Women's health behaviour change after receiving breast cancer risk estimates with tailored screening and prevention recommendations

The Predicting Risk of Cancer at Screening (PROCAS) study provided women who were eligible for breast cancer screening in Greater Manchester (United Kingdom) with their 10-year risk of breast cancer, i.e., low (≤1.5%), average (1.5–4.99%), moderate (5.-7.99%) or high (≥8%). The aim of this study is to explore which factors were associated with women’s uptake of screening and prevention recommendations.
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Women’s health behaviour change after receiving breast cancer risk estimates with tailored screening and prevention recommendationsRaineyetal. BMC Cancer (2022) 22:69https://doi.org/10.1186/s12885-022-09174-3 RESEARCH Open AccessWomen’s health behaviour changeafterreceiving breast cancer risk estimateswithtailored screening andpreventionrecommendationsLindaRainey1*, DaniëllevanderWaal2, LouiseS.Donnelly3, JakeSouthworth4, DavidP.French5,D.GarethEvans4,6,7and MireilleJ.M.Broeders1,2  Abstract  Background:  The Predicting Risk of Cancer at Screening (PROCAS) study provided women who were eligible for breast cancer screening in Greater Manchester (United Kingdom) with their 10-year risk of breast cancer, i.e., low (≤1.5%), average (1.5–4.99%), moderate (5.-7.99%) or high (≥8%). The aim of this study is to explore which factors were associated with women’s uptake of screening and prevention recommendations. Additionally, we evaluated women’s organisational preferences regarding tailored screening. Methods:  A total of 325 women with a self-reported low (n= 60), average (n= 125), moderate (n= 80), or high (n= 60) risk completed a two-part web-based survey. The first part contained questions about personal characteris- tics. For the second part women were asked about uptake of early detection and preventive behaviours after breast cancer risk communication. Additional questions were posed to explore preferences regarding the organisation of risk-stratified screening and prevention. We performed exploratory univariable and multivariable regression analyses to assess which factors were associated with uptake of primary and secondary breast cancer preventive behaviours, stratified by breast cancer risk. Organisational preferences are presented using descriptive statistics. Results:  Self-reported breast cancer risk predicted uptake of (a) supplemental screening and breast self-examination, (b) risk-reducing medication and (c) preventive lifestyle behaviours. Further predictors were (a) having a first degree relative with breast cancer, (b) higher age, and (c) higher body mass index (BMI). Women’s organisational preferences for tailored screening emphasised a desire for more intensive screening for women at increased risk by further short- ening the screening interval and moving the starting age forward. Conclusions:  Breast cancer risk communication predicts the uptake of key tailored primary and secondary preven- tive behaviours. Effective communication of breast cancer risk information is essential to optimise the population- wide impact of tailored screening. Keywords:  Breast cancer, Risk assessment, Screening, Prevention, Uptake*Correspondence: linda.rainey@radboudumc.nl1 Radboud Institute forHealth Sciences, Radboud University MedicalCenter, PO Box9101, 6500 HBNijmegen, The NetherlandsFull list of author information is available at the end of the article © The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://​creat​iveco​mmons.​org/​licen​ses/​by/4.​0/. The Creative Commons Public Domain Dedication waiver (http://​creat​iveco​ mmons.​org/​publi​cdoma​in/​zero/1.​0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.Raineyetal. BMC Cancer (2022) 22:69 Page 2 of 13Background alcohol intake, a Mediterranean diet, and physical activ-In the United Kingdom (UK), the National Health Service ity levels in line with ...