Accuracy of self-perceived risk perception of breast cancer development in Iranian women

Abstract Background The accuracy of subjective risk perception is a matter concern in breast cancer development. objective this study was to evaluate the self-perceived assessment development and compared actual Iranian women. Methods demographic, clinical, reproductive characteristics 800 women aged 35–85 years were collected with an in-person interview. assessed using visual analog scale (VAS) he Gail model respectively. Gail’s cutoff 1.66% used categorize estimated 5-year as low/average (< 1.66%) high (? 1.66). In risk, if > then individuals considered overestimating. Similarly, high-risk women, perceived < then, subjects labeled under-estimate; otherwise, it accurate. Kappa statistics determine agreement between risk. ROC analysis applied prediction Results significantly higher than ( p = 0.001, 0.01 for lifetime respectively). Both low groups about half over-estimate underestimate by perception. For assessment, there no (Kappa 0.00, 0.98) but very them 0.09, 0.005). performance versus (AUC 0.53, 95% CI 0.44–0.61 AUC 0.58, 0.54–0.62 Conclusion clinical based on VAS poor. Thus, efforts public health education program should focus correct among