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Breast cancer risk perceptions of Turkish women attending primary care: a cross-sectional study.

Kartal M, Ozcakar N, Hatipoglu S, Tan MN, Guldal AD - BMC Womens Health (2014)

Bottom Line: The numeric measure correlated better with worry and Gail scores.This was especially obvious with the result that nearly one third had had no mammography.There is a need for further studies to understand why and how this optimism is maintained so that better screening strategies can be applied at PHCC.

View Article: PubMed Central - PubMed

Affiliation: Department of Family Medicine, Medical Faculty of Dokuz Eylul University, 35340, Inciralti, Izmir, Turkey. mehtapkartal@gmail.com.

ABSTRACT

Background: As the risks and benefits of early detection and primary prevention strategies for breast cancer are beginning to be quantified, the risk perception of women has become increasingly important as may affect their screening behaviors. This study evaluated the women's breast cancer risk perception and their accuracy, and determined the factors that can affect their risk perception accuracy.

Methods: Data was collected in a cross-sectional survey design. Questionnaire, including breast cancer risk factors, risk perceptions and screening behaviors, answered by 624 women visiting primary health care center (PHCC). "Perceived risk" investigated with numeric and verbal measures. Accuracy of risk perception was determined by women's Gail 5-year risk scores.

Results: The mean age of the participants was 59.62 ± 1.97 years. Of the women 6.7% had a first-degree relative with breast cancer, 68.9% performed breast self-examination and 62.3% had a mammography, and 82.9% expressed their breast cancer worry as "low". The numeric measure correlated better with worry and Gail scores. Of the women 65.5% perceived their breast cancer risk accurately. Among the women in "high risk" group 65.7% underestimated, while in "average risk" group 25.4% overestimated their risk.

Conclusions: Turkish women visiting PHCC are overtly and overly optimistic. This was especially obvious with the result that nearly one third had had no mammography. There is a need for further studies to understand why and how this optimism is maintained so that better screening strategies can be applied at PHCC. All health workers working at PHCC have to be aware of this optimism to prevent missed opportunities for cancer screening.

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Related in: MedlinePlus

Numeric and verbal measures of breast cancer risk perceptions of women (%).
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Fig2: Numeric and verbal measures of breast cancer risk perceptions of women (%).

Mentions: Breast cancer risk perceptions of the women were assessed by a numeric and verbal measures. The lowest risk value of numeric measure, “1/1000”, was mentioned by the 51.0% (n = 318) of the women as their perceived risk while 40.2% (n = 251) mentioned their risk as “very low” in verbal measure (Figure 2).Figure 2


Breast cancer risk perceptions of Turkish women attending primary care: a cross-sectional study.

Kartal M, Ozcakar N, Hatipoglu S, Tan MN, Guldal AD - BMC Womens Health (2014)

Numeric and verbal measures of breast cancer risk perceptions of women (%).
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4262994&req=5

Fig2: Numeric and verbal measures of breast cancer risk perceptions of women (%).
Mentions: Breast cancer risk perceptions of the women were assessed by a numeric and verbal measures. The lowest risk value of numeric measure, “1/1000”, was mentioned by the 51.0% (n = 318) of the women as their perceived risk while 40.2% (n = 251) mentioned their risk as “very low” in verbal measure (Figure 2).Figure 2

Bottom Line: The numeric measure correlated better with worry and Gail scores.This was especially obvious with the result that nearly one third had had no mammography.There is a need for further studies to understand why and how this optimism is maintained so that better screening strategies can be applied at PHCC.

View Article: PubMed Central - PubMed

Affiliation: Department of Family Medicine, Medical Faculty of Dokuz Eylul University, 35340, Inciralti, Izmir, Turkey. mehtapkartal@gmail.com.

ABSTRACT

Background: As the risks and benefits of early detection and primary prevention strategies for breast cancer are beginning to be quantified, the risk perception of women has become increasingly important as may affect their screening behaviors. This study evaluated the women's breast cancer risk perception and their accuracy, and determined the factors that can affect their risk perception accuracy.

Methods: Data was collected in a cross-sectional survey design. Questionnaire, including breast cancer risk factors, risk perceptions and screening behaviors, answered by 624 women visiting primary health care center (PHCC). "Perceived risk" investigated with numeric and verbal measures. Accuracy of risk perception was determined by women's Gail 5-year risk scores.

Results: The mean age of the participants was 59.62 ± 1.97 years. Of the women 6.7% had a first-degree relative with breast cancer, 68.9% performed breast self-examination and 62.3% had a mammography, and 82.9% expressed their breast cancer worry as "low". The numeric measure correlated better with worry and Gail scores. Of the women 65.5% perceived their breast cancer risk accurately. Among the women in "high risk" group 65.7% underestimated, while in "average risk" group 25.4% overestimated their risk.

Conclusions: Turkish women visiting PHCC are overtly and overly optimistic. This was especially obvious with the result that nearly one third had had no mammography. There is a need for further studies to understand why and how this optimism is maintained so that better screening strategies can be applied at PHCC. All health workers working at PHCC have to be aware of this optimism to prevent missed opportunities for cancer screening.

Show MeSH
Related in: MedlinePlus