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首页> 外文期刊>American Journal of Obstetrics and Gynecology >Risk perception, worry, and test acceptance in average-risk women who undergo ovarian cancer screening
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Risk perception, worry, and test acceptance in average-risk women who undergo ovarian cancer screening

机译：接受卵巢癌筛查的高危女性的风险感知，忧虑和测试接受

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Objective We evaluated baseline knowledge of ovarian cancer risk and perceptions toward ovarian cancer screening (OCS) by initiating the normal risk ovarian screening study. Study Design Average-risk, postmenopausal women were enrolled between 2001 and 2011 as they entered the normal risk ovarian screening study. Participants completed baseline surveys of risk perception, cancer worry (Cancer Worry Scale), anxiety (State-Trait Anxiety Inventory), health and well-being survey (SF-36 HEALTH SURVEY), and acceptability of OCS. Results Of the 1242 women who were enrolled, 925 women (74.5%) completed surveys. The respondents estimated a mean lifetime risk of ovarian cancer of 29.9%, which is much higher than the actual risk of 1.4% for women in the United States. Only 2.8% of participants correctly estimated their risk; 35.4% of the participants reported their lifetime risk to be ≥50%. Cancer worry was low, with a median Cancer Worry Scale score of 7 of 24. Anxiety was comparable with published norms for women in this age group, with median STAI-State and STAI-Trait scores of 30 and 29 of 80, respectively. Overall, women reported good physical and mental well-being. In terms of OCS acceptability, 97.2% of respondents agreed or strongly agreed that "the benefits of screening outweigh the difficulties." Very few women were reluctant to undergo OCS because of time constraints (1.1%), pain (2.0%), or embarrassment (1.9%). Conclusion Average-risk women who underwent OCS highly overestimated their risk of ovarian cancer. Despite this, participants reported low cancer worry and anxiety. The discrepancy between knowledge of and attitudes toward ovarian cancer risk highlights the need for educational efforts in this area.
机译：目的我们通过开展正常风险卵巢筛查研究，评估了卵巢癌风险的基础知识和对卵巢癌筛查（OCS）的认识。研究设计2001年至2011年之间，平均风险，绝经后的妇女参加了卵巢正常风险筛查研究。参与者完成了以下方面的基线调查：风险感知，癌症忧虑（癌症忧虑量表），焦虑（状态-特质焦虑量表），健康和福祉调查（SF-36健康调查）以及OCS的可接受性。结果在登记的1242名妇女中，有925名妇女（74.5％）完成了调查。受访者估计卵巢癌的平均终生风险为29.9％，远高于美国女性的1.4％的实际风险。只有2.8％的参与者正确估计了他们的风险; 35.4％的参与者报告其终生风险≥50％。癌症忧虑程度很低，癌症忧虑量表的中位数为7，共24。该年龄组女性的焦虑水平与已公布的标准相当，其STAI-State和STAI-Trait得分中位数分别为30和29（共80）。总体而言，妇女的身心健康状况良好。在OCS可接受性方面，97.2％的受访者同意或强烈同意“筛查的好处大于困难”。由于时间限制（1.1％），疼痛（2.0％）或尴尬（1.9％），很少有女性不愿接受OCS。结论接受OCS的中等风险女性高度估计其卵巢癌的风险。尽管如此，参与者还是报告了较低的癌症担忧和焦虑感。对卵巢癌风险的认识与态度之间的差异突出表明，需要在这一领域进行教育。

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