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Agreement Between Scales in the Measurement of Breast Cancer Risk Perceptions

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  • Marilyn M. Schapira
  • Susan L. Davids
  • Timothy L. McAuliffe
  • Ann B. Nattinger

Abstract

The objective of this article is to compare the accuracy and numeric responses of breast cancer risk perception as measured by a frequency scale and percentage scale. A cross‐sectional survey was conducted. Perceptions of five‐year and lifetime breast cancer risk were measured using a frequency and a percentage scale. Estimation error was calculated as the absolute difference between actual breast cancer risk as determined by the Gail model and perceived risk. Agreement between scales was determined by calculating the mean and standard deviation of the difference between numeric responses. The study was conducted among women enrolled in two primary care clinics associated with an academic medical center. Two‐hundred‐fifty‐four participants were recruited from one of the two participating internal medicine clinics. Inclusion criteria included female gender and age 40–84 years. Exclusion criteria included a history of breast cancer, dementia, or a life expectancy of less than two years. The frequency scale was more accurate than the percentage scale in estimating lifetime risk (p= 0.05), but less accurate in estimating five‐year risk (p

Suggested Citation

  • Marilyn M. Schapira & Susan L. Davids & Timothy L. McAuliffe & Ann B. Nattinger, 2004. "Agreement Between Scales in the Measurement of Breast Cancer Risk Perceptions," Risk Analysis, John Wiley & Sons, vol. 24(3), pages 665-673, June.
    • Handle: RePEc:wly:riskan:v:24:y:2004:i:3:p:665-673
    DOI: 10.1111/j.0272-4332.2004.00466.x
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    References listed on IDEAS

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    3. Marilyn M. Schapira & Ann B. Nattinger & Colleen A. McHorney, 2001. "Frequency or Probability? A Qualitative Study of Risk Communication Formats Used in Health Care," Medical Decision Making, , vol. 21(6), pages 459-467, December.
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    Cited by:

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    2. Candace D. McNaughton & Kerri L. Cavanaugh & Sunil Kripalani & Russell L. Rothman & Kenneth A. Wallston, 2015. "Validation of a Short, 3-Item Version of the Subjective Numeracy Scale," Medical Decision Making, , vol. 35(8), pages 932-936, November.
    3. Niels Haase & Frank Renkewitz & Cornelia Betsch, 2013. "The Measurement of Subjective Probability: Evaluating the Sensitivity and Accuracy of Various Scales," Risk Analysis, John Wiley & Sons, vol. 33(10), pages 1812-1828, October.
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    5. Carmen Keller & Michael Siegrist & Vivianne Visschers, 2009. "Effect of Risk Ladder Format on Risk Perception in High‐ and Low‐Numerate Individuals," Risk Analysis, John Wiley & Sons, vol. 29(9), pages 1255-1264, September.
    6. Carmen Keller, 2011. "Using a Familiar Risk Comparison Within a Risk Ladder to Improve Risk Understanding by Low Numerates: A Study of Visual Attention," Risk Analysis, John Wiley & Sons, vol. 31(7), pages 1043-1054, July.
    7. Yun Jie, 2022. "Frequency or total number? A comparison of different presentation formats on risk perception during COVID-19," Judgment and Decision Making, Society for Judgment and Decision Making, vol. 17(1), pages 215-237, January.

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