Study on the impact of cancer risk assessment tools for multiple cancer on breast cancer screening behavior
Objective To investigate the impact of cancer risk assessment tools on the breast cancer screening behavior of female residents in communities.Methods Totally 10 326 female residents in two communities in the suburbs of Shanghai who participated in the cancer screening and early detection management projects between May 2018 to May 2020 were se-lected as the research subjects.The study used a self-contrasting method to compare the screening behaviors before and after risk assessment in the overall population and in subjects with different characteristics.Paired chi-square tests were used to compare participation rates in cancer risk assessment before and after screening.Factors influencing pre-and post-assessment screening participation rates were analyzed using multivariate logistic regression with the stepwise forward method.Pearson's chi-squared test was used to compare population characteristics of newly screened and non-newly screened individuals after the assessment,and of newly screeners and pre-assessment screeners.Results The mammogra-phy rates,before and after the risk assessment,in the study population were 3.07％(317/10 326)and 2.61％(269/10 326),respectively.Of those who participated in screening after risk assessment,93.31％(251/269)were newly screened.After risk assessment,factors such as literacy,income,family history of cancer in first-degree relatives,and history of breast-related symptoms no longer influenced the screening participation rates.Among those screened after as-sessment,individuals with no family history of cancer in a first-degree relative,no family history of cancer in a second-de-gree relative,no history of breast cancer-related disease,and those at intermediate to low risk of breast cancer were 1.818,3.377,2.444,2.185,and 2.031 times more likely to be newly screened than those with a family history of cancer in a first-degree relative,a family history of cancer in a second-degree relative,a history of breast-related diseases,and those at high risk of breast cancer,respectively.Conclusion The cancer risk assessment tool may promote screening par-ticipation among the general population who do not have risk factors for breast cancer and who have not previously been screened.
breast cancerrisk assessmentscreeningcommunity intervention
NETL
NSTL
万方数据
