The acceptability of addressing alcohol consumption as a modifiable risk factor for breast cancer: a mixed method study within breast screening services and symptomatic breast clinics
The acceptability of addressing alcohol consumption as a modifiable risk factor for breast cancer: a mixed method study within breast screening services and symptomatic breast clinics
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将饮酒作为乳腺癌可改变危险因素的可接受性：乳房筛查服务和症状性乳房诊所的混合方法研究
DOI：
10.1136/bmjopen-2018-027371
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发表时间：
2019
期刊：
影响因子：
2.9
通讯作者：
Sinclair J
中科院分区：
文献类型：
--
作者：
Sinclair J
潜在可改变的风险因素约占乳腺癌的23%，其中肥胖和酒精是两个最大的因素。乳房筛查和有症状的临床就诊提供了机会（“教育时刻”），在既定的临床途径内将促进健康和预防乳腺癌的建议联系起来。这项研究探讨了人们对酒精作为乳腺癌风险因素的认识和态度，以及将有关酒精健康风险的建议纳入乳腺诊所和筛查预约所固有的潜在挑战。设计一项混合方法研究，包括对乳腺癌危险因素的调查和对酒精含量的了解。对调查结果进行了一系列探讨，包括5个妇女焦点小组和8个与保健专业人员进行的半结构化访谈。参加国民保健制度乳房筛查方案（NHSBSP）乳房x光检查的妇女、有症状的乳房诊所和这些机构的保健专业人员。参与者：招募205名妇女（102名NHSBSP服务人员和103名有症状的乳腺诊所服务人员）和33名NHS工作人员。结果40/205（19.5%）的参访人员和16/33（48.5%）的工作人员认为酒精是乳腺癌的危险因素。总体而言，66.5%的参与者饮酒，56.6%的人不能正确估计四种常用酒精饮料中的任何一种的酒精含量。所有女性都同意，包括以预防为重点的干预措施不会降低她们去乳房x光检查或乳腺诊所就诊的可能性。定性数据突出了妇女和工作人员对如何以不受侮辱的方式谈论酒精和乳腺癌风险因素的关注，以及专家工作人员对其在促进健康方面的作用的矛盾心理。结论饮酒健康素养和算术水平较低。与会者似乎可以接受在筛查和/或有症状的诊所中增加预防干预措施，强调利用这些机会作为“教育时刻”的潜力。然而，如果要成功地实施这一计划，还需要克服大量的文化和体制挑战。
ObjectivesPotentially modifiable risk factors account for approximately 23% of breast cancers, with obesity and alcohol being the two greatest. Breast screening and symptomatic clinical attendances provide opportunities (‘teachable moments’) to link health promotion and breast cancer-prevention advice within established clinical pathways. This study explored knowledge and attitudes towards alcohol as a risk factor for breast cancer, and potential challenges inherent in incorporating advice about alcohol health risks into breast clinics and screening appointments.DesignA mixed-method study including a survey on risk factors for breast cancer and understanding of alcohol content. Survey results were explored in a series of five focus groups with women and eight semi-structured interviews with health professionals.SettingWomen attending NHS Breast Screening Programme (NHSBSP) mammograms, symptomatic breast clinics and healthcare professionals in those settings.Participants205 women were recruited (102 NHSBSP attenders and 103 symptomatic breast clinic attenders) and 33 NHS Staff.ResultsAlcohol was identified as a breast cancer risk factor by 40/205 (19.5%) of attenders and 16/33 (48.5%) of staff. Overall 66.5% of attenders drank alcohol, and 56.6% could not estimate correctly the alcohol content of any of four commonly consumed alcoholic drinks. All women agreed that including a prevention-focussed intervention would not reduce the likelihood of their attendance at screening mammograms or breast clinics. Qualitative data highlighted concerns in both women and staff of how to talk about alcohol and risk factors for breast cancer in a non-stigmatising way, as well as ambivalence from specialist staff as to their role in health promotion.ConclusionsLevels of alcohol health literacy and numeracy were low. Adding prevention interventions to screening and/or symptomatic clinics appears acceptable to attendees, highlighting the potential for using these opportunities as ‘teachable moments’. However, there are substantial cultural and systemic challenges to overcome if this is to be implemented successfully.
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影响因子：
6.3
作者：
Wight D;Wimbush E;Jepson R;Doi L
通讯作者：
Doi L
DOI：
10.1007/s11764-014-0413-z
发表时间：
2015-06
期刊：
Journal of cancer survivorship : research and practice
影响因子：
--
作者：
Stacey FG;James EL;Chapman K;Courneya KS;Lubans DR
通讯作者：
Lubans DR
绘制英国乳腺癌的诊断路径并与欧洲进行比较。
影响因子：
4.5
作者：
E. J. Adams;D. Midha;A. Postulka;A. V. Vecino Ortiz
通讯作者：
A. V. Vecino Ortiz
影响因子：
4.5
作者：
Buykx P;Li J;Gavens L;Hooper L;Lovatt M;Gomes de Matos E;Meier P;Holmes J
通讯作者：
Holmes J
DOI：
10.1186/s13058-015-0595-y
发表时间：
2015-07-09
期刊：
Breast cancer research : BCR
影响因子：
--
作者：
Evans DG;Howell A
通讯作者：
Howell A