approximately 80% of respondents reported having confidence in the ability of screening mammography to detect breast cancer. Factors significantly associated with lower confidence in screening mammography were higher education (P = .01) and dense breast tissue (P < .001). Age (P = .12), race (P = .64), family history of breast cancer (P = .17), prior abnormal mammogram (P = .07), and mammogram frequency (P = .42) were nonsignificant. Women with a college education or higher were less likely to report confidence in routine mammography than women with less education (odds ratio [OR]= 0.43; 95% CI, 0.20-0.84; P = .02). Compared with women who reported their breast tissue as not dense, women who were aware they had increased breast density (OR = 0.16; 95% CI, 0.04-0.49; P = .004) or were unaware whether they had increased breast density (OR = 0.17; 95% CI, 0.04-0.51; P = .005) reported less confidence in screening mammography | ||
| 520 | |a DISCUSSION: Most respondents were confident in the ability of screening mammography to detect breast cancer. Confidence was inversely associated with education level and self-reported increased breast density | ||
| 520 | |a CONCLUSIONS: These findings highlight the importance of continued patient education about the effectiveness of screening mammography for patients with dense breast tissue | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Breast Cancer | |
| 650 | 4 | |a Breast Density | |
| 650 | 4 | |a Cancer Screening | |
| 650 | 4 | |a Cross-Sectional Studies | |
| 650 | 4 | |a Mammography | |
| 650 | 4 | |a Patient Confidence | |
| 650 | 4 | |a Prospective Studies | |
| 650 | 4 | |a Surveys and Questionnaires | |
| 700 | 1 | |a Mi, Lanyu |e verfasserin |4 aut | |
| 700 | 1 | |a Patel, Bhavika |e verfasserin |4 aut | |
| 700 | 1 | |a Cube, Regino P |e verfasserin |4 aut | |
| 700 | 1 | |a Pruthi, Sandhya |e verfasserin |4 aut | |
| 700 | 1 | |a Vegunta, Suneela |e verfasserin |4 aut | |
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