A randomized trial of breast cancer risk counseling: the impact on self-reported mammography use

Am J Public Health. 1999 Jun;89(6):924-6. doi: 10.2105/ajph.89.6.924.


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.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Breast Neoplasms / etiology
  • Breast Neoplasms / prevention & control*
  • Counseling / methods*
  • Educational Status
  • Female
  • Health Education / methods*
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Logistic Models
  • Mammography / statistics & numerical data*
  • Middle Aged
  • Multivariate Analysis
  • Program Evaluation
  • Risk Factors
  • Socioeconomic Factors