Evidence map›Paper›PMID 21110077›Full record

ArticleJournal of behavioral medicine2011

Correlates of unrealistic risk beliefs in a nationally representative sample.

Erika A Waters, William M P Klein, Richard P Moser, Mandi Yu, William R Waldron, Timothy S McNeel, Andrew N Freedman

Abstract read
In one paragraph

Article in Journal of behavioral medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Personalizing cancer risk: a systematic review of risk communication strategies.Journal of cancer research and clinical oncology · 2026
    Pooled it
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  4. Trial
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  6. Dismissing "Don't Know" Responses to Perceived Risk Survey Items Threatens the Validity of Theoretical and Empirical Behavior-Change Research.Perspectives on psychological science : a journal of the Association for Psychological Science · 2022
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  19. Low Health Literacy and Health Information Avoidance but Not Satisficing Help Explain "Don't Know" Responses to Questions Assessing Perceived Risk.Medical decision making : an international journal of the Society for Medical Decision Making · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Erika A WatersDepartment of Surgery (Prevention and Control), Washington University School of Medicine, Campus Box 8100, 660 S. Euclid, St. Louis, MO 63110, USA. waterse@wudosis.wustl.edu
William M P Klein
Richard P Moser
Mandi Yu
William R Waldron
Timothy S McNeel
Andrew N Freedman

Funding

Intramural NIH HHS Z99 CA999999
6 · The paper itself

Abstract

Unrealistically optimistic or pessimistic risk perceptions may be associated with maladaptive health behaviors. This study characterized factors associated with unrealistic optimism (UO) and unrealistic pessimism (UP) about breast cancer. Data from the 2005 National Health Interview Survey were analyzed (N = 14,426 women). After accounting for objective risk status, many (43.8%) women displayed UO, 12.3% displayed UP, 34.5% had accurate risk perceptions (their perceived risk matched their calculated risk), and 9.5% indicated "don't know/no response." Multivariate multinomial logistic regression indicated that UO was associated with higher education and never smoking. UP was associated with lower education, lower income, being non-Hispanic Black, having ≥3 comorbidities, current smoking, and being overweight. UO was more likely to emerge in younger and older than in middle-aged individuals. UO and UP are associated with different demographic, health, and behavioral characteristics. Population segments that are already vulnerable to negative health outcomes displayed more UP than less vulnerable populations.

Indexed as

Attitude to HealthBreast NeoplasmsFemaleHealth BehaviorHealth Services AccessibilityHealth StatusHealth SurveysHumansMaleRisk AssessmentUnited States

Identifiers

PMID21110077
PMCPMC3088765

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.