Perceptions of Breast Cancer Risks Among Women Receiving Mammograph Screening.
Perceptions of Breast Cancer Risks Among Women Receiving Mammograph Screening.
复制标题
DOI：
10.1001/jamanetworkopen.2022.52209
复制
发表时间：
2023-01-03
影响因子：
13.8
通讯作者：
Gunn, Christine M.
中科院分区：
文献类型：
--
作者：
Beidler, Laura B.;Kressin, Nancy R.;Wormwood, Jolie B.;Battaglia, Tracy A.;Slanetz, Priscilla J.;Gunn, Christine M.
女性如何看待与乳腺密度相关的乳腺癌风险，以及她们计划如何降低风险？在这项针对40至76岁女性的定性研究中，家族史被认为是乳腺癌的最大风险因素。在采访中，很少有女性认为乳房密度是一个风险因素，三分之一的女性认为她们无法采取任何行动来降低患乳腺癌的风险。尽管法律要求妇女被告知乳房密度，但妇女并没有描述对与乳房密度相关的风险相对于其他乳腺癌风险因素的强烈理解。这项针对乳腺癌筛查年龄段女性的定性研究探讨了与其他乳腺癌风险因素相比，女性如何将乳腺密度视为癌症风险。乳腺密度是乳腺癌的独立危险因素。尽管关于乳房X光检查后乳房密度的强制性书面通知激增，但对妇女如何看待与乳房密度相关的相对乳腺癌风险却知之甚少。评估女性对乳腺密度与其他乳腺癌风险的看法，并探讨她们对降低风险的理解。这项混合方法定性研究使用电话调查和半结构化访谈来调查全国代表性的、基于人群的女性样本对乳腺癌风险的看法。符合条件的研究参与者年龄在40至76岁之间，报告最近接受过乳房X光检查，没有乳腺癌病史，并且听说过乳腺密度。被告知个人乳腺密度的调查参与者被邀请进行定性访谈。调查管理时间为2019年7月1日至2020年4月30日，共有2306名女性完成了调查。定性访谈于2020年2月1日至5月30日进行。受访者比较了与乳腺密度相关的乳腺癌风险与其他5个风险因素。参与者定性地描述了他们认为导致乳腺癌风险的因素以及降低风险的方法。在完成调查的2306名女性中，（166例[9%]亚裔，503例[27%]黑人，268例[14%]西班牙裔，792例[43%]白色，128例[7%]其他种族或民族; 358名[19%]年龄为40-49岁，906名[49%]年龄为50-64岁，594名[32%]年龄≥65岁）完成了修订后的风险感知问题，并被纳入分析。一半的受访者认为乳腺密度比没有孩子（957 [52%]），每天饮酒超过1杯（975 [53%]）或既往乳腺活检（867 [48%]）的风险更大。大多数受访者认为乳腺密度比一级亲属患乳腺癌（1706 [93%]）或超重或肥胖（1188 [65%]）的风险要小。在接受采访的61名妇女中，6名（10%）描述乳腺密度是乳腺癌风险的一个因素，43名（70%）强调家族史是乳腺癌风险因素。在接受采访的妇女中，17名（28%）表示不知道是否有可能降低患乳腺癌的风险。在这项对乳腺癌筛查年龄妇女的定性研究中，家族史被认为是乳腺癌的主要危险因素。大多数受访者没有将乳腺密度确定为风险因素，并且对减轻乳腺癌风险的行动没有信心。需要对乳腺癌风险和预防策略进行全面教育。
How do women perceive the breast cancer risk associated with breast density, and how do they plan to mitigate their risk? In this qualitative study of women aged 40 to 76 years, family history was perceived as the greatest risk factor for breast cancer. In interviews, few women perceived breast density as a risk factor, and one-third thought that they could not take any actions to reduce their breast cancer risk. Despite laws that require women to be notified about breast density, women did not describe a strong understanding of the risk associated with breast density relative to other breast cancer risk factors. This qualitative study of women of breast cancer screening age examines how women perceived breast density as a cancer risk compared with other breast cancer risk factors. Breast density is an independent risk factor for breast cancer. Despite the proliferation of mandated written notifications about breast density following mammography, there is little understanding of how women perceive the relative breast cancer risk associated with breast density. To assess women’s perception of breast density compared with other breast cancer risks and explore their understanding of risk reduction. This mixed-methods qualitative study used telephone surveys and semistructured interviews to investigate perceptions about breast cancer risk among a nationally representative, population-based sample of women. Eligible study participants were aged 40 to 76 years, reported having recently undergone mammography, had no history of prior breast cancer, and had heard of breast density. Survey participants who had been informed of their personal breast density were invited for a qualitative interview. Survey administration spanned July 1, 2019, to April 30, 2020, with 2306 women completing the survey. Qualitative interviews were conducted from February 1 to May 30, 2020. Respondents compared the breast cancer risk associated with breast density with 5 other risk factors. Participants qualitatively described what they thought contributed to breast cancer risk and ways to reduce risk. Of the 2306 women who completed the survey, 1858 (166 [9%] Asian, 503 [27%] Black, 268 [14%] Hispanic, 792 [43%] White, and 128 [7%] other race or ethnicity; 358 [19%] aged 40-49 years, 906 [49%] aged 50-64 years, and 594 [32%] aged ≥65 years) completed the revised risk perception questions and were included in the analysis. Half of respondents thought breast density to be a greater risk than not having children (957 [52%]), having more than 1 alcoholic drink per day (975 [53%]), or having a prior breast biopsy (867 [48%]). Most respondents felt breast density was a lesser risk than having a first-degree relative with breast cancer (1706 [93%]) or being overweight or obese (1188 [65%]). Of the 61 women who were interviewed, 6 (10%) described breast density as contributing to breast cancer risk, and 43 (70%) emphasized family history as a breast cancer risk factor. Of the interviewed women, 17 (28%) stated they did not know whether it was possible to reduce their breast cancer risk. In this qualitative study of women of breast cancer screening age, family history was perceived as the primary breast cancer risk factor. Most interviewees did not identify breast density as a risk factor and did not feel confident about actions to mitigate breast cancer risk. Comprehensive education about breast cancer risks and prevention strategies is needed.
登录
查看更多内容
影响因子：
3.5
作者：
Brown, Jordonna;Soukas, Chloe;Jandorf, Lina
通讯作者：
Jandorf, Lina
影响因子：
--
作者：
Klinger, Elissa V;Kaplan, Celia P;Haas, Jennifer S
通讯作者：
Haas, Jennifer S
影响因子：
3.5
作者：
Gunn, Christine M.;Kressin, Nancy R.;Battaglia, Tracy A.
通讯作者：
Battaglia, Tracy A.
影响因子：
12.7
作者：
Haber, Gillian;Ahmed, Nasar U.;Pekovic, Vukosava
通讯作者：
Pekovic, Vukosava
影响因子：
3.5
作者：
Gunn, Christine M.;Battaglia, Tracy A.;Kressin, Nancy R.
通讯作者：
Kressin, Nancy R.