Breast Cancer Risk Assessment Among Low-Income Women of Color in Primary Care: A Pilot Study Journal Article

Local Library Link: Find It @ Loyola

Authors: Anderson, E. E.; Tejeda, S.; Childers, K.; Stolley, M. R.; Warnecke, R. B.; Hoskins, K. F.
Article Title: Breast Cancer Risk Assessment Among Low-Income Women of Color in Primary Care: A Pilot Study
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.
Journal Title: Journal of oncology practice / American Society of Clinical Oncology
Volume: 11
Issue: 4
ISSN: 1935-469X; 1554-7477
Publisher: by American Society of Clinical Oncology  
Journal Place: United States
Date Published: 2015
Start Page: e460
End Page: 7
Language: eng
DOI/URL:

10.1200/JOP.2014.003558
Notes: LR: 20150812; CI: Copyright (c) 2015; JID: 101261852; OID: NLM: PMC4507393 [Available on 07/01/16]; PMCR: 2016/07/01 00:00; 2015/06/02 [aheadofprint]; ppublish