Breast Cancer Risk Perception and Lifestyle Behaviors Among White and Black Women With a Family History of the Disease

Spector, Denise; Mishel, Merle H.; Skinner, Celette Sugg; DeRoo, Lisa A.; Riper, Márcia Van; Sandler, Dale P.

doi:10.1097/ncc.0b013e31819deab0

Cited by 50 publications

(56 citation statements)

References 30 publications

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“…Similar to previous research [24,26,38], our study identified that risk perception impacts on access and utilisation of the NHSBSP. Although our participants acknowledged genetic/ hereditary and lifestyle as risk factors for breast cancer, they did not perceive themselves as being at risk of developing the disease and felt that being symptom-free meant that they did not need to attend breast screening.…”

Section: Discussionsupporting

confidence: 70%

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Exploring Factors Contributing to Low Uptake of the NHS Breast Cancer Screening Programme among Black African Women in the UK

Bamidele¹,

Ali²,

Papadopoulos³

et al. 2017

Divers Equal Health Care

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What is known about this topic?• Advances in breast screening services have led to improvements in early detection, reduced mortality and better management of breast cancer.• Low uptake of the national breast screening programme and delayed presentation of breast cancer symptoms means that mortality from breast cancer continues to be high among Black African women.• Reasons for low uptake of the breast screening services among Black African women are poorly understood. What this paper adds?• This paper presents salient factors leading to low uptake of the NHS Breast Screening programme by Black African women in England.• There is need for culturally relevant interventions to improve knowledge on cancer, cancer screening and treatments options for Black African women.• These interventions should be delivered through community social networks, community media (TV, Radio, newspapers, workshops) and faith settings such as Churches and Mosques.• Offering appropriate and culturally sensitive pre-screening and post-screening counselling services could also help increase Black African women's awareness about breast cancer, reduce their perceptions of the stigma associated with cancer and allay their fears of fatal breast cancer outcomes. ABSTRACTBreast cancer is the most common cancer among women in the United Kingdom (UK) accounting for about 15% of cancer deaths. The National Breast Cancer Screening Programme in the UK was introduced in 1988 to assist with early detection and better management of breast cancer. Black and Minority Ethnic (BME) women however have a low uptake of the National Breast Screening programme when compared to their White counterparts. Within the BME group, Black African women have the lowest uptake of screening services and are more likely to have an advanced stage of the disease at diagnosis, leading to poorer survival rates than White women. This study aimed to explore the factors that lead to low uptake of the National Breast Cancer Screening Programme among Black African women living in Luton, UK and present action points to local breast cancer services. Using a qualitative research design, six focus groups were conducted with a total of twenty-five Black African women residing in Luton between May and June in 2013. Data was analysed thematically using the framework approach. Four main themes emerged across the focus group discussions: awareness and beliefs about breast cancer and risk factors, prevention of breast cancer and awareness of the NHS breast screening programme, low uptake of the NHS breast screening service and suggestions for improving information on breast cancer and the NHS breast cancer screening programme. The findings from this study suggest the need for more targeted information on breast cancer and screening services for Black African women. This could help improve the uptake of the NHS breast screening programme, promote early help-seeking behaviour and improve breast cancer outcomes for this ethnic group.

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Section: Discussionsupporting

confidence: 70%

“…Research has also reported that religion and culture influence patients' health behaviour in terms of the perceived benefit of engaging in recommended disease prevention activities choice of treatment options and delays in help-seeking [24][25][26][27].…”

Section: Introductionmentioning

confidence: 99%

Exploring Factors Contributing to Low Uptake of the NHS Breast Cancer Screening Programme among Black African Women in the UK

Bamidele¹,

Ali²,

Papadopoulos³

et al. 2017

Divers Equal Health Care

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“…Although it is currently estimated that approximately 5% of breast cancer cases can be attributed to alcohol (44), very few women may be aware of the association between alcohol and breast cancer (45). In light of the increasing frequency of binge drinking in the United States (1), the impact of binge drinking on health may increase and will continue to be a topic of concern.…”

Section: Discussionmentioning

confidence: 99%

Lifetime Alcohol Intake, Binge Drinking Behaviors, and Breast Cancer Risk

White¹,

DeRoo²,

Weinberg³

et al. 2017

American Journal of Epidemiology

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The prevalence of binge drinking in the United States is rising. While alcohol is a risk factor for breast cancer, less is known about the impact of episodic heavy drinking. In 2003-2009, women aged 35-74 years who were free of breast cancer were enrolled in the Sister Study (n = 50,884). Residents of the United States or Puerto Rico who had a sister with breast cancer were eligible. Multivariable Cox regression was used to estimate adjusted hazard ratios and 95% confidence intervals for breast cancer. During follow-up (mean = 6.4 years), 1,843 invasive breast cancers were diagnosed. Increased breast cancer risk was observed for higher lifetime alcohol intake (for ≥230 drinks/year vs. <60 drinks/year, hazard ratio (HR) = 1.35, 95% confidence interval (CI): 1.15, 1.58). Relative to lowlevel drinkers (<60 drinks/year), hazard ratios were increased for ever binge drinking (HR = 1.29, 95% CI: 1.15, 1.45) or blacking out (HR = 1.39, 95% CI: 1.17, 1.64). Compared with low-level drinkers who never binged, moderate drinkers (60-229 drinks/year) who binged had a higher risk (HR = 1.25, 95% CI: 1.08, 1.44). There was evidence of effect modification between moderate lifetime drinking and binging (relative excess risk due to interaction = 0.33, 95% CI: 0.10, 0.57). Our findings support the established association between lifetime alcohol intake and breast cancer and provide evidence for an increased risk associated with heavy episodic drinking, especially among moderate lifetime drinkers. alcohol; alcohol drinking; binge drinking; breast cancer Abbreviations: BMI, body mass index; CI, confidence interval; ER, estrogen receptor; HR, hazard ratio; RERI, relative excess risk due to interaction.

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“…Specifically, one study found a 17.6% increase in mammographic density among women using HRT [41]. One qualitative study of sisters of women diagnosed with breast cancer found that many women identified HRT as a risk factor and several stopped their therapy after their sister's diagnosis, as it was viewed as a modifiable risk factor [43]. However, HRT may not be a significant factor in triple-negative breast cancers in African American women, as it is more commonly used among white Americans and postmenopausal women [11].…”

Section: Hormonal Factorsmentioning

confidence: 99%

Cultural and Environmental Factors of Triple-Negative Breast Carcinomas

Whitesell¹,

Al-Najar²,

Bowser³

et al. 2014

CRJ

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Breast cancer is a leading cause of cancer death in the world. The triple-negative breast cancer subtype is associated with poorer prognosis than hormone receptor-positive subtypes and is more prevalent among African Americans than white, European Americans. The goal of this study has been to elucidate environmental, hormonal, and cultural factors that may be contributing to this disparity in an effort to identify modifiable risk factors and improve triple-negative breast cancer outcomes. Factors that may impact risk include vitamin D defiency, hormonal factors, environmental and dietary exposure, radiation exposure, and obesity. These factors may disproportionately affect African American women as a result of socioeconomic status, lifestyle, and cultural norms. Furthermore, disparities in prognosis may be compounded by barriers such as access to healthcare, prevention education, and perceptions of healthcare. Both biological and sociocultural factors impacting risk must be addressed in order for future prevention and treatment efforts to succeed.

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Breast Cancer Risk Perception and Lifestyle Behaviors Among White and Black Women With a Family History of the Disease

Cited by 50 publications

References 30 publications

Exploring Factors Contributing to Low Uptake of the NHS Breast Cancer Screening Programme among Black African Women in the UK

Exploring Factors Contributing to Low Uptake of the NHS Breast Cancer Screening Programme among Black African Women in the UK

Lifetime Alcohol Intake, Binge Drinking Behaviors, and Breast Cancer Risk

Cultural and Environmental Factors of Triple-Negative Breast Carcinomas

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