RESEARCH PAPER
Breast cancer risk factors - awareness and attitudes of women in perimenopausal and postmenopausal age (45+) in Poland
More details
Hide details
1
Oncology Center - the Maria Skłodowska-Curie Institute of Oncology, Warsaw, Poland
2
Medical University of Warsaw, Poland
Submission date: 2019-02-03
Final revision date: 2019-03-31
Acceptance date: 2019-04-01
Publication date: 2019-04-10
Health Prob Civil. 2019;13(4):239-247
KEYWORDS
TOPICS
ABSTRACT
Background:
Breast cancer (BC) is the most common malignant cancer among women in Poland. As we do not have sufficient knowledge about origin of this disease, women’s awareness and attitudes concerning the few well-known BC risk factors play a key role in the prevention and early detection of BC.
Material and methods:
The questionnaire was answered by 380 women, 45 years and older, in Poland between May and August 2017. This randomly selected research group included subjects with a prior history of BC, a current diagnosis of BC, and healthy women without any history of BC in the past. Women were asked about their knowledge and attitudes concerning BC risk factors. Collected data were analyzed using Microsoft Excel, taking into account place of residence and education level.
Results:
Among probable BC risk factors, the most commonly indicated by the women were gene mutations (60%), long-term use of hormonal contraception (49%) and overweight and obesity (38%). The most rarely indicated factors were late full-term pregnancy (12%), childlessness (21%) and alcohol consumption (26%). About 72% of the respondents assessed their knowledge about BC as good or very good, but only 41% of this group indicated overweight and obesity - one of the strongest risk factors – as contributing to BC. Moreover, only 26% of women who assessed themselves as having a high level of knowledge perceived alcohol consumption as a risk factor.
Conclusions:
Results suggest that education in this age group should be more efficient and more focused on raising awareness about well-known BC risk factors.
REFERENCES (26)
1.
Winters S, Martin C, Murphy D, Shokar NK. Breast cancer epidemiology, prevention, and screening. Prog Mol Biol Transl Sci. 2017; 151: 1-32.
https://doi.org/10.1016/bs.pmb....
2.
World Health Organization. Regional Office for Europe [Internet]. Copenhagen: World Health Organization. Breast cancer [cited 2019 Jan 2]. Available from:
http://www.euro.who.int/en/hea....
3.
Wojciechowska U, Czaderny K, Ciuba A, Olasek P, Didkowska J. [Cancers in Poland in 2016]. Warszawa: Krajowy Rejestr Nowotworów, Zakład Epidemiologii i Prewencji Nowotworów; 2018 (in Polish).
4.
Krajowy Rejestr Nowotworów [Internet]. Warszawa: Zakład Epidemiologii i Prewencji Nowotworów, Centrum Onkologii – Instytut. [Breast cancer in women (C50)] [cited 2019 Jan 2]. Available from:
http://onkologia.org.pl/nowotw... (in Polish).
5.
Anand P, Kunnumakkara AB, Sundaram C, Harikumar KB, Tharakan ST, Lai OS, et al. Cancer is a preventable disease that requires major lifestyle changes. Pharm Res. 2008; 25(9): 2097–2116.
https://doi.org/10.1007/s11095....
6.
NIH National Cancer Institute [Internet]. Bethesda: National Cancer Institute; 2017. Obesity and cancer [cited 2019 Jan 20]. Available from:
https://www.cancer.gov/about-c....
7.
Simone V, D'Avenia M, Argentiero A, Felici C, Rizzo FM, De Pergola G, et al. Obesity and breast cancer: molecular interconnections and potential clinical applications. The Oncologist. 2016; 21(4): 404–417.
https://doi.org/10.1634/theonc....
8.
Friedenreich CM. Physical activity and breast cancer: review of the epidemiologic evidence and biologic mechanisms. Recent Results Cancer Res. 2011; 188: 125-39.
https://doi.org/10.1007/978-3-....
9.
The American Cancer Society Medical and Editorial Content Team. Lifestyle-related breast cancer risk factors [Internet]. Atlanta: American Cancer Society; 2017 [cited 2019 Jan 2]. Available from:
https://www.cancer.org/cancer/....
10.
McDonald JA, Goyal A, Terry MB. Alcohol intake and breast cancer risk: weighing the overall evidence. Current Breast Cancer Reports. 2013; 5(3): 208–221.
https://doi.org/10.1007/s12609....
11.
Liu Y, Nguyen N, Colditz GA. Links between alcohol consumption and breast cancer: a look at the evidence. Women's Health. 2015; 11(1): 65–77.
https://doi.org/10.2217/WHE.14....
12.
Ministerstwo Zdrowia [Internet]. Warszawa: Ministerstwo Zdrowia. [Breast cancer prevention program] [cited 2019 Jan 2]. Available from:
https://www.gov.pl/web/zdrowie... (in Polish).
13.
Jokiel M, Bielska-Lasota M. [Breast cancer risk factors. Possibilities of primary cancer prevention]. Przegl Epidemiol. 2010; 64: 435-438 (in Polish).
14.
Tazhibi M, Feizi A. Awareness levels about breast cancer risk factors, early warning signs, and screening and therapeutic approaches among Iranian adult women: a large population based study using latent class analysis. Biomed Res Int. 2014 Sep 11; 2014: 306352.
https://doi.org/10.1155/2014/3....
15.
Państwowa Agencja Rozwiązywania Problemów Alkoholowych [Internet]. Warszawa: Państwowa Agencja Rozwiązywania Problemów Alkoholowych. [Women and alcohol] [cited 2019 Jan 10]. Available from:
http://www.parpa.pl/index.php/... (in Polish).
16.
Neuhouser ML, Aragaki AK, Prentice RL, Manson JE, Chlebowski R, Carty CL, et al. Overweight, obesity, and postmenopausal invasive breast cancer risk: a secondary analysis of the Women's Health initiative randomized clinical trials. JAMA Oncology. 2015; 1(5): 611–621.
https://doi.org/10.1001/jamaon....
17.
La Vecchia C, Giordano SH, Hortobagyi GN, Chabner B. Overweight, obesity, diabetes, and risk of breast cancer: interlocking pieces of the puzzle. The Oncologist. 2011; 16(6): 726–729.
https://doi.org/10.1634/theonc....
18.
Zgliczyński WS. [Overweight and obesity in Poland]. Infos. 2017; 4(227) (in Polish).
19.
Piekarzewska M, Wieczorkowski R, Zajenkowska-Kozłowska A. [Health condition of the Polish population in 2014]. Warszawa: Główny Urząd Statystyczny; 2016 (in Polish).
21.
Lynch BM, Neilson HK, Friedenreich CM. Physical activity and breast cancer prevention. Recent Results Cancer Res. 2011; 186: 13-42.
https://doi.org/10.1007/978-3-....
22.
World Health Organization. Poland physical activity factsheet [Internet]. Copenhagen: World Health Organization Regional Office for Europe; 2014 [cited 2019 Jan 25]. Available from:
http://www.euro.who.int/__data....
23.
Seely JM, Alhassan T. Screening for breast cancer in 2018-what should we be doing today?. Curr Oncol. 2018; 25(Suppl 1): S115-S124.
https://doi.org/10.3747/co.25.....
24.
Myers ER, Moorman P, Gierisch JM, Havrilesky LJ, Grimm LJ, Ghate S, et al. Benefits and harms of breast cancer screening: a systematic review. JAMA. 2015; 314(15): 1615–1634.
https://doi.org/10.1001/jama.2....
26.
Garwacka-Czachor E, Maciejczyk A, Bębenek M. Breast self-exams in a group of women participating in mammography screening. Nowotwory J Oncol. 2016; 66: 445–449.
https://doi.org/10.5603/NJO.20....