Awareness of breast cancer risk related to a positive family history and alcohol consumption among women aged 15-44 years in United States
Awareness of breast cancer risk related to a positive family history and alcohol consumption among women aged 15-44 years in United States
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DOI：
10.1016/j.pmedr.2019.101029
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发表时间：
2020-03-01
影响因子：
2.8
通讯作者：
White, Arica
中科院分区：
文献类型：
--
作者：
Khushalani, Jaya S.;Qin, Jin;White, Arica
了解乳腺癌与乳腺癌家族史和饮酒等危险因素之间的联系可能有助于改变健康行为。为了减少年轻女性乳腺癌的危险因素，了解风险意识的总体水平和意识的社会经济差异非常重要。使用 2011-2015 年全国家庭成长调查的数据，根据风险因素的存在和社会经济特征，调查美国 15-44 岁女性 (n = 10,940) 对乳腺癌的两个危险因素（阳性家族史和饮酒）的认识。 15-44 岁女性中，阳性家族史、不酗酒和酗酒的患病率分别为 30%、29% 和 31%。 88% 的人意识到乳腺癌阳性家族史是乳腺癌的危险因素，而对于饮酒的认知度为 25%。与没有乳腺癌家族史的女性相比，有乳腺癌家族史的女性对家族史作为危险因素的认识更高。与不饮酒的人相比，目前饮酒的人更有可能相信酒精不是乳腺癌的危险因素。少数种族/族裔妇女以及教育程度和收入较低的妇女对家族史作为危险因素的认识较低。所有社会经济群体对饮酒作为乳腺癌危险因素的认识都很低。需要采取循证干预措施来提高年轻女性的风险意识并减少过度饮酒，以降低患乳腺癌的风险。
Awareness of the link between breast cancer and risk factors such as family history of breast cancer and alcohol consumption may help modify health behaviors. To reduce risk factors for breast cancer among young women, it is important to understand overall levels of risk awareness and socioeconomic differences in awareness. Data from the National Survey of Family Growth 2011-2015 were used to examine awareness of two risk factors for breast cancer, positive family history and alcohol consumption, among women aged 15-44 years (n = 10,940) in the United States by presence of risk factors and by socioeconomic characteristics. Prevalence of positive family history, non-binge, and binge drinking was 30%, 29%, and 31%, respectively among women aged 15-44. Awareness of positive family history of breast cancer as a risk factor for breast cancer was 88%, whereas for alcohol consumption it was 25%. Awareness of family history as a risk factor was higher among women with positive family history of breast cancer compared to those without. Current drinkers were more likely to believe that alcohol was not a risk factor for breast cancer compared to those who did not drink. Racial/ethnic minority women and those with lower education and income had lower awareness of family history as a risk factor. Awareness of alcohol consumption as a risk factor for breast cancer was low across all socioeconomic groups. Evidence-based interventions to increase risk awareness and decrease excessive alcohol use among young women are needed to reduce the risk of developing breast cancer.