Document Detail


Effecting behavior change: awareness of family history.
MedLine Citation:
PMID:  12568825     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This article explores the use of family history of disease as a public health tool for risk stratification and improved disease prevention by drawing from previous research on women at moderate risk of developing breast cancer because of a positive family history. About one quarter to one third of women do not appear to be aware of the added risk a family history of breast cancer poses, and many women with a family history overestimate their risk. It is unclear whether risk perceptions are causally related to breast cancer screening in women with a family history. Exaggerated risk perceptions may not hinder breast cancer screening, unless accompanied by distress. Studies suggest that counseling women with a family history of breast cancer about their risk has a small and short-term effect on risk comprehension, a small effect on breast cancer screening, psychological benefits for some women, and unintended negative effects on screening for other women. Future research needs to consider the psychological, individual difference, and cultural variables that moderate counseling effects, recruitment biases, the prospective relationship between perceived risk and breast cancer screening, and whether risk perceptions and comprehension need to match objective risk to be an effective tool to promote screening.
Authors:
Janet Audrain-McGovern; Chanita Hughes; Freda Patterson
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.; Review    
Journal Detail:
Title:  American journal of preventive medicine     Volume:  24     ISSN:  0749-3797     ISO Abbreviation:  Am J Prev Med     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-02-05     Completed Date:  2003-05-20     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  8704773     Medline TA:  Am J Prev Med     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  183-9     Citation Subset:  IM    
Affiliation:
Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 4100, Philadelphia, PA 19104, USA. audrain@mail.med.upenn.edu
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MeSH Terms
Descriptor/Qualifier:
Breast Neoplasms / genetics*,  prevention & control,  psychology
Counseling
Female
Genetic Testing
Health Behavior*
Health Knowledge, Attitudes, Practice*
Humans
Mammography
Patient Compliance
Primary Prevention
Public Health
Risk Assessment / methods*
Grant Support
ID/Acronym/Agency:
K07 CA 71495/CA/NCI NIH HHS; R01 CA 74869/CA/NCI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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