{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T04:16:48Z","timestamp":1773116208856,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2019,2,15]],"date-time":"2019-02-15T00:00:00Z","timestamp":1550188800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000142","name":"Avon Foundation for Women","doi-asserted-by":"publisher","award":["01-2015-069."],"award-info":[{"award-number":["01-2015-069."]}],"id":[{"id":"10.13039\/100000142","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["K07CA151777"],"award-info":[{"award-number":["K07CA151777"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2019,6,15]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patient advocacy has led to state\u2010level legislative mandates for the release of personal mammographic breast density information to women undergoing screening mammography. More research is needed to understand the impact of this information on women\u2019s perceptions and mammography screening behavior.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semistructured interviews were conducted in English and Spanish with 24 self\u2010identified Hispanic women who had undergone at least 1 mammogram since breast density notification was enacted in New York State. The women ranged in age from 43 to 63\u00a0years. Women were asked about their understanding and perceptions of the communication of New York State\u2010mandated breast density information, and any actions they have taken or would take in response to this information. A content analysis of the qualitative data from the translated and transcribed interviews was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The majority of participants had no prior knowledge of breast density and expressed confusion and apprehension regarding the meaning of dense breasts when presented with the notification information. Many participants understood having dense breasts to be a serious and abnormal condition, and reported feelings of worry and vulnerability. Participants mostly expressed a strong interest in learning about breast density and obtaining additional and more frequent breast cancer screening tests. These behavioral intentions were consistent with participants\u2019 overall favorable view of breast cancer screening and a belief that their faith, as well as regular screening, can help to protect them from breast cancer morbidity and mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Hispanic women conveyed proactive breast cancer screening intentions in response to breast density notification, despite inadequate comprehension of this information and negative emotional responses.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cncr.32002","type":"journal-article","created":{"date-parts":[[2019,2,15]],"date-time":"2019-02-15T10:37:03Z","timestamp":1550227023000},"page":"2049-2056","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["\u201cYou probably can\u2019t feel as safe as normal women\u201d: Hispanic women\u2019s reactions to breast density notification"],"prefix":"10.1002","volume":"125","author":[{"given":"Alsacia L.","family":"Pacsi\u2010Sepulveda","sequence":"first","affiliation":[{"name":"Adult Emergency Department New York Presbyterian Hospital New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6496-6339","authenticated-orcid":false,"given":"Rachel C.","family":"Shelton","sequence":"additional","affiliation":[{"name":"Department of Sociomedical Sciences Columbia University Mailman School of Public Health New York New York"},{"name":"Herbert Irving Comprehensive Cancer Center Columbia University Medical Center New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6849-8050","authenticated-orcid":false,"given":"Carmen B.","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Columbia University Mailman School of Public Health New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arielle T.","family":"Coq","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Columbia University Mailman School of Public Health New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parisa","family":"Tehranifar","sequence":"additional","affiliation":[{"name":"Herbert Irving Comprehensive Cancer Center Columbia University Medical Center New York New York"},{"name":"Department of Epidemiology Columbia University Mailman School of Public Health New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,2,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/bcr2942"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-06-0034"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-138-3-200302040-00008"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-014-2901-2"},{"key":"e_1_2_8_6_1","unstructured":"American College of Radiology.BI\u2010RADS Atlas Mammography: reporting.https:\/\/www.acr.org\/-\/media\/ACR\/Files\/RADS\/BI-RADS\/Mammography-Reporting.pdf. Accessed August 6 2018."},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/2150131916633138"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/tbj.12734"},{"key":"e_1_2_8_9_1","article-title":"Patient\u2010reported breast density awareness and knowledge after breast density legislation passage [published online ahead of print August 16, 2018]","author":"Miles RC","journal-title":"Acad Radiol"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2016.07.003"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2014.57.0325"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2016.10.003"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10552-015-0630-4"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_8_15_1","article-title":"A review of qualitative data analysis practices in health education and health behavior research","author":"Raskind IG","year":"2018","journal-title":"Health Educ Behav"},{"key":"e_1_2_8_16_1","first-page":"588","article-title":"Brief questions to identify patients with inadequate health literacy","volume":"36","author":"Chew LD","year":"2004","journal-title":"Fam Med"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.1712"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2018.01.017"},{"key":"e_1_2_8_19_1","article-title":"A qualitative study of Spanish\u2010speakers\u2019 experience with dense breast notifications in a Massachusetts safety\u2010net hospital [published online ahead of print October 22, 2018]","author":"Gunn CM","journal-title":"J Gen Intern Med"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.5993\/AJHB.38.6.6"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10903-008-9118-6"},{"key":"e_1_2_8_22_1","unstructured":"DenseBreast\u2010info Inc.Legislation and regulations\u2010what is required?https:\/\/densebreast-info.org\/legislation.aspx. 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