Motivations for contralateral prophylactic mastectomy as a function of socioeconomic status

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dc.contributor.authorBaptiste, Dadrie F.
dc.contributor.authorMacGeorge, Erina
dc.contributor.authorVenetis, Maria
dc.contributor.authorMouton, Ashton
dc.contributor.authorFriley, L. Brooke
dc.contributor.authorPastor, Rebekah
dc.contributor.authorHatten, Kristen
dc.contributor.authorLagoo, Janaka
dc.contributor.authorClare, Susan E.
dc.contributor.authorBowling, Monet W.
dc.contributor.authorBaptiste, Dadrie F.
dc.contributor.authorMacGeorge, Erina
dc.contributor.authorVenetis, Maria
dc.contributor.authorMouton, Ashton
dc.contributor.authorFriley, L. Brooke
dc.contributor.authorPastor, Rebekah
dc.contributor.authorHatten, Kristen
dc.contributor.authorLagoo, Janaka
dc.contributor.authorClare, Susan E.
dc.contributor.authorBowling, Monet W.
dc.creator.orcidhttps://orcid.org/0000-0003-0534-6038en_US
dc.creator.orcidhttps://orcid.org/0000-0002-6710-1776en_US
dc.creator.orcidhttps://orcid.org/0000-0003-1035-5473en_US
dc.creator.orcidhttps://orcid.org/0000-0003-1055-6056en_US
dc.creator.orcidhttps://orcid.org/0000-0001-8538-0716en_US
dc.creator.orcidhttps://orcid.org/0000-0003-0534-6038
dc.creator.orcidhttps://orcid.org/0000-0002-6710-1776
dc.creator.orcidhttps://orcid.org/0000-0003-1035-5473
dc.creator.orcidhttps://orcid.org/0000-0003-1055-6056
dc.creator.orcidhttps://orcid.org/0000-0001-8538-0716
dc.date.accessioned2022-03-28T20:55:15Z
dc.date.available2022-03-28T20:55:15Z
dc.date.issued2017-02-01
dc.date.issued2017-02-01
dc.description.abstractBackground Despite no demonstrated survival advantage for women at average risk of breast cancer, rates of contralateral prophylactic mastectomy (CPM) continue to increase. Research reveals women with higher socioeconomic status (SES) are more likely to select CPM. This study examines how indicators of SES, age, and disease severity affect CPM motivations. Methods Patients (Nā€‰=ā€‰113) who underwent CPM at four Indiana University affiliated hospitals completed telephone interviews in 2013. Participants answered questions about 11 CPM motivations and provided demographic information. Responses to motivation items were factor analyzed, resulting in 4 motivational factors: reducing long-term risk, symmetry, avoiding future medical visits, and avoiding treatments. Results Across demographic differences, reducing long-term risk was the strongest CPM motivation. Lower income predicted stronger motivation to reduce long-term risk and avoid treatment. Older participants were more motivated to avoid treatment; younger and more-educated patients were more concerned about symmetry. Greater severity of diagnosis predicted avoiding treatments. Conclusions Reducing long-term risk is the primary motivation across groups, but there are also notable differences as a function of age, education, income, and disease severity. To stop the trend of increasing CPM, physicians must tailor patient counseling to address motivations that are consistent across patient populations and those that vary between populations.en_US
dc.identifier.citationBaptiste, D.F., MacGeorge, E.L., Venetis, M.K., Mouton, A., Friley, L.B., Pastor, R., Hatten, K., Lagoo, J., Clare, S.E. and Bowling, M.W., 2017. Motivations for contralateral prophylactic mastectomy as a function of socioeconomic status. BMC women's health, 17(1), pp.1-9.en_US
dc.identifier.doihttps://doi.org/10.1186/s12905-017-0366-2
dc.identifier.doihttps://doi.org/10.1186/s12905-017-0366-2
dc.identifier.urihttps://hdl.handle.net/1969.6/90334
dc.identifier.urihttps://hdl.handle.net/1969.6/90334
dc.language.isoen_USen_US
dc.publisherBMCen_US
dc.rightsAttribution 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectbreast canceren_US
dc.subjectcontralateral prophylactic mastectomyen_US
dc.subjectmotivationen_US
dc.subjectsocioeconomicen_US
dc.titleMotivations for contralateral prophylactic mastectomy as a function of socioeconomic statusen_US
dc.typeArticleen_US

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