1. Breast cancer screening behaviors among African American women with a strong family history of breast cancer.
- Author
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Halbert CH, Kessler L, Wileyto EP, Weathers B, Stopfer J, Domchek S, Collier A, and Brewster K
- Subjects
- Breast Neoplasms genetics, Breast Neoplasms psychology, Female, Health Behavior, Humans, Logistic Models, Middle Aged, Palpation statistics & numerical data, Philadelphia, Black or African American, Breast Neoplasms diagnosis, Family, Mammography statistics & numerical data
- Abstract
Background: Despite the importance of breast cancer screening to reduce morbidity and mortality, limited information is available on screening practices among African American women with a family history that is suggestive of hereditary breast cancer., Objectives: To describe adherence to breast cancer screening recommendations among African American women with a family history that is suggestive of hereditary disease., Methods: Participants were unaffected African American women (n=65) who had a family history of cancer that was suggestive of hereditary breast cancer. Breast cancer screening practices were evaluated by self-report. The study was conducted at the University of Pennsylvania in Philadelphia, PA. Women were recruited to participate in the study from February 2003-December 2005., Results: Most women were adherent to recommendations for mammography (75%) and CBE (93%). A sizeable minority of women (41%) also performed excessive BSE. Being older than age 50 was associated significantly with mammography adherence (FET<0.05). Employment had a significant independent association with BSE; unemployed women were most likely to perform excessive BSE (OR=3.28, 95% CI: 1.05, 10.21, p<0.05)., Conclusions: The results of this study suggest a complex pattern of breast cancer screening practices among African American women at increased risk for hereditary breast cancer.
- Published
- 2006
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