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    Attitudes of women in their forties toward the 2009 USPSTF mammogram guidelines: a randomized trial on the effects of media exposure

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    Authors
    Davidson, AuTumn S.
    Liao, Xun
    Magee, B. Dale
    UMass Chan Affiliations
    Department of Obstetrics and Gynecology
    Document Type
    Journal Article
    Publication Date
    2011-07-01
    Keywords
    Adult
    Breast Neoplasms
    Communications Media
    Early Detection of Cancer
    False Positive Reactions
    Female
    *Health Knowledge, Attitudes, Practice
    Humans
    Mammography
    Middle Aged
    *Patient Acceptance of Health Care
    Risk
    Women
    breast cancer
    mammogram screening guidelines
    mammography
    Community Health and Preventive Medicine
    Obstetrics and Gynecology
    Women's Health
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    Link to Full Text
    https://doi.org/10.1016/j.ajog.2011.04.005
    Abstract
    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. Copyright © 2011 Mosby, Inc. All rights reserved.
    Source

    Am J Obstet Gynecol. 2011 Jul;205(1):30.e1-7. doi: 10.1016/j.ajog.2011.04.005. Epub 2011 Apr 14. Link to article on publisher's site

    DOI
    10.1016/j.ajog.2011.04.005
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/42867
    PubMed ID
    22088897
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    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1016/j.ajog.2011.04.005
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