Statistical Study to Investigate Women's Preference in the Phraseology of Lifetime and Age Specific Risk of Developing Breast Cancer
COVENTRY AND WARWICKSHIRE HOSPITAL (UNITED KINGDOM) SOLIHULL AND COVENTRY BREAST SCREENING SERVICE
Pagination or Media Count:
There has been a marked increase in the number of requests to image women with a family history of breast cancer in the UK. A postal evaluation form is used to assess risk and to reassure women. However, uncertainty exists about the most appropriate wording of risk information. The aim of this study was to investigate womens preference in the phraseology of lifetime and age specific risk of developing breast cancer. A sample of 175 women was recruited from 6 geographical regions within the UK. Each woman was asked to state her preference between positive and negative wording of the lifetime risk, and between three alternate ways of phrasing age specific risk Percentage, Ratio and Description. Women were randomly assigned to six different combinations of wording, with stratification by two age bands 17-30 and 31-55 years. Data were collected through self-completed, postal questionnaires and responses were received from 137 out of 175 distributed questionnaires. Respondents had a median age of 42 years 94 had formal educational qualifications 98 were white European 68 were married or living with a partner and 85 were in paid employment toll time or part time. Statistically significantly more women preferred the positive phrasing of lifetime risk 76 compared with negative wording 24 X2--36.57, p0.00005. With respect to age specific risk, 44, 19 and 37 of women preferred the Odds, Percentage and Description wording, respectively. A significantly lower proportion of women preferred the Percentage option X2--12.82 p--O.002. The choice of phraseology in the information given to women should focus on positive wording.
- Anatomy and Physiology
- Medicine and Medical Research