Predictors of perceived breast cancer risk and the relation between perceived risk and breast cancer screening: a meta-analytic review
Predictors of perceived breast cancer risk and the relation between perceived risk and breast cancer screening: a meta-analytic review
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DOI：
10.1016/j.ypmed.2003.11.012
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发表时间：
2004-04-01
影响因子：
5.1
通讯作者：
Dodd, MJ
中科院分区：
文献类型：
--
作者：
Katapodi, MC;Lee, KA;Dodd, MJ
背景。感知风险是试图预测采取健康保护行为的理论模型中的一个主要变量。这项荟萃分析综合了自1985年以来在PubMed和PsycInfo上发现的42项研究的结果。研究考察了人口学和心理变量作为感知乳腺癌风险的预测因素，以及感知风险与乳腺癌筛查之间的关系。统计关系，样本量加权，转化为效应量和95% cis结果。妇女对她们患乳腺癌的风险没有准确的认识（N = 5561, g = 1.10）。总体而言，他们对个人风险有乐观的偏见（g = 0.99）。然而，阳性家族史（N = 70,660, g = 0.88）、招募地点和测量误差使这些结果混淆。感知风险受年龄（N= 38000, g = 0.13）和教育（N= 1979, g = 0.16）的影响较弱，受种族/文化（N= 2192, g = 0.38）和担忧（N= 6090, g = 0.49）的影响中等。感知风险与乳房x光检查之间存在关联（N = 52,766, g = 0.19）。目前尚不清楚感知到的风险是否会影响乳房自我检查的依从性。认为乳腺癌风险较高的女性更有可能进行基因检测或接受预防性乳房切除术。感知到的乳腺癌风险取决于心理和认知变量，并影响对乳房x光检查指南的遵守。(C) 2003癌症预防研究所和爱思唯尔公司。版权所有。
Background. Perceived risk is a principal variable in theoretical models that attempt to predict the adoption of health-protective behaviors.Methods. This meta-analysis synthesizes findings from 42 studies, identified in PubMed and PsycInfo from 1985 onward. Studies examined demographic and psychological variables as predictors of perceived breast cancer risk and the relationship between perceived risk and breast cancer screening. Statistical relationships, weighted for sample size, were transformed to effect sizes and 95% CIs.Results. Women do not have accurate perceptions of their breast cancer risk (N = 5,561, g = 1.10). Overall, they have an optimistic bias about their personal risk (g = 0.99). However, having a positive family history (N = 70,660, g = 0.88), recruitment site, and measurement error confounded these results. Perceived risk is weakly influenced by age (N = 38,000, g = 0.13) and education (N = 1,979, g = 0.16), and is moderately affected by race/culture (N= 2,192, g = 0.38) and worry (N= 6,090, g = 0.49). There is an association between perceived risk and mammography screening (N = 52,766, g = 0.19). It is not clear whether perceived risk influences adherence to breast self-examination. Women who perceived a higher breast cancer risk were more likely to pursue genetic testing or undergo prophylactic mastectomy.Conclusion. Perceived breast cancer risk depends on psychological and cognitive variables and influences adherence to mammography screening guidelines. (C) 2003 The Institute For Cancer Prevention and Elsevier Inc. All rights reserved.