个性化风险预测对乳腺癌风险感知的影响:来自BREATHE研究的见解
Peh Joo Ho1,2,3, Su-Ann Goh3, Serene Si Ning Goh1,3,4
1Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, 117549, Singapore.
Journal of translational medicine
|May 9, 2025
概括
许多女性低估了自己的乳腺癌 (BC) 风险. 那些认为其风险低于预期的人对其风险评估的信心较低,这凸显了需要准确的风险沟通的需要.
科学领域:
- 在瘤学瘤学.
- 预防医学 预防医学
- 风险评估 风险评估
背景情况:
- 乳房扫描查指南是为50岁以上的女性制定的,但对年轻人群来说不太清楚.
- 基于风险的查可以赋予女性知识,使她们能够做出明智的乳腺癌 (BC) 风险和查决定.
研究的目的:
- 调查预测的乳腺癌 (BC) 风险如何影响女性对风险预测的感知和信心.
- 检查BC风险低估与对预测风险得分的信心之间的关系.
主要方法:
- 一项前性多中心队列研究,对4112名年龄在35-59岁之间的女性进行了分层研究,分别根据遗传和非遗传BC风险因素进行分层研究.
- 评估在招生时和参与者收到预测风险后感知风险.
- 使用顺序和后勤回归模型来识别感知风险和信心的预测因素.
主要成果:
- 35%的参与者在了解他们的预测风险后调整了他们感知到的风险.
- 低估BC风险与预测风险得分的信心明显降低相关 (OR 7.94).
- 当感知风险低于预测风险时,信心是最低的 (OR 5.06).
结论:
- 很大一部分女性低估了自己的乳腺癌风险.
- 预测风险的知识影响了女性的风险感知.
- 低估风险与风险预测准确性的信心降低相关.
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