A randomized trial of breast cancer risk counseling: The impact on self- reported mammography use

Marc D. Schwartz, Barbara K. Rimer, Mary Daly, Colleen Sands, Caryn Lerman

Research output: Contribution to journalArticlepeer-review

53 Scopus citations

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 languageEnglish
Pages (from-to)924-926
Number of pages3
JournalAmerican Journal of Public Health
Volume89
Issue number6
DOIs
StatePublished - 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

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