Table 4:

Significant Indirect Effects (Race → Pre-existing factors → Psychological Responses).

Mediator	Standardized indirect effects
Outcome	No prior awareness	Prior awareness
Personal Discrimination
Negative psych Consequences	0.08*	0.17**
Breast density anxiety	0.07*	−
Group Discrimination
Breast cancer worry	–	−0.23*
Group-based medical mistrust
Confusion	0.16**	–
SES
Negative Psych Consequences	0.14**	−
Breast density knowledge
Breast cancer worry	–	–
Confusion	0.05*	–
Breast cancer risk knowledge
Confusion	−0.07*	–

^**p < 0.01.

^*p < 0.05.