Skip to main content

Public Knowledge of Benefits of Breast and Prostate Cancer Screening

  • Chapter
  • First Online:
  • 902 Accesses

Abstract

Given the harms that can ensue from cancer screening procedures, people’s decisions as to whether to undergo cancer screening should be based on a realistic knowledge of its benefits. Face-to-face-interviews were conducted among a representative sample of men and women in nine European countries, who were asked to choose among estimates of the number of fewer cancer-specific deaths (per 1,000 individuals screened) by prostate-specific antigen (PSA) and mammography screening, respectively. Participants were also queried as to their sources of medical information. The study reported in this chapter found dramatic (by an order of magnitude or more) overestimation of the benefits (absolute cancer-specific mortality reduction) of mammography and PSA testing in the vast majority of women and men, respectively, in all countries surveyed. Frequent consultation of sources of medical information (including physicians) was not associated with more realistic knowledge of the benefits of screening. A basis for informed decisions by people about participation in screening for breast and prostate cancer is largely non-existent in Europe, suggesting inadequacies in the information made available to the public.

In this chapter, we partially reproduced the article Gigerenzer, G., Mata, J., & Frank, R. (2009). Public knowledge of benefits of breast and prostate cancer screening in Europe. Journal of the National Cancer Institute, 101, 1216–1220.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  • Andriole, G. L., Grubb, R. L., Buys, S. S., Chia, D., Church, T. R., Fouad, M. N., et al. (2009). Mortality results from a randomized prostate-cancer screening trial. The New England Journal of Medicine, 360, 1310–1319.

    Article  PubMed  CAS  Google Scholar 

  • Binkowska, M., & Debski, R. (2005). Screening mammography in Polish female population aged 45 to 54. Ginekologia Polska, 76, 871–878.

    PubMed  Google Scholar 

  • Black, W. C., Nease, R. F., & Tosteson, A. N. A. (1995). Perceptions of breast-cancer risk and screening effectiveness in women younger than 50 years of age. Journal of the National Cancer Institute, 87, 720–731.

    Article  PubMed  CAS  Google Scholar 

  • Concato, J., Wells, C. K., Horwitz, R. I., Penson, D., Fincke, G., Berlowitz, D. R., et al. (2006). The effectiveness of screening for prostate cancer: A nested case-control study. Archives of Internal Medicine, 166, 38–43.

    Article  PubMed  Google Scholar 

  • Domenighetti, G., D’Avanzo, B., Egger, M., Berrino, F., Perneger, T., Mosconi, P., et al. (2003). Women’s perception of the benefits of mammography screening: Population-based survey in four countries. International Journal of Epidemiology, 32, 816–821.

    Article  PubMed  Google Scholar 

  • Elmore, G., Barton, M. B., Moceri, V. M., Polk, S., Arena, P. J., & Fletcher, S. W. (1998). Ten-year risk of false positive screening mammograms and clinical breast examinations. The New England Journal of Medicine, 338, 1089–1096.

    Article  PubMed  CAS  Google Scholar 

  • GfK-Nürnberg e.V., & Frank, R. (2007). Health in Europe. European consumer study 2007. Nuremberg: GFK.

    Google Scholar 

  • Gigerenzer, G., Gaissmaier, W., Kurz-Milcke, E., Schwartz, L. M., & Woloshin, S. (2007). Helping doctors and patients to make sense of health statistics. Psychological Science in the Public Interest, 8, 53–96.

    Google Scholar 

  • Gøtzsche, P. C., & Nielsen, M. (2006). Screening for breast cancer with mammography. Cochrane Database of Systematic Reviews, 4, CD001877.

    Google Scholar 

  • Haggstrom, D. A., & Schapira, M. M. (2006). Black-white differences in risk perceptions of breast cancer survival and screening mammography benefit. Journal of General Internal Medicine, 21, 371–377.

    Article  PubMed  Google Scholar 

  • Humphrey, L. L., Helfand, M., Chan, B. K. S., & Woolf, S. H. (2002). Breast cancer screening: A summary of the evidence for the US Preventive Services Task Force. Annals of Internal Medicine, 137, 347–360.

    PubMed  Google Scholar 

  • Miller, A. M., & Champion, V. L. (1997). Attitudes about breast cancer and mammography: Racial, income, and educational differences. Women and Health, 26, 41–63.

    Article  CAS  Google Scholar 

  • Nystrom, L., Andersson, I., Bjurstam, N., Frisell, J., Nordenskjold, B., & Rutqvist, L. E. (2002). Long-term effects of mammography screening: Updated overview of the Swedish randomised trials. Lancet, 359, 909–919.

    Article  PubMed  Google Scholar 

  • Price, J. H., Desmond, S. H., Slenker, S., Smith, D. E., & Stewart, P. W. (1992). Urban black women’s perceptions of breast cancer and mammography. Journal of Community Health, 17, 191–204.

    Article  PubMed  CAS  Google Scholar 

  • Rozhkova, N. I., & Kochetova, G. P. (2005). Analysis of equipment of the Russian X-ray Mammological Service in 2003 and 2004. Biomedical Engineering, 39, 242–244.

    Article  Google Scholar 

  • Särndal, C. E., Swensson, B., & Wretman, J. (1992). Model assisted survey sampling (2nd ed.). New York: Springer.

    Book  Google Scholar 

  • Schroeder, F. H., Hugosson, J., Roobol, M. J., Tammela, T. L. J., Ciatto, S., Nelen, V., et al. (2009). Screening and prostate-cancer mortality in a randomized European study. The New England Journal of Medicine, 360, 1320–1328.

    Article  CAS  Google Scholar 

  • Schwartz, L. M., Woloshin, S., Fowler, F. J., & Welch, H. G. (2004). Enthusiasm for cancer screening in the United States. Journal of the American Medical Association, 291, 71–78.

    Article  PubMed  CAS  Google Scholar 

  • Steurer, J., Held, U., Schmidt, M., Gigerenzer, G., Tag, B., & Bachmann, L. M. (2009). Legal concerns trigger PSA testing. Journal of Evaluation in Clinical Practice, 15, 390–392.

    Article  PubMed  Google Scholar 

  • U.S. Preventive Services Task Force. (2002). Screening for prostate cancer: Recommendation and rationale. Annals of Internal Medicine, 137, 915–916.

    Google Scholar 

  • Welch, H. G. (2004). Should I be tested for cancer? Berkeley: University of California Press.

    Google Scholar 

  • World Health Organisation (2008). World health statistics. http://www.who.int/whosis/whostat/2008/en/index.html.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gerd Gigerenzer Ph.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media New York

About this chapter

Cite this chapter

Gigerenzer, G., Mata, J., Frank, R. (2012). Public Knowledge of Benefits of Breast and Prostate Cancer Screening. In: Garcia-Retamero, R., Galesic, M. (eds) Transparent Communication of Health Risks. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4358-2_5

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-4358-2_5

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-4357-5

  • Online ISBN: 978-1-4614-4358-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics