Perceived and objective breast cancer risk assessment in Chilean women living in an underserved area.
نویسندگان
چکیده
BACKGROUND Breast cancer is the most frequently diagnosed malignancy among Chilean women and an increasingly significant public health threat. This study assessed the accuracy of breast cancer risk perception among underserved, Chilean women. METHODS Women aged 50 to 70 years, with no mammogram during the last 2 years, were randomly selected from a community clinic registry in Santiago, Chile (n = 500). Perceived risk was measured using three methods: absolute risk, comparative risk, and numerical risk. Risk comprehension was measured by comparing women's perceived and objective risk estimates. Multivariate logistic regression was used to assess overestimation of perceived risk. RESULTS Women at high risk of breast cancer were more likely than average risk women to perceive themselves at high or higher risk, using absolute and comparative risk approaches (P < 0.001). The majority of participants (67%) overestimated their breast cancer risk, on the basis of risk comprehension; although, participants achieved higher accuracy with comparative risk (40%) and absolute risk (31.6%) methods. [Age, breast cancer knowledge and Breast Cancer Risk Assessment Tool (BCRAT) 5-year risk were significantly associated (P < 0.01) with accuracy of perceived risk]. CONCLUSION Chilean women residing in an underserved community may not accurately assess their breast cancer risk, although risk perception and level of accuracy differed between perceived risk measures. Comparative and absolute risk methods may better reflect women's interpretation and accuracy of risk perception. IMPACT Improving our understanding of Chilean women's perceptions of developing breast cancer may lead to the development of culturally relevant efforts to reduce the breast cancer burden in this population.
منابع مشابه
Underestimation of breast cancer risk: influence on screening behavior.
PURPOSE/OBJECTIVES To describe perceived breast cancer risk, identify the percentage of women with inaccurate risk perceptions, and examine the influence of perceived and objective risk on screening behavior. DESIGN Descriptive, correlational, cross-sectional. SETTING Community settings in a metropolitan area on the western coast of the United States. SAMPLE Multicultural sample of 184 En...
متن کاملThe Relationship between Medications and Estimated Risk of Breast Cancer using Gail Model in Women Living in Southeastern Iran
Background and purpose: Breast cancer is one of the most common cancers in women all over the world. The death rate of this cancer is also increasing. It seems that medication is related to this cancer. The present study aimed at estimating the risk of this cancer using Gail Model and its relationship with medication in women. Materials and Methods: In this cross-sectional study, 260 35-year-o...
متن کاملشمارش 3CD، 4CD و 8CD و نسبت 8CD/4CD در مخاط سینوس و میزان IgE سرم افراد بالغ مبتلا به سینوزیت مزمن تحت عمل جراحی
Breast cancer is the most frequent cancer among women. Approximately one third of all cancers in women is breast cancer which has a high mortality rate and is second only to lung cancer in cancer related deaths in women. Unfortunately, during the past 50 years, the prevalence of breast cancer has been raised probably due to life style changes. Recently, the prevalence of this cancer...
متن کاملBreast Cancer Risk Assessment using Gail Model in 35 to 69-year-old Women Referred to the Breast Cancer Screening Center at Omid Hospital in Isfahan, Iran, from 2008 to 2016
Background: Prediction of breast cancer risk and identifying women who are at high risk of breast cancer, would be a great help for planning and conducting screening programs. The aim of this study was to estimate the 5-year breast cancer risk among women in Isfahan. Methods: This cross-sectional study was conducted on 9674 women aged 35-69 years who referred to the Breast Cancer Screening Cen...
متن کاملBreast cancer risk assessment in Iranian women by Gail model
Abstract Background: Due to the high incidence of breast cancer and the effect of its early diagnosis on decreasing morbidity and mortality, we used the Gail model to study breast cancer risk in Iranian women. Methods: This study was done in a simple randomized way. Participants were 2000 Iranian women older than 35 years old. The questionnaire consisted of demographic data such a...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
دوره 21 10 شماره
صفحات -
تاریخ انتشار 2012