ArticleJournal of general internal medicine2020
Dense Breast Notification Laws, Education, and Women's Awareness and Knowledge of Breast Density: a Nationally Representative Survey.
Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- The Impact of Breast Density Information or Notification on Women's Cognitive, Psychological, and Behavioral Outcomes: A Systematic Review.Journal of the National Cancer Institute · 2021Pooled it
- The impact of mandatory mammographic breast density notification on supplemental screening practice in the United States: a systematic review.Breast cancer research and treatment · 2021Pooled it
- Trial
- Effectiveness of Breast Density Educational Interventions on Mammography Screening Adherence Among Underserved Latinas: A Randomized Controlled Trial.Journal of women's health (2002) · 2025Trial
- A health belief model-based community health education on mammography screening among reproductive-aged women in Ethiopia: a randomized controlled trial.Frontiers in public health · 2024Trial
- Trial
- Where are we now and where do we go from here? A structured literature review analyzing the current state of breast density research trends and discussions.Cancer causes & control : CCC · 2025Review
- Prevalence and Demographic Correlates of "Rough Sex" Behaviors: Findings from a U.S. Nationally Representative Survey of Adults Ages 18-94 Years.Archives of sexual behavior · 2025Article
- Current trends in breast cancer genetics, risk factors, and screening strategies.Journal of biological methods · 2025Review
- Protocol for a pragmatic stepped wedge cluster randomized clinical trial testing behavioral economic implementation strategies to increase supplemental breast MRI screening among patients with extremely dense breasts.Implementation science : IS · 2023Article
- In vivo assignment of methylmalonic acid in breast tissue using 2D MRS and relationship with breast density, menopausal status and cancer risk.NMR in biomedicine · 2023Article
- Perceptions of Breast Cancer Risks Among Women Receiving Mammograph Screening.JAMA network open · 2023Article
- Breast cancer worry, uncertainty, and perceived risk following breast density notification in a longitudinal mammography screening cohort.Breast cancer research : BCR · 2022Article
- Women's Understandings and Misunderstandings of Breast Density and Related Concepts: A Mixed Methods Study.Journal of women's health (2002) · 2022Article
- Breast Density Knowledge in a Screening Mammography Population Exposed to Density Notification.Journal of the American College of Radiology : JACR · 2022Article
- Predictors of HPV vaccination in the southern US: A survey of caregivers from 13 states.Vaccine · 2021Article
- Dense Breast Notification Laws' Association With Outcomes in the US Population: A Cross-Sectional Study.Journal of the American College of Radiology : JACR · 2021Article
- Cancer Progress and Priorities: Breast Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021Review
- Dense Breast Notification Legislation: More Reasons for Caution.Journal of general internal medicine · 2020Article
- Evaluation of existing patient educational materials and development of a brochure for women with dense breasts.Breast (Edinburgh, Scotland) · 2020Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundTo date, 38 states have enacted dense breast notification (DBN) laws mandating that mammogram reports include language informing women of risks related to dense breast tissue.
objectiveNationally representative survey to assess the association between residing in a state with a DBN law and women's awareness and knowledge about breast density, and breast cancer anxiety.
designInternet survey conducted in 2018 with participants in KnowledgePanel®, an online research panel.
participantsEnglish-speaking US women ages 40-59 years without a personal history of breast cancer who had received at least one screening mammogram (N = 1928; survey completion rate 68.2%). MAIN MEASURES: (1) Reported history of increased breast density, (2) knowledge of the increased risk of breast cancer with dense breasts, (3) knowledge of the masking effect of dense breasts on mammography, and (4) breast cancer anxiety. KEY
resultsWomen residing in DBN states were more likely to report increased breast density (43.6%) compared with women residing in non-DBN states (32.7%, p < 0.01, adjusted odds ratio, 1.70, 95% CI,1.34-2.17). Interaction effect between DBN states and education status showed that the impact of DBN on women's reporting of dense breasts was significant for women with greater than high school education, but not among women with a high school education or less (p value = 0.01 for interaction). Only 23.0% of women overall knew that increased breast density was associated with a higher risk of breast cancer, and 68.0% of women understood that dense breasts decreased the sensitivity of mammography. There were no significant differences between women in DBN states and non-DBN states for these outcomes, or for breast cancer-related anxiety.
conclusionsState DBN laws were not associated with increased understanding of the clinical implications of breast density. DBN laws were associated with a higher likelihood of women reporting increased breast density, though not among women with lower education.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.