Correlates of misperception of breast cancer risk among Korean-American Women

Jiyun Kim, Bo Yun Huh, Hae Ra Han

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


ABSTRACT: In this study, the authors investigate the factors associated with misperception of breast cancer risk, including unrealistic optimism and unrealistic pessimism, among Korean-American women (KAW). Baseline data were collected between March 2010 and October 2011 from 421 KAW aged 40–65 years who participated in a community-based randomized intervention trial designed to promote breast and cervical cancer screening. Multivariate multinomial regression was performed to identify correlates of misperception of breast cancer risk among KAW. A total of 210 KAW (49.9%) had breast cancer risk perception consistent with their objective risk, whereas 50.1% of KAW in the study had some form of misperception of risk. Specifically, 167 participants (39.7%) were unrealistically optimistic about their own breast cancer risk; 44 (10.5%) were unrealistically pessimistic. In multivariate multinomial logistic regression analysis, living with a partner and higher education were significantly associated with higher odds of having unrealistic optimism. High social support is associated with a lower likelihood of having a pessimistic risk perception. Higher worry is associated with a higher likelihood of having unrealistic pessimism. Misperception of breast cancer risk among KAW and related factors must be considered when developing behavioral interventions for this population.

Original languageEnglish (US)
Pages (from-to)634-649
Number of pages16
JournalWomen and Health
Issue number6
StatePublished - Aug 17 2016


  • Asian
  • behavior
  • breast cancer
  • mammography
  • psychosocial
  • uterine cancer

ASJC Scopus subject areas

  • General Medicine


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