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Am J Public Health. 1999 Jun;89(6):924-6.

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

Author information

  • 1Georgetown University Medical Center/Lombardi Cancer Center, Cancer Genetics, Washington, DC 20007, USA. schwartm@gunet.georgetown.edu

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 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.

PMID:
10358689
[PubMed - indexed for MEDLINE]
PMCID:
PMC1508646
Free PMC Article
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