Estimated risks and optimistic self-perception of breast cancer risk in Korean women

Chung, Chae Weon; Lee, Suk Jeong

doi:10.1016/j.apnr.2013.06.001

Cited by 16 publications

(23 citation statements)

References 21 publications

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“…The results of the study were inconsistent with the ndings of studies by Chung and et al (2013) 29 and Katapodi and et al (2010) 30 . A study by Chung et al found that most Korean women (51%) were optimistic about their relative risk of breast cancer and only 2.3% had pessimistic perception 20 . In the study of Katapodi and et al, an optimistic and pessimistic perception of the risk of breast cancer was 40% and 10%, respectively 29 .…”

Section: Discussionmentioning

confidence: 99%

“…In the study of Katapodi and et al, an optimistic and pessimistic perception of the risk of breast cancer was 40% and 10%, respectively 29 . Optimistic means that fewer negative events and more positive events happen to themselves than others 20 .…”

Section: Discussionmentioning

confidence: 99%

“…As a result, it can be a motivator for appropriate health behaviors 29 . Women's optimism and pessimism about the risk of breast cancer make them evaluate their risks less and more and also it can prevent proper health behaviors 20 . The reasons for this inconsistency can be attributed to the culture of the society, perceive measuring tools, and women's knowledge of breast cancer risk factors 20 .…”

Section: Discussionmentioning

confidence: 99%

“…The self-perceived risk perception based on the analog scale is a simple method that may use in clinical practices for purpose of screening that motivates the women to undergo the screening program such as breast self-examination (BSE), breast clinical examination (BCE) and mammography. However, subjective risk perception is likely to be either optimistic or pessimistic [20][21][22][23] . Thus, inaccurate risk perception may induce psychological symptoms, in particular in the case of over-estimate.…”

Section: Introductionmentioning

confidence: 99%

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Accuracy of Self-Perceived Risk Perception of Breast Cancer Development in Iranian Women

Hajian‐Tilaki

Nikpour

2020

Preprint

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Backgrand: The accuracy of subjective risk perception is a matter of concern in breast cancer development. The objective of this study was to evaluate the accuracy of self-perceived risk assessment compared to actual risk. Methods: The demographic, clinical, and reproductive characteristics of 800 women aged 35-85 years were collected with an in-person interview. The self-perceived risk was assessed using the visual analog scale (VAS) and the actual risk was calculated from the Gail model. Gail’s cutoff of 1.66% risk was used to categorize the estimated 5-year actual risk as low/average risk (<1.66%) and high risk (≥1.66). In low/average risk, if the self-perceived risk> actual risk, then individuals were categorized as overestimating. Similarly, in high-risk women, if the perceived risk<actual risk, then, the subjects were labeled as under-estimate; otherwise, it was labeled as accurate. The Kappa statistics were used to determine the agreement between self-perceived risk and actual risk. ROC analysis was applied to determine the accuracy of self-perceived risk in the prediction of actual risk. Results: The perceived risk was significantly higher than actual risk (p=0.001, 0.01 for 5-year and lifetime risk respectively). Both in low and high-risk groups about half of the women over-estimate and underestimate the risk by subjective risk perception. For a 5-year risk assessment, there was no agreement at all between perceived risk and actual risk (Kappa=0.00, p=0.98) but a very low agreement between them in lifetime risk assessment (Kappa=0.09, p=0.005). The performance of accuracy of risk perception versus actual risk was very low (AUC=0.53, 95%CI: 0.44-0.61 and AUC=0.58, 95%CI: 0.54-0.62 for the 5- year risk and lifetime risk respectively). Conclusion: The clinical performance of risk perception based on VAS is very poor. Thus, the efforts of the public health education program should focus on the correct perception of breast cancer risk among Iranian women.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Accuracy of Self-Perceived Risk Perception of Breast Cancer Development in Iranian Women

Hajian‐Tilaki

Nikpour

2020

Preprint

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“…Several previous studies focused on breast cancer risk perception of women [11,[13][14][15]. Other studies focused on possible associations between risk perception and women's MS behaviors [10,12,[16][17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Age-dependent impact of breast cancer risk perception on mammography screening behavior in Brazilian women

Alves

Weller

2019

Preprint

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Background: Previous studies suggest that education and income affect Brazilian women’s breast cancer prevention behavior. The present study focused on the impact of perceived risk on mammography screening behavior. Methods: Information regarding socioeconomic variables and risk perception was obtained from 396 healthy women aged 40 - 79 years. Absolute and comparative perceived risk was measured on a seven-point Likert scale. Perceived numeric risk was measured on a percentage scale A Breast Cancer Risk Assessment Tool of five-year and lifetime risk of developing invasive breast cancer was used to estimate real risk. Regression analysis was applied to determine odds ratios (OR) and confidence intervals (95%CI) of independent variables. Results: Women without family history, aged 40 - 49 years and ≥ 50 years, had a 5.777 (95%CI: 2.261- 14.764) and 9.239 (95%CI: 4.028- 21.194) higher chance, respectively, of having low perceived absolute risk (p = 0.000). Regression modelling revealed that women aged between 40 and 49 years with low perceived absolute risk and low educational level, performed regular mammography screening about 2.7 (OR = 0.377; 95%CI: 0.143-0.989; p = 0.037 and OR = 0.368; 95%CI: 0.100-1.360; p = 0.040) times less often, compared to those ones with high risk perception and high educational level. Education was the only significant variable for women aged ≥ 50 years (p = 0.021): Women with low educational level underwent annual and biannual mammography about 3.5 (OR = 0.289; 95%CI: 0.035- 2.363) and 23.3 (OR = 0.043; 95%CI: 0.004- 0.420) times less often, respectively, than did women with high education level. Overestimation of numeric and comparative perceived risk, respectively, indicated a negative association with participation in mammography screening (p = 0.021; p = 0.017). Conclusions: Perception of absolute risk depended on family history. The effect of risk perception on mammography screening was age group-dependent, particularly for women aged 40 - 49 years, whereas for women aged ≥ 50 years, educational level had a more prominent effect. Overestimation of risk was not positively associated with increased adherence on mammography screening.

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Long-term experiences with genetic consultation in people with hereditary breast and ovarian cancer

Eismann

Vetter

Monika

et al. 2016

Arch Gynecol Obstet

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Estimated risks and optimistic self-perception of breast cancer risk in Korean women

Cited by 16 publications

References 21 publications

Accuracy of Self-Perceived Risk Perception of Breast Cancer Development in Iranian Women

Accuracy of Self-Perceived Risk Perception of Breast Cancer Development in Iranian Women

Age-dependent impact of breast cancer risk perception on mammography screening behavior in Brazilian women

Long-term experiences with genetic consultation in people with hereditary breast and ovarian cancer

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