Jessica D Austin, Sarah M Jenkins, Vera J Suman, Jennifer L Ridgeway, Bhavika K Patel, Karthik Ghosh, Deborah J Rhodes, Bijan J Borah, Aaron D Norman, Edna P Ramos, Matt Jewett, Crystal R Gonzalez, Valentina Hernandez, Davinder Singh, Carmen Radecki Breitkopf, Celine M Vachon
{"title":"Effectiveness of Breast Density Educational Interventions on Mammography Screening Adherence Among Underserved Latinas: A Randomized Controlled Trial.","authors":"Jessica D Austin, Sarah M Jenkins, Vera J Suman, Jennifer L Ridgeway, Bhavika K Patel, Karthik Ghosh, Deborah J Rhodes, Bijan J Borah, Aaron D Norman, Edna P Ramos, Matt Jewett, Crystal R Gonzalez, Valentina Hernandez, Davinder Singh, Carmen Radecki Breitkopf, Celine M Vachon","doi":"10.1089/jwh.2024.0273","DOIUrl":null,"url":null,"abstract":"<p><p><b><i>Background:</i></b> Latinas with mammographic dense breasts are at increased risk of breast cancer. This randomized controlled trial tests the effectiveness of three breast density (BD) educational approaches on adherence to subsequent mammography screening among Latinas receiving care at a Federally Qualified Health Center (FQHC). <b><i>Measure(s):</i></b> Adherence was ascertained using electronic health record and survey responses. Kaplan-Meier estimates of the time to subsequent mammogram were used to obtain adherence rates at 1- and 2-years post baseline mammogram. Cox modeling assessed whether adherence differed by patient characteristics or group assignment. <b><i>Results:</i></b> This analysis was limited to Latinas enrolled between October 27, 2016, and December 21, 2018 (<i>n</i> = 946; 66.1% <50 years of age, 53.5% with dense breasts). Adherence rates at 1 year was 24.8% increasing to 51.7% by year 2. Latinas randomized to the Promotora + brochure + letter arm (hazard ratio [HR]: 1.09 [95% confidence interval [95% CI] 0.87 to 1.36]) or brochure + letter (HR: 1.03 [95% CI 0.82 to 1.29]) arm were not more likely to be adherent to subsequent mammography compared to the letter only arm (<i>p = 0.76)</i>. Adjusting for age and study group, having more prior mammograms, being \"extremely likely\" to get an annual mammogram, and having more confidence to get an annual mammogram at baseline were significant drivers of subsequent adherence. <b><i>Conclusion:</i></b> Informational interventions targeting BD education alone are unlikely to significantly improve adherence to subsequent mammography among Latinas receiving care in FQHCs.</p>","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":"491-503"},"PeriodicalIF":3.0000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of women's health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1089/jwh.2024.0273","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/19 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Latinas with mammographic dense breasts are at increased risk of breast cancer. This randomized controlled trial tests the effectiveness of three breast density (BD) educational approaches on adherence to subsequent mammography screening among Latinas receiving care at a Federally Qualified Health Center (FQHC). Measure(s): Adherence was ascertained using electronic health record and survey responses. Kaplan-Meier estimates of the time to subsequent mammogram were used to obtain adherence rates at 1- and 2-years post baseline mammogram. Cox modeling assessed whether adherence differed by patient characteristics or group assignment. Results: This analysis was limited to Latinas enrolled between October 27, 2016, and December 21, 2018 (n = 946; 66.1% <50 years of age, 53.5% with dense breasts). Adherence rates at 1 year was 24.8% increasing to 51.7% by year 2. Latinas randomized to the Promotora + brochure + letter arm (hazard ratio [HR]: 1.09 [95% confidence interval [95% CI] 0.87 to 1.36]) or brochure + letter (HR: 1.03 [95% CI 0.82 to 1.29]) arm were not more likely to be adherent to subsequent mammography compared to the letter only arm (p = 0.76). Adjusting for age and study group, having more prior mammograms, being "extremely likely" to get an annual mammogram, and having more confidence to get an annual mammogram at baseline were significant drivers of subsequent adherence. Conclusion: Informational interventions targeting BD education alone are unlikely to significantly improve adherence to subsequent mammography among Latinas receiving care in FQHCs.
期刊介绍:
Journal of Women''s Health is the primary source of information for meeting the challenges of providing optimal health care for women throughout their lifespan. The Journal delivers cutting-edge advancements in diagnostic procedures, therapeutic protocols for the management of diseases, and innovative research in gender-based biology that impacts patient care and treatment.
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