Abstract
Objectives. We evaluated the impact of individualized breast cancer risk counseling on mammography use among women at risk for breast cancer. Methods. Participants (n = 508) were randomized to the breast cancer risk counseling intervention or a general health education control intervention, and 85% completed follow-up. Results. In multivariate modeling, a significant group- by-education interaction demonstrated that among less-educated participants, breast cancer risk counseling led to reduced mammography use. There was intervention effect among the more-educated participants. Conclusions. These results suggest that standard breast cancer risk counseling could have an adverse impact on the health behaviors of less-educated women.
Original language | English |
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Pages (from-to) | 924-926 |
Number of pages | 3 |
Journal | American Journal of Public Health |
Volume | 89 |
Issue number | 6 |
DOIs | |
State | Published - Jun 1999 |
Keywords
- Adult
- Aged
- Breast Neoplasms/etiology
- Counseling/methods
- Educational Status
- Female
- Health Education/methods
- Health Knowledge, Attitudes, Practice
- Humans
- Logistic Models
- Mammography/statistics & numerical data
- Middle Aged
- Multivariate Analysis
- Program Evaluation
- Risk Factors
- Socioeconomic Factors