Attitudes of women in their forties toward the 2009 USPSTF mammogram guidelines: a randomized trial on the effects of media exposure
| Autor: | AuTumn S. Davidson, Xun Liao, B. Dale Magee |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Risk medicine.medical_specialty Health Knowledge Attitudes Practice Health knowledge Breast Neoplasms law.invention Breast cancer Randomized controlled trial law medicine Mammography Humans False Positive Reactions Women skin and connective tissue diseases Early Detection of Cancer Gynecology medicine.diagnostic_test Task force business.industry Communications Media Obstetrics and Gynecology Guideline Middle Aged Patient Acceptance of Health Care medicine.disease Communications media Female Mammography screening business Demography |
| Zdroj: | American journal of obstetrics and gynecology. 205(1) |
| ISSN: | 1097-6868 |
| Popis: | Objective The objective of the study was to assess women's attitudes toward 2009 US Preventive Services Task Force mammography screening guideline changes and evaluate the role of media in shaping opinions. Study Design Two hundred forty-nine women, aged 39-49 years, presenting for annual examinations randomized to read 1 of 2 articles, and survey completion comprised the design of the study. Results Eighty-eight percent overestimated the lifetime breast cancer (BrCa) risk. Eighty-nine percent want yearly mammograms in their 40s. Eighty-six percent felt the changes were unsafe, and even if the changes were doctor recommended, 84% would not delay screening until age 50 years. Those with a friend/relative with BrCa were more likely to want annual mammography in their forties (92% vs 77%, P = .001), and feel changes unsafe (91% vs 69%, P ≤ .0001). Participants with previous false-positive mammograms were less likely to accept doctor-recommended screening delay until age 50 years (8% vs 21%, P = .01). Conclusion Women overestimate BrCa risk. Skepticism of new mammogram guidelines exists, and is increased by exposure to negative media. Those with prior false-positive mammograms are less likely to accept changes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect