Adult daughters' reports of breast cancer risk reduction and early detection advice received from their mothers: an exploratory study.
Adult daughters' reports of breast cancer risk reduction and early detection advice received from their mothers: an exploratory study.
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DOI：
10.1002/pon.1393
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发表时间：
2009-02
期刊：
影响因子：
3.6
通讯作者：
Cerhan, James R.
中科院分区：
文献类型：
--
作者：
Sinicrope, Pamela S.;Patten, Christ A.;Clark, Lara P.;Brockman, Tabetha A.;Rock, Emily E.;Frost, Marlene H.;Petersen, Larra R.;Vierkant, Robert A.;Vachon, Celine M.;Fredericksen, Zachary S.;Janney, Carol A.;Sellers, Thomas A.;Cerhan, James R.
对癌症家族史的认识有赖于家庭成员之间的沟通。这些信息的交流和相关决策可能是影响乳腺癌风险降低和早期发现行为的重要因素。利用明尼苏达州乳腺癌家族研究中登记的372个家庭的2328名女性(平均年龄62.5岁)的调查数据，我们探索了成年女儿从母亲那里收到的降低乳腺癌风险的建议。大约212名(9%)的受访者报告从他们的母亲那里收到了降低乳腺癌风险的建议，130名(89%)的受访者报告说他们遵循了这些建议。与没有乳腺癌家族史的人相比，有乳腺癌病史的母亲或一级亲属(FDR)在更大程度上遵循建议的程度显著相关(p=0.003)。最常被报道的建议类型是乳房X光检查(36%)和临床乳房检查(35%)。使用多变量Logistic回归，在考虑了样本的非独立性后，接受建议的显著独立相关因素包括较年轻的年龄、母亲受影响以及有更高的乳腺癌风险感知。接受建议也与从事更多的健康促进行为和接受过乳房X光检查有关。我们的初步发现与社会影响理论是一致的，并表明母女之间关于降低风险的沟通，特别是在患有乳腺癌的FDR患者中，可能是BC家族史与采用乳腺癌筛查和降低风险行为相关的潜在途径。
Awareness of cancer family history is dependent upon communication between family members. Communication of this information and related decision-making could be important factors influencing breast cancer risk reduction and early detection behaviors. Using survey data from 2,328 women (mean age 62.5 years) from 372 families enrolled in the Minnesota breast cancer family study, we explored adult daughter’s reports of breast cancer risk reduction advice received from their mothers. Approximately 212 (9%) of respondents reported receiving breast cancer risk reduction advice from their mothers and 130 (89%) reported acting upon such advice. Having a mother or first degree relative (FDR) with a history of breast cancer was significantly correlated with following advice to a higher degree as compared to those not having such family history (p=0.003). Most frequently reported types of advice were to have mammograms (36%) and to have clinical breast exams (35%). Using multivariable logistic regression and after accounting for non-independence of the sample, significant independent correlates of receiving advice included younger age, having an affected mother, and having a higher perceived breast cancer risk. Receiving advice was also correlated with engaging in a higher number of health promoting behaviors and ever having received a mammogram. Our preliminary findings are consistent with social influence theory and suggest that mother-daughter communication about reducing risk, especially among those having a FDR with breast cancer, could be a potential pathway through which BC family history is associated with the adoption of breast cancer screening and risk reduction behaviors.
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DOI：
10.1002/ajmg.10110
发表时间：
2002-01-15
期刊：
AMERICAN JOURNAL OF MEDICAL GENETICS
影响因子：
--
作者：
Hughes, C;Lerman, C;Main, D
通讯作者：
Main, D
影响因子：
7
作者：
Hardman, AE
通讯作者：
Hardman, AE
影响因子：
3.6
作者：
Kenen, R;Ardern-Jones, A;Eeles, R
通讯作者：
Eeles, R
影响因子：
--
作者：
Bowen, DJ;Alfano, CM;Andersen, MR
通讯作者：
Andersen, MR
影响因子：
4.2
作者：
Allen, JD;Sorensen, G;Peterson, K
通讯作者：
Peterson, K