How making a risk estimate can change the feel of that risk: shifting attitudes toward breast cancer risk in a general public survey

How making a risk estimate can change the feel of that risk: shifting attitudes toward breast cancer risk in a general public survey
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DOI:
10.1016/j.pec.2004.08.007
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发表时间:
2005-06-01
影响因子:
3.5
通讯作者:
Ubel, PA
Ubel, PA
中科院分区:
医学2区
文献类型:
--
作者:
Fagerlin, A;Zikmund-Fisher, BJ;Ubel, PA

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已经发现,向妇女提供有关乳腺癌风险的咨询会降低筛查的依从性。我们调查了女性对风险信息的反应是否是要求女性在接受风险信息之前估计乳腺癌风险的人为因素。三百五十六例女性在收到风险信息之前被随机分配进行或不进行风险估计。结果测量是参与者对女性平均乳腺癌风险的估计以及他们对风险信息的情绪反应。女性高估了乳腺癌的终生风险(M = 46%)。进行风险估计的女性对风险感到更放心,并且认为风险低于未进行估计的女性(p < 0.001)。要求人们估计风险会影响他们随后对乳腺癌风险的看法。(c)2004爱思唯尔爱尔兰有限公司保留所有权利。
Counseling women about breast cancer risks has been found to decrease screening compliance. We investigated whether women's reactions to risk information are an artifact of requiring women to estimate the risk of breast cancer prior to receiving risk information. Three hundred and fifty-six women were randomized to either make or not make a risk estimate prior to receiving risk information. Outcome measures were participants' estimates of the average woman's breast cancer risk and their emotional response to the risk information. Women overestimated the lifetime risk of breast cancer (M = 46%). Women who made risk estimates felt more relieved about the risk and perceived the risk as being lower than women who did not make estimates (p's < 0.001). Asking people to estimate risks influenced their subsequent perceptions of the risk of breast cancer. (c) 2004 Elsevier Ireland Ltd. All rights reserved.