关键词: breast cancer risk factors dense breast imaging modalities screening sources of information

来  源:   DOI:10.2147/PPA.S466992   PDF(Pubmed)

Abstract:
UNASSIGNED: Women with high breast density (HBD) carry an increased risk for breast cancer (BC). The aim of the study was to provide data on awareness and knowledge gaps among women with vs w/o HBD about BC risk factors (BCRFs), which is the basis for effective communication about screening.
UNASSIGNED: This was a web-based survey of 3000 women aged ≥30 and ≤70 from six countries. It comprised of 45 questions. T-tests and chi-square tests with False Discovery Rate adjustments were conducted as applicable, with significant differences reported at α=0.05.
UNASSIGNED: Three-thousand women were included in the analysis, 733 (24.4%) had HBD. Overall, 39% of women were familiar with the concept of HBD in the context of BC. Thirty-one percent of women were aware of HBD as BCRF and for 24% of women HBD was personally applicable. A significantly higher proportion of women with HBD were aware of almost all BCRFs compared to women w/o HBD (p ≤ 0.05). Similarly, a significantly higher proportion of women with HBD have undergone screening procedures compared to women w/o HBD (p ≤ 0.05). Women with HBD were significantly better aware of basic facts about BC (p ≤ 0.05). A total of 1617 women underwent mammography, 904 ultrasound and 150 MRI during their last screening. The most relevant source of information about BC was the health care professional, as reported by 63% of women.
UNASSIGNED: Overall 39% of women were familiar with HBD as BCRF. Lack of BCRF awareness may contribute to delayed screenings, missed opportunities for early detection, and potentially poorer outcomes for individuals with dense breast tissue. Thus, this information should be communicated more widely.
摘要:
高乳腺密度(HBD)的女性患乳腺癌(BC)的风险增加。该研究的目的是提供有关女性对BC危险因素(BCRF)的认识和知识差距的数据,这是有效沟通筛查的基础。
这是一项基于网络的调查,调查了来自六个国家的3000名年龄≥30和≤70岁的女性。共有45个问题。适用时进行了T检验和卡方检验,并进行了错误发现率调整,在α=0.05处报告了显著差异。
三千名女性被纳入分析,733人(24.4%)患有HBD。总的来说,39%的女性熟悉BC背景下的HBD概念。31%的女性知道HBD为BCRF,而24%的女性HBD个人适用。与无HBD女性相比,HBD女性了解几乎所有BCRF的比例明显更高(p≤0.05)。同样,与无HBD女性相比,HBD女性接受筛查的比例明显更高(p≤0.05).HBD女性对BC的基本事实有更好的了解(p≤0.05)。共有1617名妇女接受了乳房X光检查,904次超声检查和150次核磁共振检查。关于不列颠哥伦比亚省最相关的信息来源是医疗保健专业人员,63%的女性报告。
总体上39%的女性熟悉HBD作为BCRF。BCRF缺乏意识可能会导致筛查延迟,错过了早期发现的机会,对于乳腺组织致密的个体来说,结果可能更差。因此,这些信息应该更广泛地传播。
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