title: Intention to seek care for symptoms associated with gynecologic cancers, HealthStyles survey, 2008.
abstract: BACKGROUND
  Women with ovarian cancer typically experience symptoms before diagnosis; such symptoms for other gynecologic cancers have not been systematically studied. We investigated which symptoms of gynecologic cancers prompt intention to seek care among women and whether demographic differences in intention exist. This study was undertaken, in part, to inform development of the Centers for Disease Control and Prevention's campaign, Inside Knowledge: Get the Facts About Gynecologic Cancer.
  
  
  METHODS
  We analyzed the 2008 HealthStyles dataset (n = 2,991 women), an annual, cross-sectional, national mail survey. We calculated weighted percentages of women who indicated an intention to seek care for symptoms (defined as intention to call or see a doctor) by demographic characteristics and level of concern about developing a gynecologic cancer. We evaluated independent predictors of intention to seek care for each symptom.
  
  
  RESULTS
  For most symptoms, more than 50% of women reported an intention to seek care. Greater percentages of women indicated an intention to seek care for symptoms clearly gynecologic (eg, 91%, postmenopausal bleeding) than for symptoms not clearly gynecologic (eg, 37%, feeling full after eating a small amount). For most symptoms, after adjustment, black women, postmenopausal women, and women with greater concern about developing gynecologic cancers were more likely than their counterparts to intend to seek care.
  
  
  CONCLUSIONS
  Intention to seek care differed by race, menopausal status, and level of concern about developing a gynecologic cancer. These findings will help in developing messages to educate women about the array of gynecologic and nongynecologic cancer symptoms.
authors: Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, MS K-55, Atlanta, GA 30341, USA. ktrivers@cdc.gov
authors: Katrina F
authors: KF
authors: Trivers
authors: Juan L
authors: JL
authors: Rodriguez
authors: Nikki A
authors: NA
authors: Hawkins
authors: Crystale Purvis
authors: CP
authors: Cooper
authors: Lindsey
authors: L
authors: Polonec
authors: Cynthia A
authors: CA
authors: Gelb
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D005260:Female; D005833:Genital Neoplasms, Female / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D006306:Health Surveys; D006801:Humans; D033182:Intention; D008875:Middle Aged; D009017:Morbidity / Q000639:trends; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D055815:Young Adult