Faculty Collaboration Database

Breast Cancer Risk Assessment Among Low-Income Women of Color in Primary Care: A Pilot Study. J Oncol Pract 2015 Jul;11(4):e460-7

Date

06/04/2015

Pubmed ID

26036266

Pubmed Central ID

PMC4507393

DOI

10.1200/JOP.2014.003558

Scopus ID

2-s2.0-84937706229 (requires institutional sign-in at Scopus site)   15 Citations

Abstract

PURPOSE: The US Preventive Services Task Force recommends identifying candidates for breast cancer (BC) chemoprevention and referring them for genetic counseling as part of routine care. Little is known about the feasibility of implementing these recommendations or how low-income women of color might respond to individualized risk assessment (IRA) performed by primary care providers (PCPs).

METHODS: Women recruited from a federally qualified health center were given the option to discuss BC risk status with their PCP. Comprehensive IRA was performed using a software tool designed for the primary care environment combining three assessment instruments and providing risk-adapted recommendations for screening, prevention, and genetic referral. Logistic regression models assessed factors associated with wanting to learn and discuss BC risk with PCP.

RESULTS: Of 237 participants, only 12.7% (n = 30) did not want to discuss IRA results with their PCP. Factors associated with lower odds of wanting to learn results included having private insurance and reporting ever having had a mammogram. Factors associated with higher odds of wanting to learn results included older age (50 to 69 years) and increased BC worry. For all women wishing to learn results, IRA was successfully completed and delivered to the PCP immediately before the encounter for incorporation into the well-visit evaluation.

CONCLUSION: Incorporation of US Preventive Services Task Force recommendations as part of routine primary care is feasible. Interest in IRA seems high among underserved women. This approach warrants further investigation as a strategy for addressing disparities in BC mortality.

Author List

Anderson EE, Tejeda S, Childers K, Stolley MR, Warnecke RB, Hoskins KF

Author

Melinda Stolley PhD Center Associate Director, Professor in the Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Aged
Breast Neoplasms
Female
Genetic Testing
Health Status
Humans
Mammography
Middle Aged
Patient Acceptance of Health Care
Pilot Projects
Poverty
Primary Health Care
Referral and Consultation
Risk Assessment
Risk Factors
United States
Young Adult