{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T02:01:50Z","timestamp":1783476110530,"version":"3.55.0"},"reference-count":23,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Understanding the accuracy of a woman's perceived breast cancer risk can enhance shared decision-making about breast cancer screening through provider and patient discussion. We aim to report and compare women's perceived lifetime breast cancer risk to calculated lifetime breast cancer risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Women presenting to Mayo Clinic in Arizona and Minnesota in July 2016 completed a survey assessing their perceived breast cancer risk. Lifetime Gail risk scores were calculated from questions pertaining to health history and were then compared with perceived breast cancer risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 550 predominantly white, married, and well-educated (\u2265college) women completed surveys. Using lifetime Gail risk scores, 5.6% were classified as high risk (&gt;20% lifetime risk), 7.7% were classified as intermediate risk (15%\u201320%), and 86.6% were classified as average risk (&lt;15%). Of the 27 women who were classified as high risk, 18 (66.7%) underestimated their risk and of the 37 women who were intermediate risk, 12 (32.4%) underestimated risk. Women more likely to underestimate their risk had a reported history of an abnormal mammogram and at least one or more relative with a history of breast cancer. Surveyed women tended to overestimate risk 4.3 (130\/30) times as often as they underestimated risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In a group of predominantly white, educated, and married cohort of women, there was a large portion of women in the elevated risk groups who underestimated risk. Specific aspects of medical history were associated with underestimation including a history of abnormal mammogram and family history of breast cancer. Overall, in our sample, more women overestimated than underestimated risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2019.8231","type":"journal-article","created":{"date-parts":[[2022,1,18]],"date-time":"2022-01-18T12:44:02Z","timestamp":1642509842000},"page":"356-361","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["A Comparison of Perceived Lifetime Breast Cancer Risk to Calculated Lifetime Risk Using the Gail Risk Assessment Tool"],"prefix":"10.1177","volume":"31","author":[{"given":"Jaya","family":"Mehta","sequence":"first","affiliation":[{"name":"Department of General Internal Medicine, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathy L.","family":"MacLaughlin","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise M.","family":"Millstine","sequence":"additional","affiliation":[{"name":"Division of Women's Health Internal Medicine, Mayo Clinic, Scottsdale, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie S.","family":"Faubion","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Jacksonville, Florida, USA."},{"name":"Division of General Internal Medicine, Mayo Clinic, Jacksonville, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark R.","family":"Wallace","sequence":"additional","affiliation":[{"name":"Department of Community Internal Medicine, Mayo Clinic, Scottsdale, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit A.","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Community Internal Medicine, Mayo Clinic, Scottsdale, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather E.","family":"Fields","sequence":"additional","affiliation":[{"name":"Department of Community Internal Medicine, Mayo Clinic, Scottsdale, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara E.","family":"Ruddy","sequence":"additional","affiliation":[{"name":"Department of Community Internal Medicine, Mayo Clinic, Scottsdale, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Bryan","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Mayo Clinic, Scottsdale, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhavika K.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Radiology, Mayo Clinic, Scottsdale, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew R.","family":"Buras","sequence":"additional","affiliation":[{"name":"Division of Biostatistics and Bioinformatics, Department of Health Sciences Research, Scottsdale, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael A.","family":"Golafshar","sequence":"additional","affiliation":[{"name":"Division of Biostatistics and Bioinformatics, Department of Health Sciences Research, Scottsdale, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9898-8405","authenticated-orcid":false,"given":"Juliana M.","family":"Kling","sequence":"additional","affiliation":[{"name":"Division of Women's Health Internal Medicine, Mayo Clinic, Scottsdale, Arizona, USA."},{"name":"Mayo Clinic, Jacksonville, Florida, 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