Breast Cancer Screening Behaviors and Intentions Among Asymptomatic Women 50 Years of Age and Older

Lc, Friedman; Woodruff, A. W.; Lane, M. Daniel; Ad, Weinberg; Hp, Cooper; Ja, Webb

doi:10.1016/s0749-3797(18)30449-5

Cited by 52 publications

(24 citation statements)

References 17 publications

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“…24 Because of this strong link, it is important to understand the factors influencing screening intentions. In addition, our breast cancer screening questions were limited in their reliability and validity.…”

Section: Hart and Bowen 182mentioning

confidence: 99%

“…We chose to focus on screening intentions, as they have been shown to be one of strongest and most consistent predictors of screening behaviors. 24 Specifically, we examined intentions to obtain a clinical breast examination (CBE) and mammography, as both types of breast cancer screening are recommended for women by the American Medical Association (AMA) and the American Cancer Society (ACS). 25,26 We hypothesized that greater negative beliefs about mammography, lower perceived risk of breast cancer, less fear about breast cancer, and greater negative attitudes toward providers-attitudes previously shown to be associated with decreased levels of breast cancer screening in the general population-would mediate the relationship between sexual orientation and breast cancer screening intentions.…”

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confidence: 99%

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Sexual Orientation and Intentions to Obtain Breast Cancer Screening

Hart

Bowen

2009

Journal of Women's Health

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Aims: This longitudinal study examined predictors of intentions to obtain breast cancer screening in two samples, one comprising self-identified lesbian/bisexual women (n ϭ 150) and the other comprising heterosexual women (n ϭ 400). We hypothesized that beliefs about mammography, cancer vulnerability, and attitudes toward the medical provider would mediate the relationship between sexual orientation and plans to obtain breast cancer screening. Methods: Women in this study participated in one of two larger clinical trials of breast cancer risk counseling methods. All participants completed questionnaires about breast cancer screening attitudes at baseline and at a 6-month follow-up. Results: Logistic regression analyses, controlling for age, education, and race, revealed that baseline negative beliefs about mammography, lower levels of provider trust, and less perceived risk of breast cancer significantly mediated the relationship between sexual orientation and 6-month intentions to obtain a clinical breast examination (CBE) and mammography. Conclusions: These findings suggest that attitudes and beliefs about breast cancer, breast cancer screening, and medical providers impact lesbian/bisexual women's willingness to plan for CBE and mammography.

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Section: Hart and Bowen 182mentioning

confidence: 99%

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confidence: 99%

Sexual Orientation and Intentions to Obtain Breast Cancer Screening

Hart

Bowen

2009

Journal of Women's Health

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“…In general women, age, race/ethnicity, family income, educational attainment, health care access, physician recommendation, frequency of physician visits, health insurance coverage, cost of mammography, individual's attitudes, knowledge and concern of breast cancer and breast cancer screening have been identified as possible predictors of breast cancer screening [13,[16][17][18][19][20][21][22][23][24][25][26][27][28][29]. Women with a family history of breast or ovarian cancer may differ from those without in their knowledge of and attitudes toward breast cancer and breast cancer screening, and health care seeking motivation.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with the incompliance with mammogram screening among individuals with a family history of breast cancer or ovarian cancer

H¹,

Zhu²,

Jatoi

et al. 2006

Breast Cancer Res Treat

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“…17 Although ASCO does not specify who should provide counseling, primary care clinicians are a likely source to whom patients will turn. 18,19 Research has shown that clinician recommendation is the strongest predictor of cancer risk management behaviors [20][21][22][23] ; there is support for focusing on patient-clinician discussions to encourage consideration of and participation in these behaviors.…”

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confidence: 99%

Impact of the cancer risk intake system on patient-clinician discussions of tamoxifen, genetic counseling, and colonoscopy

et al. 2005

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The Cancer Risk Intake System (CRIS), a computerized program that ''matches'' objective cancer risks to appropriate risk management recommendations, was designed to facilitate patient-clinician discussion. We evaluated CRIS in primary care settings via a single-group, self-report, pretest-posttest design. Participants completed baseline telephone surveys, used CRIS during clinic visits, and completed followup surveys 1 to 2 months postvisit. Compared with proportions reporting having had discussions at baseline, significantly greater proportions of participants reported having discussed tamoxifen, genetic counseling, and colonoscopy, as appropriate, after using CRIS. Most (79%) reported CRIS had ''caused'' their discussion. CRIS is an easily used, disseminable program that showed promising results in primary care settings. ; there is support for focusing on patient-clinician discussions to encourage consideration of and participation in these behaviors.However, identifying which cancer risk management topics should be discussed is challenging and time consuming in primary care settings. Determining for whom surveillance, chemoprevention, or genetic counseling is appropriate involves consideration of multiple personal and familial factors that affect cancer risk and can thus be beyond clinicians' training or time constraints. For example, colon cancer surveillance guidelines are complex and require analysis of personal and familial risk to determine which test is recommended, when it should be initiated, and at what intervals to repeat it. 6 Appropriate chemoprevention recommendations involve assessment of risk, potential contraindications, and personal preferences. Whether a patient might benefit from genetic counseling is based on personal risk and family history. It is not surprising, then, that too few at-risk individuals receive cancer risk management recommendations. Appropriate referral for and participation in cancer genetic counseling is inconsistent 24,25 ; too few high-risk individuals are informed of the purpose and benefits of cancer genetic counseling. 26,27Not only is appropriate surveillance not achieved among individuals with elevated colorectal cancer risk, even their participation in routine screening is low. 22,28,29 We sought to develop a system for efficiently facilitating patient-clinician discussions about cancer risk and risk management. Our computerized Cancer Risk Intake System (CRIS) assesses personal health history and medical conditions, family cancer history, and other risk factors for breast, ovarian, and colorectal cancers; a complex set of CRIS algorithms then uses these data to generate, for individuals and primary care clinicians, printed information tailored by the patient's risk. If objective risk is high enough, the tailored printout includes recommendations to consider one or more of the following: breast cancer chemoprevention via tamoxifen, genetic counseling, and colon cancer surveillance.In this study, patients completed baseline surveys by phone prior to clinic visits,...

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Breast Cancer Screening Behaviors and Intentions Among Asymptomatic Women 50 Years of Age and Older

Cited by 52 publications

References 17 publications

Sexual Orientation and Intentions to Obtain Breast Cancer Screening

Sexual Orientation and Intentions to Obtain Breast Cancer Screening

Factors associated with the incompliance with mammogram screening among individuals with a family history of breast cancer or ovarian cancer

Impact of the cancer risk intake system on patient-clinician discussions of tamoxifen, genetic counseling, and colonoscopy

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