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Motivations for contralateral prophylactic mastectomy as a function of socioeconomic status.
- Source :
-
BMC women's health [BMC Womens Health] 2017 Feb 01; Vol. 17 (1), pp. 10. Date of Electronic Publication: 2017 Feb 01. - Publication Year :
- 2017
-
Abstract
- Background: Despite no demonstrated survival advantage for women at average risk of breast cancer, rates of contralateral prophylactic mastectomy (CPM) continue to increase. Research reveals women with higher socioeconomic status (SES) are more likely to select CPM. This study examines how indicators of SES, age, and disease severity affect CPM motivations.<br />Methods: Patients (Nā=ā113) who underwent CPM at four Indiana University affiliated hospitals completed telephone interviews in 2013. Participants answered questions about 11 CPM motivations and provided demographic information. Responses to motivation items were factor analyzed, resulting in 4 motivational factors: reducing long-term risk, symmetry, avoiding future medical visits, and avoiding treatments.<br />Results: Across demographic differences, reducing long-term risk was the strongest CPM motivation. Lower income predicted stronger motivation to reduce long-term risk and avoid treatment. Older participants were more motivated to avoid treatment; younger and more-educated patients were more concerned about symmetry. Greater severity of diagnosis predicted avoiding treatments.<br />Conclusions: Reducing long-term risk is the primary motivation across groups, but there are also notable differences as a function of age, education, income, and disease severity. To stop the trend of increasing CPM, physicians must tailor patient counseling to address motivations that are consistent across patient populations and those that vary between populations.
- Subjects :
- Adult
Breast Neoplasms psychology
Educational Status
Female
Humans
Income statistics & numerical data
Indiana
Middle Aged
Prophylactic Mastectomy trends
Racial Groups psychology
Risk Adjustment methods
Surveys and Questionnaires
Survivors psychology
Survivors statistics & numerical data
Breast Neoplasms prevention & control
Health Knowledge, Attitudes, Practice
Motivation
Prophylactic Mastectomy psychology
Social Class
Subjects
Details
- Language :
- English
- ISSN :
- 1472-6874
- Volume :
- 17
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMC women's health
- Publication Type :
- Academic Journal
- Accession number :
- 28143474
- Full Text :
- https://doi.org/10.1186/s12905-017-0366-2