Predictors of Breast Cancer Worry in a Hispanic and Predominantly Immigrant Mammography Screening Population
Predictors of Breast Cancer Worry in a Hispanic and Predominantly Immigrant Mammography Screening Population
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DOI：
10.1016/j.whi.2016.10.003
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发表时间：
2017-03-01
影响因子：
3.2
通讯作者：
Tehranifar, Parisa
中科院分区：
文献类型：
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作者：
April-Sanders, Ayana;Oskar, Sabine;Tehranifar, Parisa
目的：对乳腺癌(BC)的担忧与参与筛查和基因检测以及对异常筛查结果的随访有关。关于西班牙裔和移民人群中BC焦虑的范围和预测因素，我们知之甚少。方法：我们收集了250名从城市乳房X光检查机构招募的自我确认的西班牙裔女性的面谈数据(平均年龄50.4岁；82%出生在外国)。女性报告了她们是否很少/从不(低担忧)、有时(中度担忧)或经常/一直(高担忧)患乳腺癌。我们检验了社会文化和心理因素(例如，文化适应、教育、感知风险)以及患乳腺癌的风险因素和客观风险(例如，家族史、Gail模型5年风险估计、产次)是否可以预测BC担忧。结果：在多变量模型中，感觉到更高的绝对BC风险(优势比，1.66[95%可信区间，1.28-2.14]的女性)和相对BC风险(例如，优势比，2.73，95%可信区间，1.23-6.06)更有可能报告高BC担忧，而不是中度或低BC担忧。结论：在接受乳房X光检查的西班牙裔女性中，对乳腺癌风险的高感知，无论是绝对的还是相对的，都与高的BC担忧独立相关，并且比客观BC风险的指标(包括家族史、乳房X光检查密度和个人BC风险估计)更能预测BC担忧。(C)2016年雅各布斯妇女健康研究所。由爱思唯尔公司出版。
Objective: Worry about developing breast cancer (BC) has been associated with participation in screening and genetic testing and with follow-up of abnormal screening results. Little is known about the scope and predictors of BC worry in Hispanic and immigrant populations.Methods: We collected in-person interview data from 250 self-identified Hispanic women recruited from an urban mammography facility (average age 50.4 years; 82% foreign-born). Women reported whether they worried about developing breast cancer rarely/never (low worry), sometimes (moderate worry), or often/all the time (high worry). We examined whether sociocultural and psychological factors (e.g., acculturation, education, perceived risk), and risk factors and objective risk for BC (e.g., family history, Gail model 5-year risk estimates, parity) predicted BC worry using multinomial and logistic regression.Results: In multivariable models, women who perceived higher absolute BC risk (odds ratio, 1.66 [ 95% confidence interval, 1.28-2.14] for a one-unit increase in perceived lifetime risk) and comparative BC risk (e.g., odds ratio, 2.73, 95% confidence interval, 1.23-6.06) were more likely to report high BC worry than moderate or low BC worry. There were no associations between BC worry and indicators of objective risk or acculturation.Conclusions: In Hispanic women undergoing screening mammography, higher perceptions of BC risk, in both absolute and comparative terms, were associated independently with high BC worry, and were stronger predictors of BC worry than indicators of objective BC risk, including family history, mammographic density, and personal BC risk estimates. (C) 2016 Jacobs Institute of Women's Health. Published by Elsevier Inc.