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Showing content from https://pubmed.ncbi.nlm.nih.gov/27733299/ below:

Influences of race and breast density on related cognitive and emotion outcomes before mandated breast density notification

doi: 10.1016/j.socscimed.2016.09.037. Epub 2016 Oct 10. Influences of race and breast density on related cognitive and emotion outcomes before mandated breast density notification

Affiliations

¹ Karmanos Cancer Institute, Wayne State University School of Medicine, 4100 John R Rd, Detroit, MI 48201, United States. Electronic address: manningm@karmanos.org.
² Karmanos Cancer Institute, Wayne State University School of Medicine, 4100 John R Rd, Detroit, MI 48201, United States.

PMID: 27733299
PMCID: PMC6816018
DOI: 10.1016/j.socscimed.2016.09.037

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Influences of race and breast density on related cognitive and emotion outcomes before mandated breast density notification

Mark Manning et al. Soc Sci Med. 2016 Nov.

doi: 10.1016/j.socscimed.2016.09.037. Epub 2016 Oct 10. Affiliations

¹ Karmanos Cancer Institute, Wayne State University School of Medicine, 4100 John R Rd, Detroit, MI 48201, United States. Electronic address: manningm@karmanos.org.
² Karmanos Cancer Institute, Wayne State University School of Medicine, 4100 John R Rd, Detroit, MI 48201, United States.

PMID: 27733299
PMCID: PMC6816018
DOI: 10.1016/j.socscimed.2016.09.037

Item in Clipboard

Abstract

Rationale: Many states have adopted laws mandating breast density (BD) notification for applicable women; however, very little is known about what women knew or felt about BD and related breast cancer (BC) risk before implementation of BD notification laws.

Objective: We examined between-race differences in the extent to which having dense breasts was associated with women's related BD cognition and emotion, and with health care providers' communication about BD.

Methods: We received surveys between May and October of 2015 assessing health care provider (HCP) communication about BD, BD-related knowledge, BD-related anxiety and BC worry from 182 African American (AA) and 113 European American (EA) women in the state of Michigan for whom we had radiologists' assessments of BD.

Results: Whereas having dense breasts was not associated with any BD-related cognition or emotion, there were robust effects of race as follows: EA women were more likely to have been told about BD by a HCP, more likely to know their BD status, had greater knowledge of BD and of BC risk, and had greater perceptions of BC risk and worry; AA women had greater BD-related anxieties. EA women's greater knowledge of their own BD status was directly related to the increased likelihood of HCP communication about BD. However, HCP communication about BD attenuated anxiety for AA women only.

Conclusion: We present the only data of which we are aware that examines between-race differences in the associations between actual BD, HCP communication and BD related cognition and emotion before the implementation of BD notification laws. Our findings suggest that the BD notification laws could yield positive benefits for disparities in BD-related knowledge and anxiety when the notifications are followed by discussions with health care providers.

Keywords: Anxiety; Breast density; Cognition; Emotion; Michigan, USA; Racial difference.

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Figures
Fig. 1.

Conceptual representation of path model.…

Fig. 1.

Conceptual representation of path model. Δ = marital status is excluded as predictor…

Fig. 1.

Conceptual representation of path model. Δ = marital status is excluded as predictor of HCP communication. HCP = Health Care Provider, BC = Breast cancer.

Fig. 2.

Standardized direct effects. Control variables…

Fig. 2.

Standardized direct effects. Control variables and endogenous residual covariances have been excluded from…

Fig. 2.

Standardized direct effects. Control variables and endogenous residual covariances have been excluded from figure to facilitate presentation. HCP=Health Care Provider, AA = African American, EA = European American. ^†p < 0.10. *p < 0.05. **p < 0.01. ***p < 0.001.