Impact of Breast Density Awareness on Knowledge about Breast Cancer Risk Factors and the Self-Perceived Risk of Breast Cancer

Breast density (BD) reduces sensitivity of mammography, and is a strong risk factor for breast cancer (BC). Data about women’s awareness and knowledge of BD are limited. Our aim is to examine whether the BD information disclosure and BD awareness among women without BC are related to their knowledge...

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Main Authors: Kristina Bojanic, Sonja Vukadin, Filip Sarcevic, Luka Malenica, Kaja Grgic, Robert Smolic, Kristina Kralik, Ines Bilic Curcic, Gordana Ivanac, George Y. Wu, Martina Smolic
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/10/7/496
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author Kristina Bojanic
Sonja Vukadin
Filip Sarcevic
Luka Malenica
Kaja Grgic
Robert Smolic
Kristina Kralik
Ines Bilic Curcic
Gordana Ivanac
George Y. Wu
Martina Smolic
author_facet Kristina Bojanic
Sonja Vukadin
Filip Sarcevic
Luka Malenica
Kaja Grgic
Robert Smolic
Kristina Kralik
Ines Bilic Curcic
Gordana Ivanac
George Y. Wu
Martina Smolic
author_sort Kristina Bojanic
collection DOAJ
description Breast density (BD) reduces sensitivity of mammography, and is a strong risk factor for breast cancer (BC). Data about women’s awareness and knowledge of BD are limited. Our aim is to examine whether the BD information disclosure and BD awareness among women without BC are related to their knowledge about BC risk factors. We examined self-reported BC risk perception and its association to BD awareness and level of health literacy. A cross-sectional, single site study included 263 Croatian women without BC who had mammographic examination. Data were collected by interviews using questionnaires and a validated survey. Of the total, 77.1% had never heard of BD, and 22.9% were aware of their BD. Most participants who knew their BD (88.2%, <i>p</i> < 0.001) had higher levels of education. Majority of subjects (66.8%) had non-dense breasts and 33.2% had dense breasts. Subjects aware of their BD knew that post-menopausal hormone replacement therapy (<i>p</i> = 0.04) and higher BD (<i>p</i> = 0.03) are BC risk factors. They could more easily access information about health promotion (<i>p</i> = 0.03). High-BD informed women assessed their lifetime BC risk as significantly higher than all others (<i>p</i> = 0.03). Comprehension of BD awareness and knowledge is crucial for reinforcement of educational strategies and development of amendatory BC screening decisions.
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spelling doaj.art-1c93ab17f05f4546be938d9a96fabc522023-11-20T07:18:18ZengMDPI AGDiagnostics2075-44182020-07-0110749610.3390/diagnostics10070496Impact of Breast Density Awareness on Knowledge about Breast Cancer Risk Factors and the Self-Perceived Risk of Breast CancerKristina Bojanic0Sonja Vukadin1Filip Sarcevic2Luka Malenica3Kaja Grgic4Robert Smolic5Kristina Kralik6Ines Bilic Curcic7Gordana Ivanac8George Y. Wu9Martina Smolic10Department of Biophysics and Radiology, Faculty of Dental Medicine and Health Osijek, J.J. Strossmayer University of Osijek, 31000 Osijek, CroatiaDepartment of Pharmacology and Biochemistry, Faculty of Dental Medicine and Health Osijek, J.J. Strossmayer University of Osijek, 31000 Osijek, CroatiaDepartment of Pharmacology, Faculty of Medicine Osijek, J.J. Strossmayer University of Osijek, 31000 Osijek, CroatiaDepartment of Pathophysiology, Physiology and Immunology, Faculty of Dental Medicine and Health Osijek, J.J. Strossmayer University of Osijek, 31000 Osijek, CroatiaDepartment of Pharmacology, Faculty of Medicine Osijek, J.J. Strossmayer University of Osijek, 31000 Osijek, CroatiaDepartment of Pathophysiology, Physiology and Immunology, Faculty of Dental Medicine and Health Osijek, J.J. Strossmayer University of Osijek, 31000 Osijek, CroatiaDepartment of Medical Statistics and Medical Informatics, Faculty of Medicine Osijek, J.J. Strossmayer University of Osijek, 31000 Osijek, CroatiaDepartment of Pharmacology, Faculty of Medicine Osijek, J.J. Strossmayer University of Osijek, 31000 Osijek, CroatiaDepartment of Diagnostic and Interventional Radiology, University Hospital Dubrava, 10000 Zagreb, CroatiaDepartment of Medicine, Division of Gastroenterology/Hepatology, University of Connecticut Health Center, 263 Farmington Avenue, Farmington, CT 06032, USADepartment of Pharmacology and Biochemistry, Faculty of Dental Medicine and Health Osijek, J.J. Strossmayer University of Osijek, 31000 Osijek, CroatiaBreast density (BD) reduces sensitivity of mammography, and is a strong risk factor for breast cancer (BC). Data about women’s awareness and knowledge of BD are limited. Our aim is to examine whether the BD information disclosure and BD awareness among women without BC are related to their knowledge about BC risk factors. We examined self-reported BC risk perception and its association to BD awareness and level of health literacy. A cross-sectional, single site study included 263 Croatian women without BC who had mammographic examination. Data were collected by interviews using questionnaires and a validated survey. Of the total, 77.1% had never heard of BD, and 22.9% were aware of their BD. Most participants who knew their BD (88.2%, <i>p</i> < 0.001) had higher levels of education. Majority of subjects (66.8%) had non-dense breasts and 33.2% had dense breasts. Subjects aware of their BD knew that post-menopausal hormone replacement therapy (<i>p</i> = 0.04) and higher BD (<i>p</i> = 0.03) are BC risk factors. They could more easily access information about health promotion (<i>p</i> = 0.03). High-BD informed women assessed their lifetime BC risk as significantly higher than all others (<i>p</i> = 0.03). Comprehension of BD awareness and knowledge is crucial for reinforcement of educational strategies and development of amendatory BC screening decisions.https://www.mdpi.com/2075-4418/10/7/496breast densitybreast cancerrisk-based screeningawarenessknowledgebreast cancer risk perception
spellingShingle Kristina Bojanic
Sonja Vukadin
Filip Sarcevic
Luka Malenica
Kaja Grgic
Robert Smolic
Kristina Kralik
Ines Bilic Curcic
Gordana Ivanac
George Y. Wu
Martina Smolic
Impact of Breast Density Awareness on Knowledge about Breast Cancer Risk Factors and the Self-Perceived Risk of Breast Cancer
Diagnostics
breast density
breast cancer
risk-based screening
awareness
knowledge
breast cancer risk perception
title Impact of Breast Density Awareness on Knowledge about Breast Cancer Risk Factors and the Self-Perceived Risk of Breast Cancer
title_full Impact of Breast Density Awareness on Knowledge about Breast Cancer Risk Factors and the Self-Perceived Risk of Breast Cancer
title_fullStr Impact of Breast Density Awareness on Knowledge about Breast Cancer Risk Factors and the Self-Perceived Risk of Breast Cancer
title_full_unstemmed Impact of Breast Density Awareness on Knowledge about Breast Cancer Risk Factors and the Self-Perceived Risk of Breast Cancer
title_short Impact of Breast Density Awareness on Knowledge about Breast Cancer Risk Factors and the Self-Perceived Risk of Breast Cancer
title_sort impact of breast density awareness on knowledge about breast cancer risk factors and the self perceived risk of breast cancer
topic breast density
breast cancer
risk-based screening
awareness
knowledge
breast cancer risk perception
url https://www.mdpi.com/2075-4418/10/7/496
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