{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T06:09:52Z","timestamp":1778911792097,"version":"3.51.4"},"reference-count":72,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>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).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measure(s):<\/jats:title>\n                    <jats:p>Adherence was ascertained using electronic health record and survey responses. Kaplan\u2013Meier 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      This analysis was limited to Latinas enrolled between October 27, 2016, and December 21, 2018 (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 946; 66.1% &lt;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 (\n                      <jats:italic toggle=\"yes\">p = 0.76)<\/jats:italic>\n                      . Adjusting for age and study group, having more prior mammograms, being \u201cextremely likely\u201d to get an annual mammogram, and having more confidence to get an annual mammogram at baseline were significant drivers of subsequent adherence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Informational interventions targeting BD education alone are unlikely to significantly improve adherence to subsequent mammography among Latinas receiving care in FQHCs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2024.0273","type":"journal-article","created":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T11:51:38Z","timestamp":1739965898000},"page":"491-503","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Effectiveness of Breast Density Educational Interventions on Mammography Screening Adherence Among Underserved Latinas: A Randomized Controlled Trial"],"prefix":"10.1177","volume":"34","author":[{"given":"Jessica D.","family":"Austin","sequence":"first","affiliation":[{"name":"Division of Epidemiology, Quantitative Health Sciences, Mayo Clinic, Arizona, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah M.","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Division of Clinical Trials and Biostatistics, Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vera J.","family":"Suman","sequence":"additional","affiliation":[{"name":"Division of Clinical Trials and Biostatistics, Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer L.","family":"Ridgeway","sequence":"additional","affiliation":[{"name":"Robert D. and Patricia E. 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