Document Detail


Perceived risk of breast cancer: influence of heuristic thinking.
MedLine Citation:
PMID:  12236839     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of this study was to examine the influence of heuristic reasoning on women's perceived risk for developing breast cancer, and to test for an expected bias in the direction of optimism that is predicted by recent research on human cognition. DESCRIPTION OF STUDY: In total, 770 women recruited in community settings were surveyed regarding cancer screening behavior and their perceived risk of developing breast cancer. RESULTS: Most women perceived their risk of breast cancer to be lower than that of other women (3:1), confirming the expected bias toward optimism, and this finding was not attributable to the personality trait of optimism. Women following mammography guidelines showed greater optimism that their risk was low. Cancer knowledge and education diminished unwarranted optimism. Women with a history of benign breast disease, with a female relative with breast cancer, or both overestimated their risk. All findings suggest that heuristic thinking is being used to estimate personal cancer risk. CLINICAL IMPLICATIONS: Clinicians should expect women to be optimistic about their personal risk of developing breast cancer. As a result, women may put off breast cancer screening or delay the evaluation of breast symptoms that may signal breast cancer. Helping women to understand their relative risk is an essential part of a health promotion visit.
Authors:
Noreen C Facione
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Cancer practice     Volume:  10     ISSN:  1065-4704     ISO Abbreviation:  Cancer Pract     Publication Date:    2002 Sep-Oct
Date Detail:
Created Date:  2002-09-18     Completed Date:  2002-10-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9312355     Medline TA:  Cancer Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  256-62     Citation Subset:  N    
Affiliation:
Specialty Program in Oncology Nursing, University of California San Francisco, San Francisco, California 94143-0610, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Breast Neoplasms / etiology*,  psychology
Cognition*
Female
Health Behavior*
Health Surveys
Humans
Mass Screening
Middle Aged
Patient Compliance
Perception
Risk Factors
Self Concept*

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


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