A Risk Assessment Comparison of Breast Cancer and Factors Affected to Risk Perception of Women in Turkey: A Cross-sectional Study
-
Serpil YÜKSEL
,
Gülay ALTUN UĞRAŞ
,
İkbal ÇAVDAR
,
Atilla BOZDOĞAN
,
Sibel ÖZKAN GÜRDAL
,
Neriman AKYOLCU
,
Ecem ESENCAN
,
Gamze VAROL SARAÇOĞLU
,
Vahit ÖZMEN
Abstract
Background: The increase in breast cancer incidence has enhanced attention towards breast cancer risk. The aim of this study was to determine the risk of breast cancer and risk perception of women, factors that affect risk perception, and to determine differences between absolute risk and the perception of risk.
Methods: This cross-sectional study was carried out among 346 women whose score in the Gail Risk Model (GRM) was > 1.67% and/or had a 1st degree relative with breast cancer in Bahçeşehir town in Istanbul, Turkey between Jul 2012 and Dec 2012. Data were collected through face-to-face interviews. The level of risk for breast cancer has been calculated using GRM and the Breast Cancer Risk Assessment Form (BCRAF). Breast cancer risk perception (BCRP), has been evaluated by visual analogue 100-cm-long scale.
Results: Even though 39.6% of the women considered themselves as high-risk carriers, according to the GRM and the BCRAF, only 11.6% and 9.8% of women were in the “high risk” category, respectively. There was a positive significant correlation between the GRM and the BCRAF scores (P<0.001), and the BCRAF and BCRP scores (P<0.001). Factors related to high-risk perception were age (40-59 yr), post-menopausal phase, high-very high economic income level, existence of breast cancer in the family, having regular breast self-examination and clinical breast examination (P<0.05).
Conclusion: In women with high risk of breast, cancer there is a significant difference between the women’s risk perception and their absolute risk level.
MacDonald DJ, Sarna L, Uman GC, Grant M, Weitzel JN (2005). Health beliefs of women with and without breast cancer seeking genetic cancer risk assessment. Cancer Nurs, 28 (5): 372-9.
Yip CH, Smith RA, Anderson BO, Miller AB, Thomas DB, Ang ES, Caffarella RS, et al. (2008). Guideline implementation for breast healthcare in low-and middle-income countries: early detection resource allocation. Cancer, 113 (8 Suppl): 2244-56.
Yavan T, Akyüz A, Tosun N, İyigün E (2010). Women's breast cancer risk per-ception and attitudes toward screening tests. J Psychosoc Oncol, 28 (2): 189-201.
World Cancer Research Fund International (2012). Breast cancer statistics. UK: WCRF International.
International Agency for Research on Can-cer Center (2013). Latest world cancer statis-tics. France: World Health Organization.
Kartal M, Ozçakar N, Hatipoglu S, Tan MN, Guldal AD (2014). Breast cancer risk per-ceptions of Turkish women attending primary care: a cross-sectional study. BMC Womens Health, 14: 152.
Çeber E, Soyer MT, Ciçeklioglu M, Cimat S. (2006). Breast cancer risk assessment and risk perception on nurses and midwives in Bornova Health District in Turkey. Cancer Nurs, 29 (3): 244-9.
Tuncer M (2009). Ulusal kanser programı 2009-2015. National cancer program 2009-2015. Ankara: Cancer Fighting Department of Health Ministry of Tur-key. http://www.iccp-por-tal.org/sites/default/files/plans/Turkey%20NATIONAL_CANCER_PROGRAM2-1.pdf
Açıkgöz A, Ergör G (2013). Factors affect-ing breast cancer risk perception in wom-en and comparison of risk levels to the Gail Model. J Breast Health, 9(3): 156-62
Köse MR, Bora Başara B, Güler C, Yentür GK (2015). Health Statistics Yearbook 2014. http://sbu.saglik.gov.tr/Ekutuphane/kitaplar/EN%20YILLIK.pdf
Eti Aslan F, Gürkan A (2007). The risk of breast cancer in women. J Breast Health, 3 (2): 63-8.
Chung C, Lee SJ (2013). Estimated risks and optimistic self-perception of breast can-cer risk in Korean women. Appl Nurs Res, 26 (4): 180-5.
Gail MH (2015).Twenty-five years of breast cancer risk models and their applications. J Natl Cancer Inst, 107 (5): djv042.
Gail MH, Brinton LA, Byar DP, Corle DK, Green SB, Schairer, C, Mulvihill JJ (1989). Projecting individualized probabilities of developing breast cancer for white fe-males who are being examined annually. J Natl Cancer Inst, 81 (24): 1879-86.
Jones SC, Magee CA, Barrie LR, Iverson DC, Gregory P, Hanks EL, Nelson AE, Nehill CL, Zorbas HM (2011). Australian women’s perceptions of breast cancer risk factors ant the risk of developing breast cancer. Womens Health Issues, 21 (5): 353-60.
Başalan İz F, Tümer A. (2016). Assessment of breast cancer risk and belief in breast cancer screening among the primary healthcare nurses. J Cancer Educ, 31(3):575-81.
Ceber E, Mermer G, Okcin F, Sari D, Demireloz M, Eksioglu A, Ogce F, Cakır D, Ozenturk G. (2013). Breast cancer risk and early diagnosis applications in Turk-ish women aged 50 and over. Asian Pac J Cancer Prev, 14(10): 5877-82.
Cohen M (2006). Breast cancer early detec-tion, health beliefs, and cancer worries in randomly selected women with and without a family history of breast cancer. Psychooncology, 15 (10): 873-83.
Tastan S, Iyigün E, Kılıc A, Unver V (2011). Health beliefs concerning breast self-examination of nurses in Turkey. Asian Nurs Res (Korean Soc Nurs Sci), 5 (3): 151-6.
Walker MJ, Mirea L, Glendon G, Ritvo P, Andrulis IL, Knight JA, Chiarelli AM (2014). Does perceived risk predict breast cancer screening use? Findings from a prospective cohort study of female rela-tives from the Ontario site of the Breast Cancer Family Registry. Breast, 23 (4): 482-8.
Evans DG, Donnelly LS, Harkness EF, Astley SM, Stavrinos P, Dawe S, Watter-son D, et al. (2016). Breast cancer risk feedback to women in the UK NHS breast screening population. Br J Cancer, 114(9): 1045-52.
Khoshravesh S, Taymoori P, Roshani D. (2016). Evaluation of the relationship be-tween family history of breast cancer and risk perception and impacts on repetition of mammography. Asian Pac J Cancer Prev, 17 (S3): 135-41.
Haber G, Ahmed NU, Pekovic V (2012). Family history of cancer and its associa-tion with breast cancer risk perception and repeat mammography. Am J Public Health, 102 (12): 2322-9.
Graves KD, Huerta E, Cullen J, Kaufman E, Sheppard V, Luta G, Isaacs C, et al. (2008). Perceived risk of breast cancer among Latinas attending community clin-ics: risk comprehension and relationship with mammography adherence. Cancer Causes Control, 19 (10): 1373-82.
Zhang LR, Chiarelli AM, Glendon G, Mirea L, Edwards S, Knight JA, Andrulis IL, Ritvo P (2011). Influence of perceived breast cancer risk on screening behaviors of female relatives from the Ontario Site of the Breast Cancer Family Registry. Eur J Cancer Prev, 20 (4): 255-62.
Eroglu C, Eryılmaz MA, Cıvcık S, Gurbuz Z (2010). [Breast cancer risk assessment: 5000 cases]. Int J Hematol Oncol, 20(1): 27-33.
Quillin JM, Fries E, McClish D, Shaw de Paredes E, Bodurtha J. (2004). Gail mod-el risk assessment and risk perceptions. J Behav Med, 27(2): 205-14.
Buxton JA, Bottorff JL, Balneaves LG, Richardson C, McCullum M, Ratner PA, Hack T (2003). Women’s perceptions of breast cancer risk: are they accurate? Can J Public Health, 94 (6): 422-6.
Banegas MP, Püschel K, Martinez J, Ander-son JC, Thompson B (2012). Perceived and objective breast cancer risk assess-ment in Chilean women living in an un-derserved area. Cancer Epidemiol Biomarkers Prev, 21 (10): 1716-21.
Metcalfe KA, Quan ML, Eisen A, Cil T, Sun P, Narod SA (2013). The impact of hav-ing a sister diagnosed with breast cancer on cancer-related distress and breast can-cer risk perception. Cancer, 119 (9): 1722-8.
Fehniger J, Livaudais-Toman J, Karliner L, Kerlikowske K, Tice JA, Quinn J, Ozanne E, Kaplan CP (2014). Perceived versus objective breast cancer risk in diverse women. J Womens Health (Larchmt), 23 (5): 420-7.
Lemeshow S, Hosmer Jr DW, Klar J, Lwanga SK (1990). Adequacy of sample size in health studies. (World Health Organiza-tion). http://apps.who.int/iris/bitstream/10665/41607/1/0471925179_eng.pdf
National Cancer Institute (2012). Breast Can-cer Risk Assessment Tool. USA: National Cancer Institute. https://www.cancer.gov/bcrisktool/
| Files | ||
| Issue | Vol 46 No 3 (2017) | |
| Section | Original Article(s) | |
| Keywords | ||
| Breast cancer Gail risk model Risk factors Risk perception | ||
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