Rationale and Objectives
Performing breast cancer risk assessment at the time of screening mammography has
potential to increase high-risk identification, appropriate supplemental screening,
and risk management. The study's goal is to investigate women's interest in risk assessment
and preferred method of risk communication in a diverse patient population.
Materials and Methods
Surveys in English and five non-English languages were distributed to women presenting
for screening mammography at eight screening mammography facilities between February
and May 2019 to assess their interest in risk assessment, preferred method, and level
of detail of estimated risk communication in hypothetical scenarios where estimated
risks are average and elevated.
Results
Among 683 survey respondents, 592 (87%) expressed interest in learning about their
estimated lifetime risk of breast cancer. Controlling for age, race/ethnicity, and
education, women with higher income were more interested in risk assessment than comparison
group (p<0.05). The most preferred method of average risk communication was by a mailed
letter accompanying mammographic results (57%), but more women exclusively preferred
face-to-face communications of elevated risk than of average risk estimate (191, 28%
vs. 128, 19%, p<0.0001). Phone communication was more preferred by younger women,
electronic communication was less preferred by older women and those with lower income,
and non-Hispanic blacks and older women preferred less detailed communication (p<0.05).
Conclusion
Sociodemographic factors influence women's interest in risk assessment and preference
in risk communication about breast cancer. Screening Mammogram facilities implementing
risk assessment should consider risk communication strategies that are most effective
for their patient population.
Key Words
Abbreviations:
NHAA (Non-Hispanic African American, African descent or black)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: May 03, 2020
Accepted:
March 22,
2020
Received in revised form:
March 7,
2020
Received:
February 7,
2020
Footnotes
Present address: Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115. Phone: (617)-732-6269 (N.A.).
Identification
Copyright
© 2020 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.
