Document Detail

Predictors of pessimistic breast cancer risk perceptions in a primary care population.
MedLine Citation:
PMID:  15061739     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To identify sociodemographic characteristics, numeracy level, and breast cancer risk factors that are independently associated with the accuracy of lifetime and 5-year breast cancer risk perceptions.
DESIGN: Cross-sectional survey. A probability scale was used to measure lifetime and 5-year risk perceptions. The absolute difference between perceived risk and the Gail model risk of breast cancer was calculated. Linear regression models were built to predict lifetime and 5-year breast cancer risk estimation error.
SETTING: Primary care internal medicine practices (N = 2).
PARTICIPANTS: Two hundred fifty-four women 40 to 85 years of age.
RESULTS: The mean lifetime and 5-year calculated breast cancer risk was 8.4% (SD [standard deviation] 6.1) and 1.5% (SD 1.3), respectively. Subjects had a mean estimation error for lifetime and 5-year risk of 29.5% (SD 22.9) and 24.8% (SD 23.9), respectively. In multivariate analyses, lower numeracy scores (0.005), higher number of previous breast biopsies (0.016), and a higher number of first-degree relatives (0.054) were predictive of larger estimation error for lifetime breast cancer risk. White race (0.014), lower educational levels (0.009), higher number of previous breast biopsies (0.008), and higher number of first-degree relatives (0.014) were predictive of larger estimation error for 5-year risk.
CONCLUSION: Among a primary care population, breast cancer risk factors may be more consistently associated with pessimistic perceptions of breast cancer risk than other factors studied during a lifetime and 5-year time span. Primary care physicians should consider counseling patients about individual breast cancer risk factors and risk over time.
Susan L Davids; Marilyn M Schapira; Timothy L McAuliffe; Ann B Nattinger
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of general internal medicine     Volume:  19     ISSN:  0884-8734     ISO Abbreviation:  J Gen Intern Med     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-04-05     Completed Date:  2004-07-27     Revised Date:  2013-06-09    
Medline Journal Info:
Nlm Unique ID:  8605834     Medline TA:  J Gen Intern Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  310-5     Citation Subset:  IM    
Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA.
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MeSH Terms
Aged, 80 and over
Attitude to Health*
Breast Neoplasms / epidemiology*,  psychology
Cross-Sectional Studies
Middle Aged
Multivariate Analysis
Primary Health Care
Risk Assessment
Risk Factors
Socioeconomic Factors
Comment In:
J Gen Intern Med. 2004 Apr;19(4):390-1   [PMID:  15061749 ]

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