Studies have shown that a majority of women with a family history of breast cancer have exaggerated perceptions of their own risk of this disease and experience excessive anxiety.
In response to the need to communicate more accurate risk information to these women, specialized programs for breast cancer risk counseling have been initiated in medical centers across the United States.
Our purpose was 1) to evaluate the impact of a standardized protocol for individualized breast cancer risk counseling on comprehension of personal risk among first-degree relatives of index breast cancer patients and 2) to identify women most and least likely to benefit from such counseling.
This study is a prospective randomized trial comparing individualized breast cancer risk counseling to general health counseling (control).
We studied 200 women aged 35 years and older who had a family history of breast cancer in a first-degree relative.
Women with a personal history of cancer were excluded.
Risk comprehension was assessed as the concordance between perceived « subjective » lifetime breast cancer risk and estimated « objective » lifetime risk.
The results of logistic regression analvsis showed that women who received risk counseling were significantly more likely to improve their risk comprehension, compared with women in the control condition (odds ratio [OR]=3.5 ; 95% confidence interval [CI]=1.3-9.5 ; P=01).
Mots-clés Pascal : Tumeur maligne, Glande mammaire, Homme, Femelle, Prévention, Communication information, Méthodologie, Méthode cas individuel, Programme sanitaire, Résultat, Risque, Compréhension, Glande mammaire pathologie
Mots-clés Pascal anglais : Malignant tumor, Mammary gland, Human, Female, Prevention, Information communication, Methodology, Individual method, Sanitary program, Result, Risk, Comprehension, Mammary gland diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0225238
Code Inist : 002B20E02. Création : 09/06/1995.