Dicle Filiz Yıldırım Gökşen, Sevgi Özkan
The effect of online breastfeeding education on breastfeeding motivation: A randomized controlled study
Journal of pediatric nursing
breast density notifications advise women discuss breast density clinicians yet little known discussions examine content womens reports breast density discussions clinicians identify variations womens sociodemographic characteristics age income state legislation status race ethnicity literacy level us nationwide populationbased randomdigit dial telephone survey study conducted july 1 2019 april 30 2020 among 2306 women aged 40 76 years history breast cancer underwent mammography prior 2 years heard term dense breasts breast density results analyzed subsample 770 women reporting conversation breast density clinician last mammographic screening statistical analysis conducted april july 2023 survey questions inquired whether womens clinicians asked breast cancer risk worries concerns breast density discussed mammography results options breast cancer screening future risk breast cancer well extent clinician answered questions breast density 770 women 358 47 aged 5064 years 47 asian 6 125 hispanic 16 204 nonhispanic black 27 317 nonhispanic white 41 77 race ethnicity 10 whose results analyzed reported clinicians asked questions breast cancer risk 88 670 766 discussed mammography results 94 724 768 answered patient questions breast density 81 614 761 fewer women reported clinicians asked worries concerns breast density 69 524 764 future risk breast cancer 64 489 764 options breast cancer screening 61 459 756 womens reports conversations varied significantly race ethnicity nonhispanic black women reported asked questions breast cancer risk often nonhispanic white women odds ratio 208 95 ci 105410 p 04 asian women less often reported asked worries concerns 042 95 ci 020086 p 02 hispanic asian women less often reported questions breast density answered completely mostly asian 028 95 ci 013062 p 002 hispanic 048 95 ci 027087 p 02 women low literacy less likely women high literacy report asked worries concerns breast density 064 95 ci 043096 p 03 mammography results discussed 032 95 ci 016063 p 001 questions breast density answered completely mostly 051 95 ci 032081 p 004 survey study although women reported clinicians counselled breast density unaddressed worries concerns unanswered questions especially among hispanic asian women low literacy highlighted areas discussions could improved