A randomized trial of breast cancer risk counseling: the impact on self-reported mammography use
- PMID: 10358689
- PMCID: PMC1508646
- DOI: 10.2105/ajph.89.6.924
A randomized trial of breast cancer risk counseling: the impact on self-reported mammography use
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.
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