Women’s views about breast cancer prevention at mammography screening units and well women’s clinics

  • A. Rundle Dalhousie University
  • S. Iles Dalhousie University; Nova Scotia Health Authority (NSHA)
  • K. Matheson Dalhousie University, NSHA
  • L. E. Cahill NSHA, Dalhousie University
  • C. C. Forbes NSHA, Dalhousie University
  • N. Saint-Jacques Dalhousie University
  • R. Urquhart NSHA, Dalhousie University
  • T. Younis NSHA, Dalhousie University
Keywords: Cancer, Oncology, Prevention

Abstract

Background Women attending mammography screening units (msus) and well women’s clinics (wwcs) represent a motivated cohort likely to engage in interventions aimed at primary breast cancer (bca) prevention.

Methods We used a feasibility questionnaire distributed to women (40–49 or 50–74 years of age) attending msus and wwcs in Halifax, Nova Scotia, to examine

■ women’s views about bca primary prevention and sources of health care information,

■ prevalence of lifestyle-related bca risk factors, and

■ predictors of prior mammography encounters within provincial screening guidelines.

Variables examined included personal profiling, comorbidities, prior mammography uptake, lifestyle behaviours, socioeconomic status, health information sources, and willingness to discuss or implement lifestyle modifications, or endocrine therapy, or both. A logistic regression analysis examined associations with prior mammography encounters.

Results Of the 244 responses obtained during 1.5 months from women aged 40–49 years (n = 75) and 50–74 years (n = 169), 56% and 75% respectively sought or would prefer to receive health information from within, as opposed to outside, health care. Lifestyle-related bca risk factors were prevalent, and most women were willing to discuss or implement lifestyle modifications (93%) or endocrine therapy (67%). Of the two age groups, 49% and 93% respectively had previously undergone mammography within guidelines. Increasing age and marital status (single, separated, or divorced vs. married or partnered) were independent predictors of prior mammography encounters within guidelines for women 40–49 years of age; no independent predictors were observed in the older age group.

Conclusions Women attending msus and wwcs seem to largely adhere to mammography guidelines and appear motivated to engage in bca primary prevention strategies, including lifestyle modifications and endocrine therapy. Women’s views as observed in this study provide a rationale for the potential incorporation of bca risk assessment within the “mammogram point of care” to engage motivated women in bca primary prevention strategies.

Author Biographies

A. Rundle, Dalhousie University

Faculty of Medicine 

S. Iles, Dalhousie University; Nova Scotia Health Authority (NSHA)

Department of Diagnostic Radiology

K. Matheson, Dalhousie University, NSHA

Research Methods Unit, Department of Medicine

L. E. Cahill, NSHA, Dalhousie University

Department of Medicine, Department of Community Health and Epidemiology

C. C. Forbes, NSHA, Dalhousie University

Department of Medicine 

N. Saint-Jacques, Dalhousie University

Department of Medicine

R. Urquhart, NSHA, Dalhousie University

Department of Community Health and Epidemiology

Published
2020-02-03
How to Cite
Rundle, A., Iles, S., Matheson, K., Cahill, L. E., Forbes, C. C., Saint-Jacques, N., Urquhart, R., & Younis, T. (2020). Women’s views about breast cancer prevention at mammography screening units and well women’s clinics. Current Oncology, 27(3). Retrieved from https://current-oncology.com/index.php/oncology/article/view/5755
Section
Short Communication