Research Article

Worry Is Good for Breast Cancer Screening: A Study of Female Relatives from the Ontario Site of the Breast Cancer Family Registry

Table 3

Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for the association between worry and year one follow-up breast cancer-screening behaviors for female relatives from the Ontario site of the Breast Cancer Family Registry.

WorryAdjusted* OR (95% CI)
LowMediumHighLow versus mediumHigh versus mediumLikelihood ratio
N = 305N = 433N = 163TestP value

Mammogram screening
 All women
  No137 (46.4)160 (38.7) 74 (49.0)1.001.00
  Yes158 (53.6)253 (61.3) 77 (51.0)0.66 (0.45, 0.98)0.73 (0.46, 1.15)0.034
 Women at low familial risk
  No 73 (49.0)100 (49.8) 45 (59.2)1.001.00
  Yes 76 (51.0)101 (50.2) 31 (40.8)0.90 (0.52, 1.56)0.70 (0.34, 1.48)0.372
 Women at moderate or high familial risk
  No 64 (43.8) 60 (28.3) 29 (38.7)1.001.00
  Yes 82 (56.2)152 (71.7) 46 (61.3)0.52 (0.30, 0.90)0.77 (0.41, 1.44)0.060
CBE screening
 All women
  No 89 (30.4)115 (27.8) 64 (43.2)1.001.00
  Yes204 (69.6)298 (72.2) 84 (56.8)0.88 (0.61, 1.25)0.52 (0.34, 0.82)§0.019
 Women at low familial risk
  No 45 (30.4) 55 (27.2) 33 (45.8)1.001.00
  Yes103 (69.6)147 (72.8) 39 (54.2)0.92 (0.54, 1.57)0.40 (0.21, 0.76)§0.037
 Women at moderate or high familial risk
  No 44 (30.3) 60 (28.4) 31 (40.8)1.001.00
  Yes101 (69.7)151 (71.6) 45 (59.2)0.86 (0.53, 1.41)0.67 (0.36, 1.26)0.246
Breast ultrasound screening
 All women
  No276 (92.9)378 (90.9)135 (86.5)1.001.00
  Yes 21 (7.1) 38 (9.1) 21 (13.5)1.00 (0.53, 1.88)1.90 (1.00, 3.62)0.200
 Women at low familial risk
  No145 (96.0)185 (89.4) 68 (86.1)1.001.00
  Yes 6 (4.0) 22 (10.6) 11 (13.9)0.53 (0.19, 1.46)1.80 (0.75, 4.36)0.950
 Women at moderate or high familial risk
  No131 (89.7)193 (92.3) 67 (87.0)1.001.00
  Yes 15 (10.3) 16 (7.7) 10 (13.0)1.76 (0.78, 3.96)2.36 (0.91, 6.10)0.051

A ll models were corrected for familial correlation and were adjusted for age, education, annual frequency of visiting a health care facility, perceived breast cancer risk, and the corresponding baseline screening behavior. Models for all women were additionally adjusted for familial risk.
Excluded women who had a non screening mammogram ( 𝑛 = 3 4 ), CBE ( 𝑛 = 4 2 ), or breast ultrasound ( 𝑛 = 4 2 ).
Wald test 𝑃 < 0 . 0 5 .
§Wald test 𝑃 < 0 . 0 1 .
Likelihood ratio test compared the model with worry defined as a continuous (0, 1, 2) variable and the model with worry defined as a categorical (low, medium, and high) variable.
CBE: clinical breast examination.