Factors Influencing Patient Confidence in Screening Mammography

Article Figures & Data

Table 1.

Demographic Characteristics of Patients (n = 390)

Notes. ^aSurvey choices for non-White were Hispanic or Latino, Black or African American, Native American or American Indian, Asian/Pacific Islander, and other (eg, multiracial and multiethnic).

Table 2.

Descriptive Analysis of Characteristics of Patients With and Without Confidence in Screening Mammography^a

	Confidence in Screening Mammography
	Yes (n = 301)	No (n = 69)	Total (n = 370)	P value^b
Age, y	(n = 299)	(n = 68)	(n = 367)
≤45	28 (9.4)	10 (14.7)	38 (10.4)	0.12
46 to 65	161 (53.8)	41 (60.3)	202 (55.0)	0.12
≥66	110 (36.8)	17 (25.0)	127 (34.6)
Race and ethnicity	(n = 284)	(n = 68)	(n = 352)
White (non-Hispanic)	249 (87.7)	61 (89.7)	310 (88.1)	0.64
Non-White^c	35 (12.3)	7 (10.3)	42 (11.9)
Highest education	(n = 286)	(n = 68)	(n = 354)
Some high school or diploma	104 (36.4)	14 (20.6)	118 (33.3)	0.01
College or higher	182 (63.6)	54 (79.4)	236 (66.7)
Family member with breast cancer	(n = 293)	(n = 66)	(n = 359)
Yes	77 (26.3)	12 (18.2)	89 (24.8)	0.17
No	216 (73.7)	54 (81.8)	270 (75.2)
History of abnormal mammogram	(n = 278)	(n = 64)	(n = 342)
Yes	89 (32.0)	28 (43.8)	117 (34.2)	0.07
No	189 (68.0)	36 (56.2)	225 (65.8)
Presence of dense breast tissue
Yes	110 (36.5)	37 (53.6)	147 (39.7)	<0.001
No	75 (24.9)	3 (4.3)	78 (21.1)
Not sure	116 (38.5)	29 (42.0)	145 (39.2)
Mammogram frequency
Annual	240 (79.7)	52 (75.4)	292 (78.9)	0.42
Less often	61 (20.3)	17 (24.6)	78 (21.1)

Notes. ^aDescriptive statistics comparing demographic characteristics of participants by their responses to the question, “How confident are you that a routine mammogram is adequate to screen for early-stage breast cancer in women without dense breast tissue?”.
^bχ² test (2-tailed).
^cHispanic or Latino, Black or African American, Native American or American Indian, Asian/Pacific Islander, and other.

Table 3.

Adjusted Odds Ratio of Confidence in Screening Mammography

	Comparison	Adjusted Odds Ratio (95% CI)	P value
Age, y	46 to 65 vs ≤45	1.61 (0.62–3.93)	0.31
Age, y	≥66 vs ≤45	2.01 (0.71–5.54)	0.18
Race and ethnicity	White vs non-White^a	0.44 (0.14–1.19)	0.13
College education or higher	Yes vs no	0.43 (0.20–0.84)	0.02
Family history of breast cancer	Yes vs no	1.61 (0.77–3.60)	0.22
History of abnormal mammogram	Yes vs no	0.71 (0.38–1.33)	0.28
Dense breast tissue	Presence vs no	0.16 (0.04–0.49)	0.004
Dense breast tissue	Not sure vs no	0.17 (0.04–0.51)	0.005

Notes. ^aWhite (non-Hispanic) vs Hispanic or Latino, Black or African American, Native American or American Indian, Asian/Pacific Islander, and other.