Awareness of ovarian cancer risk factors, beliefs and attitudes towards screening: baseline survey of 21 715 women participating in the UK Collaborative Trial of Ovarian Cancer Screening

作者: L Fallowfield , , A Fleissig , J Barrett , U Menon

DOI: 10.1038/SJ.BJC.6605809

关键词:

摘要: Background: Women's awareness of ovarian cancer (OC) risks, their attitudes towards and beliefs about screening, together with misunderstandings or gaps in knowledge, may influence screening uptake. Methods: In total, 21 715 post-menopausal women completed questionnaires before randomisation into the UK Collaborative Trial Ovarian Cancer Screening. Results: all, 42.3% correctly identified lifetime risk OC; 87.1% knew that a family history OC increased risk, but only 26.7% appreciated association breast cancer. Although 38.2% acknowledged post-menopause, 8.8% were aware diagnoses are highest over 65 years. Few (13.7%) recognised between pregnancy reduced protective effects breastfeeding (6.2%). There common misconceptions; 37.2% thought an abnormal cervical smear 26.4% oral contraception likelihood OC. 84.4% most masses benign, 20.2% having had benign cyst risk. Most (99.4%) believed high uptake would reduce mortality (96.2%) screen-detected cancers have improved prognosis. Conclusions: The results show need for public understanding risks provide important information GPs health educationalists initiatives needed future awareness, prevention programmes.

参考文章(27)
Suzy Lockwood-Rayermann, Heidi S. Donovan, David Rambo, Chien-Wen J. Kuo, Original Research: Women's Awareness of Ovarian Cancer Risks and Symptoms American Journal of Nursing. ,vol. 109, pp. 36- 45 ,(2009) , 10.1097/01.NAJ.0000360309.08701.73
Sherry Salway Black, Susan Lowell Butler, Patricia A. Goldman, Mary Jackson Scroggins, Ovarian cancer symptom index Cancer. ,vol. 109, pp. 167- 169 ,(2007) , 10.1002/CNCR.22414
David P. Goldberg, Williams, Paul, D.P.M, A user's guide to the General Health Questionnaire NFER-NELSON. ,(1988)
Charles D. Spielberger, Richard L. Gorsuch, R. E. Lushene, Manual for the State-Trait Anxiety Inventory Consulting Psychologist. ,(1970)
L J Fallowfield, A Rodway, M Baum, What are the Psychological Factors Influencing Attendance, Non-Attendance and Re-Attendance at a Breast Screening Centre? Journal of the Royal Society of Medicine. ,vol. 83, pp. 547- 551 ,(1990) , 10.1177/014107689008300905
D. Purdie, Statistical Methods in Medical Research, 4th edn Internal Medicine Journal. ,vol. 33, pp. 67- 67 ,(2003) , 10.1046/J.1445-5994.2002.00319.X
John M Salsman, Edward Pavlik, Laura M Boerner, Michael A Andrykowski, Clinical, demographic, and psychological characteristics of new, asymptomatic participants in a transvaginal ultrasound screening program for ovarian cancer Preventive Medicine. ,vol. 39, pp. 315- 322 ,(2004) , 10.1016/J.YPMED.2004.04.023
Kate Brain, Clare Gravell, Elizabeth France, Alison Fiander, Jonathon Gray, An exploratory qualitative study of women's perceptions of risk management options for familial ovarian cancer: implications for informed decision making Gynecologic Oncology. ,vol. 92, pp. 905- 913 ,(2004) , 10.1016/J.YGYNO.2003.12.019
A Cull, S Howat, E Greimel, A.-C Waldenstrom, J Arraras, A Kudelka, L Chauvenet, A Gould, Development of a European Organization for Research and Treatment of Cancer questionnaire module to assess the quality of life of ovarian cancer patients in clinical trials: a progress report. European Journal of Cancer. ,vol. 37, pp. 47- 53 ,(2001) , 10.1016/S0959-8049(00)00369-5