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Data was collected through a mailed questionnaire, which included items to assess screening behaviors in the last 2 years, risk perception, cancer specific distress, adherence determinants, specific barriers, and cancer history. Statistical analysis included descriptive statistics and non\u2010parametric tests to describe bivariate associations and regression analysis. Adherence rates were 72% for annual mammography, 21% for semi\u2010annual clinical breast exam (CBE), 29% for monthly breast self\u2010exam (BSE), and 19% for annual transvaginal ultrasound (US). Only one participant was adherent with semi\u2010annual CA125. Variables that had a significant association (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05) with at least one screening modality included: a lack of time, marital status, education, cancer history, provider concern, perceived screening utility, confidence in ability to overcome barriers, cancer specific distress, and risk perception. Primary physician behavior, either in terms of screening recommendations or screening performance in the case of CBE, had significant independent association with adherence to mammography, CBE, and US screening recommendations. The results of this study highlight the essential role that primary physicians play in supporting their very high\u2010risk patients' adherence. \u00a9 2003 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ajmg.a.20431","type":"journal-article","created":{"date-parts":[[2004,1,27]],"date-time":"2004-01-27T09:00:29Z","timestamp":1075194029000},"page":"5-11","source":"Crossref","is-referenced-by-count":44,"title":["Screening adherence in BRCA1\/2 families is associated with primary physicians' behavior"],"prefix":"10.1002","volume":"125A","author":[{"given":"Susan T.","family":"Tinley","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Houfek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrice","family":"Watson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lari","family":"Wenzel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary Beth","family":"Clark","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Coughlin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henry T.","family":"Lynch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2003,9,30]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/90.13.978"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-199903000-00010"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2001.19.4.924"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1997.03540360065034"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0142(19960601)77:11<2318::AID-CNCR21>3.0.CO;2-Z"},{"key":"e_1_2_6_7_1","first-page":"161","article-title":"NCCN practice guidelines: Genetics\/familial high\u2010risk cancer screening","volume":"13","author":"Daly M","year":"1999","journal-title":"Oncology"},{"key":"e_1_2_6_8_1","unstructured":"DalyM AngelosP BryantE BuysS EngC EngstromPF FarrellC GarberJ GruberSB KnightSJ KoopmanC LynchP MarcomPK NabellLM OffitK ReiserG RiegerP SutphenR WeitzelJN.2002.Clinical practice guidelines: Genetic\/familial high risk assessment: Breast. 1. 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