DOI QR코드

DOI QR Code

Compliance with Screening Recommendations According to Breast Cancer Risk Levels in Izmir, Turkey

  • Acikgoz, Ayla (Health Sciences Institute, Department of Public Health, Dokuz Eylul University) ;
  • Ergor, Gul (School of Medicine, Department of Public Health, Dokuz Eylul University)
  • Published : 2013.03.30

Abstract

Early diagnosis has a major role in improving prognosis of breast cancer. The purpose of this study was to assess the risk status of women 35-69 years of age using risk assessment models and the prevalence of mammography in a community setting. The sample of this cross sectional study consisted of 227 women, 35-69 years of age residing in Izmir, a city located in western region of Turkey. A questionnaire was used to collect data and the Gail and Cuzick-Tyrer models were applied to assess the risk of breast cancer. In this study, 52.7% of women had mammography at least once, and 41.3% of the women over the age of 40 had mammography screening in the last two years. The five years risk for breast cancer was high in 15.8% of women according to the Gail model and ten years risk was high in 21.7% with the Cuzick-Tyrer model. In the present study, the breast cancer risk levels were assessed in a population setting for the first time in Turkey using breast cancer risk level assessment models. Being in 60-69 age group, having low education and not being in menopause were significant risk factors for not having mammography according to logistic regression analysis. Mammography utilization rate was low. Women must be educated about breast cancer screening methods and early diagnosis. The women in the high risk group should be informed on their risk status which may increase their attendance at breast cancer screening.

Keywords

References

  1. American Cancer Society (2012). Breast Cancer; Can Breast Cancer Be Found Early? http://www.cancer.org/docroot/CRI/content/CRI_2_4_3X_Can_breast_cancer_be_found_early_5.asp?sitearea= Access date: 05 December 2012.
  2. Amir E, Evans DGR, Shenton A, et al (2003). Evaluation of breast cancer risk assesstment packages in the family history evaluation and screening programme. J Med Genet, 40, 807-14. https://doi.org/10.1136/jmg.40.11.807
  3. Avci İA (2007). The health beliefs relating to mammography of midwives and nurses. J Breast Health, 3, 4-8.
  4. Avci İA, Kurt H (2008). The health beliefs and mammography rates of Turkish women living in rural areas. J Nurs Scholarsh, 40, 170-5. https://doi.org/10.1111/j.1547-5069.2008.00222.x
  5. Barr JK, Franks AL, Lee NC, Herther P, Schachter M (2001). Factors associated with continued participation in mammography screening. Prev Med, 33, 661-7. https://doi.org/10.1006/pmed.2001.0942
  6. Boyle P, Levin B. Word Cancer Report 2008. IACR, Lyon, 2008.
  7. Buki LP, Jamison J, Anderson CJ, Cuadra AM (2007). Differences in predictors of cervical and breast cancer screening by screening need in uninsured Latina women. Cancer, 110, 1578-85. https://doi.org/10.1002/cncr.22929
  8. Couture MC, Nguyen CT, Alvarado BE, Velasquez LD, Zunzunegui MV (2008). Inequalites in breast and cervical cancer screening among urban Mexican women. Prev Med, 47, 471-6. https://doi.org/10.1016/j.ypmed.2008.07.005
  9. Cuzick J, Tyrer J (2012). IBIS Breast Cancer Risk Evaliation Tool. http://www.ems-trials.org/riskevaluator/ Access date:05 August 2012.
  10. Dişcigil G, Sensoy N, Tekin N, Soylemez A (2007). Breast Health: Knowledge, behaviour and performance in a group of women living in the aegean region. Marmara Medical J, 20, 29-36.
  11. Dündar PE, Ozmen D, Ozturk B, et al (2006). The knowledge and attitudes of breast self- examination and mammography in a group of women in a rural area in western Turkey. BMC Cancer, 6, 1-9. https://doi.org/10.1186/1471-2407-6-1
  12. Erbil N, Bolukbas N (2012). Beliefs, attitudes, and behavior of turkish women about breast cancer and breast selfexamination according to a Turkish version of the champion health belief model scale. Asian Pac J Cancer Prev, 13, 5823-8. https://doi.org/10.7314/APJCP.2012.13.11.5823
  13. Evans DGR, Howell A (2007). Breast cancer risk-assessment models. Breast Cancer Res, 9, 213. https://doi.org/10.1186/bcr1750
  14. Evans DGR, Warwick J, Astley SM, et al (2012). Assessing individual breast cancer risk within the U.K. national health service breast screening program: a new paradigm for cancer prevention. Cancer Prev Res, 5, 943-51. https://doi.org/10.1158/1940-6207.CAPR-11-0458
  15. Ferlay J, Shin HR, Bray F, et al (2010). GLOBOCAN 2008. Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 10 [Internet]. Lyon, France: International Agency for Research on Cancer; http://globocan.iarc.fr/Accessed date: 25 January 2013.
  16. Gail MH, Brinton LA, Byar DP, et al (1989). Projecting individualized probabilities of developing breast cancer for white females who are being examined annually. J Natl Cancer Inst, 81, 1879-86. https://doi.org/10.1093/jnci/81.24.1879
  17. Gail MH, Constantino JP, Bryant J, et al (1999). Weighing the risk and benefits of tamoxifen treatment for preventing breast cancer. J Natl Cancer Inst, 91, 1829-46. https://doi.org/10.1093/jnci/91.21.1829
  18. Graves KD, Huerta E, Cullen J, et al (2008). Perceived risk of breast cancer among Latinas attending community clinics:risk comprehension and relationship with mammograph adherence. Cancer Causes Control, 19, 1373-82. https://doi.org/10.1007/s10552-008-9209-7
  19. Guvenc G, Seven M, Kilic A, Akyuz A, Akcan G (2012). Breast, cervical, and colorectal cancer screening status of a group of Turkish women. Asian Pac J Cancer Prev, 13, 4273-9. https://doi.org/10.7314/APJCP.2012.13.9.4273
  20. Lech R, Przemyslaw O (2011). Epidemiological models for breast cancer risk estimation. Ginekol Pol, 82, 451-4.
  21. Lin CJ, Block B, Nowalk MP, et al (2007). Breast cancer risk assessment in scioeconomically disadventaged urban communites. J Natl Med Assoc, 99, 752-6.
  22. Mann GJ, Thorne H, Balleine RL, et al (2006). Analysis of cancer risk and BRCA 1 and BRCA 2 mutation prevalence in the kConFab familial breast cancer resource. Breast Cancer Res, 8, 1-15.
  23. Mobley LR, Kou TM, Clayton LJ, Evans WD (2009). Mammography facilities are accessible, so why is utilization so low? Cancer Causes Control, 20, 1017-28. https://doi.org/10.1007/s10552-009-9295-1
  24. National Cancer Institute (2012). Breast Cancer Risk Assessment Tool,. http://www.cancer.gov/bcrisktool/ Access date: 05 August 2012.
  25. National Cancer Institute (2012). Learn About Mammograms. http://www.cancer.gov/cancertopics/factsheet/Detection/screening-mammograms Access date: 06 August 2012.
  26. Oh D, Jung DW, Jun JK, et al (2011). On-schedule Mammography Rescreening in the National Cancer Screening Program for Breast Cancer in Korea. Asian Pac J Cancer Prev, 12, 2865-70.
  27. Ozanne EM, Klemp JR, Esserman LJ (2006). Breast cancer risk assessment and prevention: a framework for shared decisonmaking consultations. Breast J, 12, 103-13. https://doi.org/10.1111/j.1075-122X.2006.00217.x
  28. Özaydin AN, Güllüoğlu BM, Ünalan PC, et al (2009). Breast cancer knowledge, source of information, and breast health practices of women in Bahcesehir. J Breast Hlth, 5, 214-24.
  29. Pivot X, Eisinger F, Blay JY, et al (2011). Mammography utilization in women aged 40-49 years: the French EDİFİCE survey. Eur J Cancer Prev, 20, 16-9. https://doi.org/10.1097/01.cej.0000391565.41383.ba
  30. Ryerson AB, Miller JW, Eheman CR, Leadbetter S, White MC (2008). Recent trends in U.S. mammography use from 2000-2006: a population-based analysis. Prev Med, 47, 477-82. https://doi.org/10.1016/j.ypmed.2008.06.010
  31. Ryu E, Ahn O, Baek SS, et al (2008). Predictors of mammography uptake in Korean women aged 40 years and over. J Adv Nurs, 64, 168-75. https://doi.org/10.1111/j.1365-2648.2008.04772.x
  32. Seçginli S, Nahcivan NO (2006). Factors associated with breast cancer screening behaviours in a sample of Turkish women:A questionnaire survey. Int J Nurs Stud, 43, 161-71. https://doi.org/10.1016/j.ijnurstu.2005.02.004
  33. Thompson PA, Lopez AM, Stopeck A (2005) Breast Cancer Prevention. In: Alberts DS, Hess LM, eds. Fundamentals of Cancer Prevention, Germany: Springer: pp.255-76.
  34. Tyrer J, Duffy SW, Cuzick J (2004). A breast cancer prediction model incorporating familial and personal risk factors. Statist Med, 23, 1111-30. https://doi.org/10.1002/sim.1668
  35. Ulusoy C, Kepenekci İ, Kose K, Aydintug S, Cam R (2010). Applicability of the Gail model for breast cancer risk assessment in Turkish female population and evaluation of breastfeeding as a risk factor. Breast Cancer Res Treat, 120, 419-24. https://doi.org/10.1007/s10549-009-0541-8
  36. Wall KM, Nunez-Rocha GM, Salinas-Martinez AM, Sanchez-Pena SR (2008). Determinants of the use of breast cancer screening among women workers in urban Mexico. Prev Chronic Dis, 5, 1-8.
  37. Yalcinoz BH, Polat H (2012). Determination of the breast cancer risk levels and health beliefs of women with and without previous mammography in the eastern part of Turkey. Asian Pac J Cancer Prev, 13, 5213-7. https://doi.org/10.7314/APJCP.2012.13.10.5213
  38. Zackrisson S, Lindström M, Moghaddassi M, Anderson I, Janzon L (2007). Social predictors of non-attendance in an urban mammographic screening programme: a multilevel analysis. Scand J Public Health, 35, 548-54. https://doi.org/10.1080/14034940701291716
  39. Zhu K, Wu H, Jatoi I, Potter J, Shriver C (2006). Body mass index and use of mammography screening in the United States. Prev Med, 42, 381-5. https://doi.org/10.1016/j.ypmed.2006.01.020

Cited by

  1. Breast cancer risk scores in a standard screening population vol.2, pp.6, 2013, https://doi.org/10.2217/bmt.13.52
  2. Awareness and Practices Regarding Breast and Cervical Cancer among Turkish Women in Gazientep vol.15, pp.3, 2014, https://doi.org/10.7314/APJCP.2014.15.3.1093
  3. Association of rs1042522 Polymorphism with Increased Risk of Prostate Adenocarcinoma in the Pakistani Population and its HuGE Review vol.15, pp.9, 2014, https://doi.org/10.7314/APJCP.2014.15.9.3973
  4. Breast and Cervical Cancer Knowledge and Awareness among University Students vol.16, pp.5, 2015, https://doi.org/10.7314/APJCP.2015.16.5.1719
  5. The Effect of Education on the Early Diagnosis of Breast and Cervix Cancer on the Women’s Attitudes and Behaviors Regarding Participating in Screening Programs pp.1543-0154, 2018, https://doi.org/10.1007/s13187-017-1193-8