IntroductionCancer, a chronic and life-threatening disease, is an important cause of morbidity and mortality. The most common type of cancer diagnosed in women is breast cancer (1). Early recognition of high-risk women is important because of the development of surgical, medical, and oncologic alternatives for breast cancer, every passing year (2). Enlightening factors that contribute to breast cancer to prevent the disease, determine risk groups, and improve early diagnosis or treatment strategies are required.Even though the etiology of breast cancer was not clearly presented in the past, many epidemiologic risk factor studies have been conducted (3, 4), and many unchangeable and changeable risk factors (lifestyle and psychosocial factors) for breast cancer have been identified. According to some studies, changeable factors are useful for developing preventive strategies for breast cancer (5). However, researching stressful life events independently of factors such as coping style, behavioral pattern, and social support could be a flawed approach. A limited number of studies have examined the effects of these variables on the etiology of breast cancer (5, 6, 7). Socio-economic characteristics as risk factors for breast cancer are also discussed. An opinion suggested that socioeconomic characteristics could be an independent risk factor for breast cancer. Another aspect affecting life style such as reproduction and nutrition may be associated with risk of breast Eur J Breast Health 2017; 13: 206-12 DOI: 10.5152/ejbh.2017.3519 206 ABSTRACT Objective: The aim of this study was to determine the roles of biopsychosocial risk factors in the development of breast cancer.
Materials and methods:This hospital-based case-control study included 491 women with breast cancer (study group) and 512 women who did not have cancer or other serious diseases (control group). Biological, psychological, and social risk factors were compared between the two groups. Data were collected using the semi-structured interview, the Stress Assessment Form, and the Coping Strategy Indicator to assess these factors.
Results:When the significantly different biopsychosocial variables between the study and the control groups were evaluated together, independent breast cancer risk factors were found as follows: a stressor experienced in the last 5 years, age 40 years and older, inadequate social support perception, use of avoidance coping strategy, being a housewife, having a family history of cancer, and having a body mass index ≥25.
Conclusion:This study showed a relationship between breast cancer risk and manageable variables (obesity, stressor and coping strategy, social support, and employment status), age and family history of cancer, which are biopsychosocial factors. Biopsychosocial aspects are becoming a greater part of many different healthcare systems.