{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:42:45Z","timestamp":1786725765871,"version":"build-2736575974"},"reference-count":48,"publisher":"Public Library of Science (PLoS)","issue":"4","license":[{"start":{"date-parts":[[2021,4,5]],"date-time":"2021-04-05T00:00:00Z","timestamp":1617580800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>Heightened fear of breast cancer (FBC) has been linked to increased distress following breast cancer diagnosis and to avoidance of mammography screening. To our knowledge, however, no studies have examined the nature of FBC exclusively among young females, even though they are overrepresented in media stories of breast cancer. Given that no instruments are available to assess FBC in the Spanish language, we sought to 1) evaluate the psychometric properties and factor structure of the Champion Breast Cancer Fear Scale (CBCFS), and 2) offer preliminary data on the nature of FBC among young women. Participants (N = 442, mean age = 21.17, range 17\u201335) completed the translated CBCFS (CBCFS-es) and the Spanish version of the Short Health Anxiety Inventory. The CBCFS-es demonstrated good concurrent validity, internal consistency, and test-retest reliability. Confirmatory factor analysis showed adequate fit to a one-factor solution. The majority of participants reported considerably high levels of FBC, as 25.34% and 59.73% of them scored above the moderate- and high-FBC cut-offs, respectively. Moreover, FBC could not be explained by general concerns regarding health and illness, given that levels of health anxiety were low. Implications for health education, research, and clinical practice are discussed.<\/jats:p>","DOI":"10.1371\/journal.pone.0249562","type":"journal-article","created":{"date-parts":[[2021,4,5]],"date-time":"2021-04-05T17:26:47Z","timestamp":1617643607000},"page":"e0249562","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":13,"title":["Fear of breast cancer among young Spanish women: Factor structure and psychometric properties of the Champion breast cancer fear 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Worry Is Good for Breast Cancer Screening: A Study of Female Relatives from the Ontario Site of the Breast Cancer Family Registry. 2012; https:\/\/www.hindawi.com\/journals\/jce\/2012\/545062\/. Accessed Feb 29, 2020."},{"issue":"4","key":"pone.0249562.ref014","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1097\/NCC.0000000000000511","article-title":"The cancer worry scale revised for breast cancer genetic counseling","volume":"41","author":"A Caruso","year":"2018","journal-title":"Cancer nursing"},{"issue":"1","key":"pone.0249562.ref015","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1186\/s12889-017-4404-7","article-title":"Psychometric properties of the mammography self-efficacy and fear of breast cancer scales in Iranian women","volume":"17","author":"M Moshki","year":"2017","journal-title":"BMC Public Health"},{"issue":"5","key":"pone.0249562.ref016","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1097\/NCC.0b013e3182331a9a","article-title":"Mammography Self-Efficacy Scale and Breast Cancer Fear Scale: Psychometric Testing of the Turkish Versions","volume":"35","author":"S Secginli","year":"2012","journal-title":"Cancer Nursing"},{"issue":"3","key":"pone.0249562.ref017","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1016\/j.ejon.2014.01.007","article-title":"Adapting Champion\u2019s Breast Cancer Fear Scale to colorectal cancer: Psychometric testing in a sample of older Chinese adults","volume":"18","author":"DYP Leung","year":"2014","journal-title":"European Journal of Oncology Nursing"},{"issue":"4","key":"pone.0249562.ref018","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1348\/135910701169269","article-title":"Perceptions of threat, benefits, and barriers in breast self-examination amongst young asymptomatic women","volume":"6","author":"K Umeh","year":"2001","journal-title":"British Journal of Health Psychology"},{"key":"pone.0249562.ref019","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.breast.2017.06.003","article-title":"Trends and predictions to 2020 in breast cancer mortality in Europe","volume":"36","author":"G Carioli","year":"2017","journal-title":"The Breast"},{"issue":"10","key":"pone.0249562.ref020","doi-asserted-by":"crossref","first-page":"1495","DOI":"10.1158\/1055-9965.EPI-15-0535","article-title":"International Variation in Female Breast Cancer Incidence and Mortality Rates","volume":"24","author":"CE DeSantis","year":"2015","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"issue":"3","key":"pone.0249562.ref021","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1111\/j.1460-2466.2011.01549.x","article-title":"Knowledge Acquisition Following Exposure to Cancer News Articles: A Test of the Cognitive Mediation Model","volume":"61","author":"JD Jensen","year":"2011","journal-title":"J Commun"},{"issue":"30","key":"pone.0249562.ref022","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1007\/s13187-014-0705-z","article-title":"Predictors of Cancer Fear: The Association Between Mass Media and Fear of Cancer Among Cancer Diagnosed and Nondiagnosed Individuals","volume":"1","author":"S Nelissen","year":"2015","journal-title":"Journal of Cancer Education"},{"issue":"10","key":"pone.0249562.ref023","doi-asserted-by":"crossref","first-page":"1242","DOI":"10.1080\/10410236.2015.1050082","article-title":"Pink Ribbons and Red Dresses: A Mixed Methods Content Analysis of Media Coverage of Breast Cancer and Heart Disease","volume":"31","author":"C Champion","year":"2016","journal-title":"Health Communication"},{"issue":"4","key":"pone.0249562.ref024","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1007\/s13187-010-0083-0","article-title":"\"No Respecter of Youth\": Over-representation of Young Women in Australian Television Coverage of Breast Cancer","volume":"25","author":"R Mackenzie","year":"2010","journal-title":"Journal of Cancer Education; New York"},{"issue":"6","key":"pone.0249562.ref025","first-page":"438","article-title":"Breast cancer statistics, 2019","volume":"69","author":"CE DeSantis","year":"2019","journal-title":"CA: A Cancer Journal for Clinicians"},{"issue":"7","key":"pone.0249562.ref026","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1002\/pon.991","article-title":"Body image and sexual problems in young women with breast cancer","volume":"15","author":"P Fobair","year":"2006","journal-title":"Psycho\u2010Oncology"},{"issue":"s1","key":"pone.0249562.ref027","doi-asserted-by":"crossref","first-page":"S27","DOI":"10.1111\/j.1524-4733.2004.7s107.x","article-title":"Adapting quality of life instruments","volume":"7","author":"A Swaine\u2010Verdier","year":"2004","journal-title":"Value in health"},{"issue":"4","key":"pone.0249562.ref028","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1016\/j.jclinepi.2014.11.021","article-title":"A review of guidelines for cross-cultural adaptation of questionnaires could not bring out a consensus","volume":"68","author":"J Epstein","year":"2015","journal-title":"Journal of clinical epidemiology"},{"issue":"2","key":"pone.0249562.ref029","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1177\/1359105313500095","article-title":"Short health anxiety inventory: factor structure and psychometric properties in Spanish adolescents","volume":"20","author":"A Morales","year":"2015","journal-title":"J Health Psychol"},{"issue":"5","key":"pone.0249562.ref030","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1017\/S0033291702005822","article-title":"The Health Anxiety Inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis","volume":"32","author":"PM Salkovskis","year":"2002","journal-title":"Psychological Medicine"},{"issue":"1","key":"pone.0249562.ref031","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.beth.2006.05.001","article-title":"Health Anxiety, Hypochondriasis, and the Anxiety Disorders","volume":"38","author":"JS Abramowitz","year":"2007","journal-title":"Behavior Therapy"},{"issue":"1","key":"pone.0249562.ref032","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/j.janxdis.2012.10.009","article-title":"The Short Health Anxiety Inventory: A systematic review and meta-analysis","volume":"27","author":"NM Alberts","year":"2013","journal-title":"Journal of Anxiety Disorders"},{"key":"pone.0249562.ref033","unstructured":"Revelle WR. psych: Procedures for Personality and Psychological Research. 2017."},{"issue":"i02","key":"pone.0249562.ref034","article-title":"lavaan: An R Package for Structural Equation Modeling","volume":"048","author":"Y Rosseel","year":"2012","journal-title":"Journal of Statistical Software"},{"key":"pone.0249562.ref035","volume-title":"Confirmatory factor analysis for applied research","author":"TA Brown","year":"2015","edition":"2"},{"issue":"1","key":"pone.0249562.ref036","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/10705519909540118","article-title":"Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives","volume":"6","author":"L Hu","year":"1999","journal-title":"Structural Equation Modeling: A Multidisciplinary Journal"},{"key":"pone.0249562.ref037","volume-title":"Psychometric theory","author":"JC Nunnally","year":"1994"},{"key":"pone.0249562.ref038","unstructured":"Kline RB. Principles and Practice of Structural Equation Modeling: Fourth Edition.: Guilford; 2015."},{"issue":"17","key":"pone.0249562.ref039","first-page":"1","article-title":"Investigating young women\u2019s motivations to engage in early mammography screening in Switzerland: results of a cross-sectional study","volume":"1","author":"NHM Labrie","year":"2017","journal-title":"BMC Cancer"},{"issue":"2","key":"pone.0249562.ref040","doi-asserted-by":"crossref","DOI":"10.1177\/2055102916657673","article-title":"Heart disease and breast cancer perceptions: Ethnic differences and relationship to attentional bias","volume":"3","author":"TR Berry","year":"2016","journal-title":"Health Psychology Open"},{"issue":"1","key":"pone.0249562.ref041","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1158\/1055-9965.EPI-15-0578","article-title":"Global Cancer Incidence and Mortality Rates and Trends\u2014An Update","volume":"25","author":"LA Torre","year":"2016","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"issue":"3","key":"pone.0249562.ref042","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1007\/s10865-007-9098-3","article-title":"Socioeconomic status and health behaviors in adolescence: a review of the literature","volume":"30","author":"MD Hanson","year":"2007","journal-title":"J Behav Med"},{"key":"pone.0249562.ref043","unstructured":"Poll\u00e1n M, Salas-Trejo L, Ascunce N. Prevenci\u00f3n del c\u00e1ncer de mama. Manual SEOM de prevenci\u00f3n y diagn\u00f3stico precoz del c\u00e1ncer: Sociedad Espa\u00f1ola de Oncolog\u00eda M\u00e9dica (SEOM); 2017. p. 196\u2013198."},{"issue":"6","key":"pone.0249562.ref044","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1006\/pmed.2000.0765","article-title":"It Won\u2019t Happen to Me: Lower Perception of Heart Disease Risk among Women with Family Histories of Breast Cancer","volume":"31","author":"J Erblich","year":"2000","journal-title":"Preventive Medicine"},{"issue":"1","key":"pone.0249562.ref045","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1007\/s10865-005-9039-y","article-title":"A model of disease-specific worry in heritable disease: the influence of family history, perceived risk and worry about other illnesses","volume":"29","author":"TA DiLorenzo","year":"2006","journal-title":"J Behav Med"},{"issue":"4","key":"pone.0249562.ref046","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1177\/1090198115604616","article-title":"Cancer fatalism, literacy, and cancer information seeking in the American public","volume":"43","author":"LC Kobayashi","year":"2016","journal-title":"Health Education & Behavior"},{"issue":"8","key":"pone.0249562.ref047","doi-asserted-by":"crossref","first-page":"1872","DOI":"10.1158\/1055-9965.EPI-08-0074","article-title":"Psychologic predictors of cancer information avoidance among older adults: the role of cancer fear and fatalism","volume":"17","author":"A Miles","year":"2008","journal-title":"Cancer Epidemiology and Prevention Biomarkers"},{"issue":"10","key":"pone.0249562.ref048","doi-asserted-by":"crossref","first-page":"2127","DOI":"10.1158\/1055-9965.EPI-11-0437","article-title":"Cancer fatalism: deterring early presentation and increasing social inequalities?","volume":"20","author":"RJ Beeken","year":"2011","journal-title":"Cancer Epidemiology and Prevention Biomarkers"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0249562","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,23]],"date-time":"2022-12-23T11:59:02Z","timestamp":1671796742000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0249562"}},"subtitle":[],"editor":[{"given":"C\u00e9sar","family":"Leal-Costa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2021,4,5]]},"references-count":48,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021,4,5]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0249562","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,5]]}}}