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  1. The role of numeracy in understanding the benefit of screening mammography.

    Article - En anglais

    Background 

    Quantitative information about risks and benefits may be meaningful only to patients who have some facility with basic probability and numerical concepts, a construct called numeracy.

    Objective 

    To assess the relation between numeracy and the ability to make use of typical risk reduction expressions about the benefit of screening mammography.

    Design 

    Randomized, cross-sectional survey Setting : A simple random sample of 500 female veterans drawn from a New England registry.

    Intervention 

    One of four questionnaires, which differed only in how the same information on average risk reduction with mammography was presented.

    Measurements 

    Numeracy was scored as the total number of correct responses to three simple tasks.

    Participants estimated their risk for death from breast cancer with and without mammography.

    Accuracy was judged as each woman's ability to adjust her perceived risk in accordance with the risk reduction data presented.

    Results 

    61% of eligible women completed the questionnaire.

    The median age of these women was 68 years (range, 27 to 88 years), and 96% were high school graduates.

    Both accuracy in applying risk reduction information and numeracy were poor (one third of respondents thought that 1000 flips of a fair coin would result in<300 heads).

    Accuracy was strongly related to numeracy : The accuracy rate was 5.8% (95% Cl, 0.8% to 10.7%) for a numeracy score of 0,8.9% (Cl, 2.5% to 15.3%) for a score of 1,23.7% (Cl, 13.9% to 33. (...)

    Mots-clés Pascal : Glande mammaire, Randomisation, Enquête par correspondance, Mammographie, Etude comparative, Facteur risque, Proportion, Facteur efficacité, Critère décision, Communication information, Evaluation, Homme, Femelle, Glande mammaire pathologie, Tumeur bénigne, Tumeur maligne, Radiodiagnostic, Economie santé

    Mots-clés Pascal anglais : Mammary gland, Randomization, Mail inquiry, Mammography, Comparative study, Risk factor, Proportion, Effectiveness factor, Decision criterion, Information communication, Evaluation, Human, Female, Mammary gland diseases, Benign neoplasm, Malignant tumor, Radiodiagnosis, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0041616

    Code Inist : 002B20E01. Création : 17/04/1998.