A Randomized Trial of Breast Cancer Risk Counseling: The Impact on Self-Reported Mammography Use.

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 no 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. [ABSTRACT FROM AUTHOR]