{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T15:19:48Z","timestamp":1782832788957,"version":"3.54.5"},"reference-count":41,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2004,4,23]],"date-time":"2004-04-23T00:00:00Z","timestamp":1082678400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2004,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>The Gail model is validated to estimate breast carcinoma risk. The authors assessed the association of Gail risk scores with screening and cancer risk perception.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Using the 2000 National Health Interview Survey, the authors studied women ages 41\u201370 without a cancer history. Gail scores \u2265 1.66% defined increased risk. The authors used logistic regression to assess associations between breast carcinoma risk and previous and recent (\u2264 1 year) mammography and clinical breast examination (CBE).<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Of 6410 women, 15.7% had increased risk. High\u2010risk women more frequently reported previous mammograms (94% vs. 85%; <jats:italic>P<\/jats:italic> &lt; 0.0001), previous CBE (93% vs. 88%; <jats:italic>P<\/jats:italic> &lt; 0.0001), recent mammograms (70% vs. 54%; <jats:italic>P<\/jats:italic> &lt; 0.0001), recent CBE (71% vs. 61%; <jats:italic>P<\/jats:italic> &lt; 0.0001), and high cancer risk perception (20% vs. 9%; <jats:italic>P<\/jats:italic> &lt; 0.0001). However, 30% of high\u2010risk women had not received a recent mammogram. After adjustment for sociodemographic factors, access to care factors, and cancer risk perception, high\u2010risk women remained more likely to have received recent mammography (adjusted odds ratio [OR], 1.45, 95% confidence interval [95% CI], 1.19\u20131.77), recent CBE (OR, 1.32; 95% CI, 1.08\u20131.61]), and previous mammography than average\u2010risk women. The authors observed an interaction between risk and age, with women ages 41\u201349 years more frequently reporting previous mammography (OR, 4.79; 95% CI, 1.55\u20134.81) than average\u2010risk, same\u2010age women. For women age \u2265 50 years, the odds of previous mammography were similar regardless of risk.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>In a nationally representative sample, 15.7% of women had increased breast carcinoma risk using the Gail model. High\u2010risk women perceived higher cancer risk and more often received screening. However, nearly one in three high\u2010risk women did not receive recent screening and most of these women did not perceive increased risk. Cancer 2004. \u00a9 2004 American Cancer Society.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.20274","type":"journal-article","created":{"date-parts":[[2004,4,23]],"date-time":"2004-04-23T16:50:57Z","timestamp":1082739057000},"page":"2338-2346","source":"Crossref","is-referenced-by-count":21,"title":["Breast carcinoma screening and risk perception among women at increased risk for breast carcinoma"],"prefix":"10.1002","volume":"100","author":[{"given":"Susan A.","family":"Sabatino","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Risa B.","family":"Burns","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger B.","family":"Davis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Russell S.","family":"Phillips","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya\u2010Hua","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen P.","family":"McCarthy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2004,4,23]]},"reference":[{"key":"e_1_2_6_2_2","volume-title":"Cancer facts and figures 2003","author":"American Cancer Society","year":"2003"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)08020-0"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/92.12.971"},{"key":"e_1_2_6_5_2","unstructured":"Council on Scientific Affairs. 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