Perceived risk of breast cancer among Latinas attending community clinics: risk comprehension and relationship with mammography adherence.
Perceived risk of breast cancer among Latinas attending community clinics: risk comprehension and relationship with mammography adherence.
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DOI：
10.1007/s10552-008-9209-7
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发表时间：
2008-12
影响因子：
2.3
通讯作者：
Mandelblatt, Jeanne
中科院分区：
文献类型：
--
作者：
Graves, Kristi D.;Huerta, Elmer;Cullen, Jennifer;Kaufman, Elizabeth;Sheppard, Vanessa;Luta, George;Isaacs, Claudine;Schwartz, Marc D.;Mandelblatt, Jeanne
描述乳腺癌风险认知，确定风险理解，并评估拉丁美洲人的乳房x光检查依从性。年龄≥35岁的拉丁裔妇女，主要来自中美洲和南美洲，从社区诊所招募来完成面对面访谈（n=450）。风险理解被计算为数字感知风险和Gail风险评分之间的差异。根据收集当年数据的推荐指南（2002年），乳房x光检查依从性定义为≥40岁的女性每1 - 2年进行一次乳房x光检查。乳腺癌风险理解度较低，根据Gail风险评分，81%的女性高估了自己的风险，只有6.9%的女性是高风险的。更大的癌症担忧和更年轻的年龄与更大的感知风险和风险高估显著相关。在符合乳房x光检查年龄的女性中（n = 328）， 29.0%的人没有遵守筛查指南。依从性与年龄较大（OR = 2.99, 95% CI = 1.76 - 5.09）、有保险（OR = 1.81, 95% CI = 1.03 - 3.17）、更强的文化适应（OR = 1.18, 95% CI = 1.02 - 1.36）和更高的乳腺癌知识（OR = 2.03, 95% CI = 1.21 - 3.40）相关。虽然大多数拉丁美洲人高估了他们患乳腺癌的风险，但年龄越大，有保险，更适应文化，有更多的知识，这些拉丁美洲人更坚持筛查。感知风险、风险理解和癌症担忧与依从性无关。在拉丁美洲，筛查干预应强调知识和目标教育工作的年轻，没有保险，和不太适应乳房x光检查合格的妇女。
To describe breast cancer risk perceptions, determine risk comprehension, and evaluate mammography adherence among Latinas. Latina women age ≥ 35, primarily from Central and South America, were recruited from community-based clinics to complete in-person interviews (n=450). Risk comprehension was calculated as the difference between numeric perceived risk and Gail risk score. Based on recommended guidelines from the year data were collected (2002), mammography adherence was defined as having a mammogram every one to two years for women ≥ 40 years of age. Breast cancer risk comprehension was low, as 81% of women overestimated their risk and only 6.9% of women were high risk based on Gail risk scores. Greater cancer worry and younger age were significantly associated with greater perceived risk and risk overestimation. Of women age eligible for mammography (n = 328), 29.0% were non-adherent to screening guidelines. Adherence was associated with older age, (OR = 2.99, 95% CI = 1.76 – 5.09), having insurance (OR = 1.81, 95% CI = 1.03 – 3.17), greater acculturation (OR = 1.18, 95% CI = 1.02 – 1.36), and higher breast cancer knowledge (OR = 2.03, 95% CI = 1.21 – 3.40). While most Latinas over-estimated their breast cancer risk, older age, having insurance, being more acculturated, and having greater knowledge were associated with greater screening adherence in this Latino population. Perceived risk, risk comprehension, and cancer worry were not associated with adherence. In Latinas, screening interventions should emphasize knowledge and target education efforts at younger, uninsured, and less acculturated mammography-eligible women.
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影响因子：
5
作者：
Calvocoressi, L;Stolar, M;Jones, BA
通讯作者：
Jones, BA
影响因子：
5.1
作者：
Mandelblatt, J;Kaufman, E;Huerta, E
通讯作者：
Huerta, E
影响因子：
3.8
作者：
Abraído-Lanza, AF;Chao, MT;Gates, CY
通讯作者：
Gates, CY
影响因子：
39.2
作者：
LERMAN, C;TROCK, B;ENGSTROM, PF
通讯作者：
ENGSTROM, PF
影响因子：
5.1
作者：
Katapodi, MC;Lee, KA;Dodd, MJ
通讯作者：
Dodd, MJ