scholarly journals Age-dependent impact of breast cancer risk perception on mammography screening behavior in Brazilian women

2019 ◽  
Author(s):  
Saionara Açucena Vieira Alves ◽  
Mathias Weller

Abstract Background: Previous studies suggest that education and income affect Brazilian women’s breast cancer prevention behavior. The present study focused on the impact of perceived risk on mammography screening behavior. Methods: Information regarding socioeconomic variables and risk perception was obtained from 396 healthy women aged 40 - 79 years. Absolute and comparative perceived risk was measured on a seven-point Likert scale. Perceived numeric risk was measured on a percentage scale A Breast Cancer Risk Assessment Tool of five-year and lifetime risk of developing invasive breast cancer was used to estimate real risk. Regression analysis was applied to determine odds ratios (OR) and confidence intervals (95%CI) of independent variables. Results: Women without family history, aged 40 - 49 years and ≥ 50 years, had a 5.777 (95%CI: 2.261- 14.764) and 9.239 (95%CI: 4.028- 21.194) higher chance, respectively, of having low perceived absolute risk (p = 0.000). Regression modelling revealed that women aged between 40 and 49 years with low perceived absolute risk and low educational level, performed regular mammography screening about 2.7 (OR = 0.377; 95%CI: 0.143-0.989; p = 0.037 and OR = 0.368; 95%CI: 0.100-1.360; p = 0.040) times less often, compared to those ones with high risk perception and high educational level. Education was the only significant variable for women aged ≥ 50 years (p = 0.021): Women with low educational level underwent annual and biannual mammography about 3.5 (OR = 0.289; 95%CI: 0.035- 2.363) and 23.3 (OR = 0.043; 95%CI: 0.004- 0.420) times less often, respectively, than did women with high education level. Overestimation of numeric and comparative perceived risk, respectively, indicated a negative association with participation in mammography screening (p = 0.021; p = 0.017). Conclusions: Perception of absolute risk depended on family history. The effect of risk perception on mammography screening was age group-dependent, particularly for women aged 40 - 49 years, whereas for women aged ≥ 50 years, educational level had a more prominent effect. Overestimation of risk was not positively associated with increased adherence on mammography screening.

1996 ◽  
Vol 41 (1) ◽  
pp. 59-70 ◽  
Author(s):  
Mary B. Daly ◽  
Caryn L. Lerman ◽  
Eric Ross ◽  
Marc D. Schwartz ◽  
Colleen Burke Sands ◽  
...  

2009 ◽  
Vol 32 (4) ◽  
pp. 299-308 ◽  
Author(s):  
Denise Spector ◽  
Merle Mishel ◽  
Celette Sugg Skinner ◽  
Lisa A. DeRoo ◽  
Marcia VanRiper ◽  
...  

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 23s-23s
Author(s):  
A. Derrick Bary

Background: Breast cancer is the second most common cancer affecting women worldwide. There is an increased risk of breast cancer among the first degree relatives. Perceived risk relates to an individual's belief about the probability or likelihood of developing some specified illness. Cancer fatalism is the belief that cancer is predetermined, beyond individual control, and necessarily fatal. Aim: To assess the self-perceived risk of breast cancer and screening and risk reduction behaviors among the first degree female relatives of breast cancer patients. Findings from this study can inform interventions to increase uptake of breast cancer screening services among relatives of breast cancer patients in low- and middle-income countries (LMICs). The results formed a baseline for designing a study on risk perception and risk reduction practices among first degree female relatives of patients diagnosed with breast cancer at Uganda Cancer Institute, Kampala, Uganda. Methods: Review of literature on risk perception and risk reduction practices of first degree relatives of breast cancer patients. We searched through various literature published in PubMed and oncology journals in HINARI published in English. All the studies were conducted among female relatives of breast cancer patients from world. All eligible papers were included in the review. The papers were carefully appraised to identify key outcomes of the studies. Results: Women were engaged in risk reduction behaviors like smoking cessation, reduction in alcohol intake, physical activity and screening for breast cancer. Women aged 54 years and below had a higher perceived lifetime risk of breast cancer (39.5%) compared with those aged ≥ 55 years (30.6%) who perceived themselves at lower risk. Levels of education have also been found key in determining an individual's perceived risk. Being unrealistically optimistic was significantly associated with high level of educational attainment while women who did not know their risk were less educated. Socioeconomic status has also been seen to influence breast cancer perceived risk. Unrealistic pessimism was frequent among women with a higher income status although a greater proportion of women who accurately perceived their 5-year risk of breast had a higher annual income. There was a significant association of the stage of breast cancer, time since diagnosis and perceived breast cancer risk among the relatives. Fatalistic beliefs about cancer prevention influenced prevention behaviors by promoting a sense of external locus of control changing beliefs about the value of specific behaviors, or reducing self-efficacy and motivation to perform prevention behaviors. Conclusion: High risk perception is associated with increase need to engage in risk reduction behaviors. Fatalism among women was the primary reason not to engage in breast cancer screening.


2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 117s-117s
Author(s):  
V.S. Mishra

Background: Breast cancer is the most common cancer in Indian women with an annual incidence of 144,937 cases and mortality of 70,218. The perception of cancer risk has consistently been mentioned as major factor influencing the women, who are at increased risk of inherited breast and ovarian cancer. The overestimation of cancer risk has been associated with many negative outcomes like anxiety and distress for one's self and family. Study suggests that women those who have higher perceived breast cancer risk experience greater worry and disengage coping. Aim: The purpose of the study was to examine the perception of risk of breast cancer in sisters of newly diagnosed breast cancer patients and further examine the association with anxiety and alexithymia, as compared with healthy controls without a family history of breast cancer. Methods: The participants were requested to complete questionnaires including demographic and risk perception of breast cancer. The association of risk perception was evaluated by using the State Trait Anxiety Inventory Scale and Toronto Alexithymia Scale in sisters of breast cancer patients and healthy controls. Results: Sisters of 111 breast cancer patients and 123 healthy controls completed the questionnaire. Sisters with high perceived risk showed high scores on anxiety and alexithymia scale as compared with healthy control. Regression analysis showed significant association between perceived risk and anxiety (t=2.023, P < .05) and alexithymia factor difficulty in identifying feelings and total alexithymia score (t=6.787, P < .000 and 3.726, P < .000). Conclusion: Sisters of breast cancer patients showed significantly higher perceived risk, anxiety and alexithymia than their healthy counterparts. The sister's perception of breast cancer risk influences the anxiety and emotional experience. Our data emphasizes that medical professional should discuss risk appraisals to anxiety and emotional concerns in both breast cancer patients and their sisters to help them in coping with breast cancer and concerns in the family.


2008 ◽  
Author(s):  
Ian Seymour ◽  
Silvia Casadei ◽  
Valentina Zampiga ◽  
Simonetta Rosato ◽  
Rita Danesi ◽  
...  

2019 ◽  
Vol 10 (03) ◽  
pp. 245-256
Author(s):  
Abdelbaset Mohamed Elasbali ◽  
Elyasa Mustafa Elfakia Mohammed ◽  
Ziad Alonzi ◽  
Haya Ali Atshan Al-Ruwaili ◽  
Amierah Hail Alsharari ◽  
...  

Author(s):  
Sule Olgun ◽  
Berna Dizer

Abstract Background Breast cancer risk increases by 80% in the presence of BRCA1 and BRCA2 gene mutations in the same family. In particular, a woman whose sister or mother has breast cancer has a 2- to 5-fold higher risk of developing breast cancer compared with other women. For this reason, recommendations should have been made regarding breast cancer prevention and/or early detection for women with first-degree family history of breast cancer. Aim The aim of this study was to evaluate the effect of health education, which was provided to first-degree female relatives of breast cancer patients, on their health beliefs and behaviors. Study Design and Methods The study sample included 50 women with a first-degree relative being treated for breast cancer in the chemotherapy and radiotherapy unit of a university hospital. A one-group pretest-posttest design was used. The pretest consisted of the health belief model scale and a questionnaire regarding the women’s sociodemographic information and breast cancer screening behaviors. After the pretest, the patients received health education regarding breast cancer risk factors and screening methods. The posttest was conducted 3 weeks after the education using the same assessment tools. Results After education, there were statistically significant increases in rates of practicing breast self-examination, having clinical breast examinations, and undergoing breast ultrasound/mammography compared with pretest results. Conclusions Health workers should possess knowledge and experience about breast cancer which will enable them to effectively undertake an educational role, especially for high-risk groups such as women with first-degree family history of breast cancer.


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