Impact of Age, Race, and Socioeconomic Status on Women's Perceptions and Preferences Regarding Communication of Estimated Breast Cancer Risk

UMMS Affiliation

Department of Radiology; School of Medicine; Department of Population and Quantitative Health Sciences

Publication Date


Document Type



Clinical Epidemiology | Epidemiology | Health Communication | Health Services Administration | Health Services Research | Neoplasms | Race and Ethnicity | Radiology


RATIONALE AND OBJECTIVES: Performing breast cancer risk assessment at the time of screening mammography has potential to increase high-risk identification, appropriate supplemental screening, and risk management. The study's goal is to investigate women's interest in risk assessment and preferred method of risk communication in a diverse patient population.

MATERIALS AND METHODS: Surveys in English and five non-English languages were distributed to women presenting for screening mammography at eight screening mammography facilities between February and May 2019 to assess their interest in risk assessment, preferred method, and level of detail of estimated risk communication in hypothetical scenarios where estimated risks are average and elevated.

RESULTS: Among 683 survey respondents, 592 (87%) expressed interest in learning about their estimated lifetime risk of breast cancer. Controlling for age, race/ethnicity, and education, women with higher income were more interested in risk assessment than comparison group (p < 0.05). The most preferred method of average risk communication was by a mailed letter accompanying mammographic results (57%), but more women exclusively preferred face-to-face communications of elevated risk than of average risk estimate (191, 28% vs. 128, 19%, p < 0.0001). Phone communication was more preferred by younger women, electronic communication was less preferred by older women and those with lower income, and non-Hispanic blacks and older women preferred less detailed communication (p < 0.05).

CONCLUSION: Sociodemographic factors influence women's interest in risk assessment and preference in risk communication about breast cancer. Screening Mammogram facilities implementing risk assessment should consider risk communication strategies that are most effective for their patient population.


Breast cancer risk assessment, Patient communication, Screening mammography

DOI of Published Version



Amornsiripanitch N, Ameri SM, Goldberg RJ. Impact of Age, Race, and Socioeconomic Status on Women's Perceptions and Preferences Regarding Communication of Estimated Breast Cancer Risk. Acad Radiol. 2020 May 3:S1076-6332(20)30187-2. doi: 10.1016/j.acra.2020.03.041. Epub ahead of print. PMID: 32376184. Link to article on publisher's site

Journal/Book/Conference Title

Academic radiology

PubMed ID


Related Resources

Link to Article in PubMed