Nickel Brooke, Dolan Hankiz, Houssami Nehmat, Cvejic Erin, Brennan Meagan, Hersch Jolyn, Dorrington Melanie, Verde Angela, Vaccaro Lisa, McCaffery Kirsten
Wiser Healthcare, School of Public Health, University of Sydney, Sydney, Australia.
Sydney Health Literacy Lab, School of Public Health, University of Sydney, Sydney, Australia.
J Med Screen. 2023 Jun;30(2):92-95. doi: 10.1177/09691413221125320. Epub 2022 Sep 7.
Controversy surrounding recommendations for supplemental screening (ultrasound and magnetic resonance screening) in women with dense breasts exists, as the long-term benefits from these additional modalities may not outweigh the harms. This study aimed to examine factors associated with supplemental screening intentions following a hypothetical breast density notification in a population of women who have not been routinely notified. Australian women of breast screening age participated in an online randomised experimental study where they were presented with one of two breast density notifications (with or without health literacy-sensitive information) and asked their screening intentions. After adjusting for covariates in multivariable analyses, women in both groups (n = 940) who indicated higher levels of breast cancer worry, had private health insurance, had a family history of breast cancer, and had a greater number of times previously attending mammography screening had higher intentions for supplemental screening. Understanding women's supplemental screening intentions following notification of dense breasts has important implications for health systems with breast screening considering the impacts of widespread notification. Personal, clinical and psychological factors should be considered when discussing both the benefits and harms of supplemental screening with women with dense breasts.
对于乳腺致密的女性进行补充筛查（超声和磁共振筛查）的建议存在争议，因为这些额外检查方式的长期益处可能并不大于危害。本研究旨在调查在未常规被告知乳腺密度的女性群体中，在假设的乳腺密度告知后与补充筛查意愿相关的因素。澳大利亚处于乳腺筛查年龄的女性参与了一项在线随机实验研究，她们被呈现两种乳腺密度告知信息中的一种（有或没有健康素养敏感信息），并被询问其筛查意愿。在多变量分析中对协变量进行调整后，两组（n = 940）中表示乳腺癌担忧程度较高、拥有私人医疗保险、有乳腺癌家族史以及之前参加乳腺钼靶筛查次数较多的女性，补充筛查意愿更高。考虑到广泛告知的影响，了解女性在被告知乳腺致密后的补充筛查意愿对乳腺筛查卫生系统具有重要意义。在与乳腺致密的女性讨论补充筛查的利弊时，应考虑个人、临床和心理因素。
