{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T06:47:00Z","timestamp":1773298020825,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,1,24]],"date-time":"2020-01-24T00:00:00Z","timestamp":1579824000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["K12HS022982"],"award-info":[{"award-number":["K12HS022982"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["P30CA05100"],"award-info":[{"award-number":["P30CA05100"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["R01CA190221"],"award-info":[{"award-number":["R01CA190221"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["R50CA211115"],"award-info":[{"award-number":["R50CA211115"]}],"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":[[2020,4,15]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Breast density is an important breast cancer risk factor and a focus of recent national and state health policy efforts. This article describes breast density awareness, knowledge, and communication among participants in a health system\u2013embedded trial with clinically elevated breast cancer risk 1\u00a0year before state\u2010mandated density disclosure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Trial participants' demographics and prior health history were ascertained from electronic health records. The proportions of women reporting prior breast density awareness, knowledge of density's masking effect, and communication with a provider about their own breast density were calculated\u00a0using baseline interview data collected from 2017 to 2018. Multiple logistic regression was used to estimate associations between women's characteristics and density awareness, knowledge, and communication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Although the overwhelming majority of participants had heard of breast density (91%) and were aware of breast density's masking effect (87%), only 60% had ever discussed their breast density with a provider. Annual mammography screening was associated with prior breast density awareness (odds ratio [OR], 2.97; 95% confidence interval [CI], 1.29\u20106.81), knowledge (OR, 2.83; 95% CI, 1.20\u20106.66), and communication (OR, 2.87; 95% CI, 1.34\u20106.16) compared\u00a0with\u00a0an infrequent or unknown screening interval. Receipt of breast biopsy was also associated with prior knowledge (OR, 1.60; 95% CI, 1.04\u20102.45) and communication (OR, 1.36; 95% CI, 1.00\u20101.85).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Breast density awareness and knowledge are high among insured women participating in clinical research, even in the absence of mandated density disclosure. Patient\u2010provider communication about personal density status is less common, particularly among women with fewer interactions with breast health specialists.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cncr.32711","type":"journal-article","created":{"date-parts":[[2020,1,24]],"date-time":"2020-01-24T12:28:14Z","timestamp":1579868894000},"page":"1614-1621","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Prior breast density awareness, knowledge, and communication in a health system\u2013embedded behavioral intervention trial"],"prefix":"10.1002","volume":"126","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9210-1746","authenticated-orcid":false,"given":"Siobhan S.","family":"Mahorter","sequence":"first","affiliation":[{"name":"Department of Health Services University of Washington Seattle Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5461-6298","authenticated-orcid":false,"given":"Sarah","family":"Knerr","sequence":"additional","affiliation":[{"name":"Department of Health Services University of Washington Seattle Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6287-7391","authenticated-orcid":false,"given":"Erin J. Aiello","family":"Bowles","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute Seattle Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7945-0327","authenticated-orcid":false,"given":"Karen J.","family":"Wernli","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute Seattle Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9068-2364","authenticated-orcid":false,"given":"Hongyuan","family":"Gao","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute Seattle Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2735-5413","authenticated-orcid":false,"given":"Marc D.","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Lombardi Comprehensive Cancer Center Georgetown University Medical Center Washington DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9942-6041","authenticated-orcid":false,"given":"Suzanne C.","family":"O\u2019Neill","sequence":"additional","affiliation":[{"name":"Lombardi Comprehensive Cancer Center Georgetown University Medical Center Washington DC"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,1,24]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djq239"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-60327-492-0_15"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/87.21.1622"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/89.8.549"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/bcr1829"},{"key":"e_1_2_8_7_1","unstructured":"Are You Dense? 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