Psychosocial correlates of intention to undergo prophylactic oophorectomy among women with a family history of ovarian cancer
Psychosocial correlates of intention to undergo prophylactic oophorectomy among women with a family history of ovarian cancer
复制标题
DOI：
10.1016/s0091-7435(03)00163-4
复制
发表时间：
2003-11-01
影响因子：
5.1
通讯作者：
Daly, MB
中科院分区：
文献类型：
--
作者：
Fang, CY;Miller, SM;Daly, MB
背景本研究的目的是探讨有卵巢癌家族史的妇女进行预防性卵巢切除术的社会人口学和社会心理学相关因素。参与者是参加家族性癌症风险评估计划的76名妇女。在进入该项目时收集了心理社会评估，包括发展卵巢癌的感知风险，预防性卵巢切除术的感知益处和局限性以及心理困扰。此外，受访者被问及他们是否打算接受预防性卵巢切除术在接下来的12个月。34%的人表示打算在12个月内进行手术。Logistic回归分析显示，手术意愿与多个心理社会因素相关，包括更高的卵巢癌发生风险和更高的手术获益。风险认知较高且认为手术有许多好处的女性可能更倾向于接受手术，但可能没有充分考虑手术的潜在限制和后果。这些研究结果表明，有必要进行教育和风险咨询，以促进知情的决策，不仅在高风险的妇女，但也妇女谁认为自己是在增加风险。(C)2003年美国健康基金会和爱思唯尔公司All rights reserved.
Background. The purpose of this study was to examine sociodemographic and psychosocial correlates of intention to undergo prophylactic oophorectomy among women with a family history of ovarian cancer.Methods. Participants were 76 women enrolled in a familial cancer risk assessment program. Psychosocial assessments were collected upon entry into the program and included measures of perceived risk of developing ovarian cancer, perceived benefits and limitations of prophylactic oophorectomy, and psychological distress. In addition, respondents were asked whether they intended to undergo prophylactic oophorectomy in the following 12 months.Results. Thirty-four percent reported intention to have surgery within 12 months. Logistic regression analyses indicated that intention to undergo surgery was associated with several psychosocial factors including greater perceived risk of developing ovarian cancer and greater perceived benefits of surgery.Conclusions. Women who have heightened risk perceptions and who perceive there to be many benefits of surgery may be more inclined to undergo the procedure, possibly without fully considering the potential limitations and consequences of surgery. These findings suggest the need for education and risk counseling designed to facilitate informed decision making among not only high-risk women, but also women who perceive themselves to be at increased risk. (C) 2003 American Health Foundation and Elsevier Inc. All rights reserved.