Jean-François Morère1, Jérôme Viguier2, Sébastien Couraud3, Lysel Brignoli-Guibaudet4,5, Christine Lhomel5, Xavier B Pivot6, François Eisinger7,8. 1. INSERM U1193, département d'oncologie médicale, Hôpital Paul Brousse, 12 avenue Paul Vaillant Couturier, 94800, Villejuif, France. jean-francois.morere@pbr.aphp.fr. 2. CCDC 37, Hôpital Bretonneau, 2 boulevard Tonnellé, 37044, Tours Cedex 9, France. 3. Service de Pneumologie Aiguë Spécialisée et Cancérologie Thoracique, Centre Hospitalier Lyon Sud, 165 chemin du Grand Revoyet, 69495, Pierre Bénite Cedex, France. 4. Kantar Health, 3 avenue Pierre Masse, 75014, Paris, France. 5. Roche SAS, 30 cours de l'île Seguin, 92650 Boulogne Billancourt, Boulogne-Billancourt, France. 6. Centre de lutte contre le cancer Paul Strauss de Strasbourg/ Hôpitaux Universitaires de Strasbourg, 3 Rue de la Porte de l'Hôpital, 67 065, Strasbourg Cedex, France. 7. INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, Aix Marseille University, 23 rue Stanislas-Torrents, 13006, Marseille, France. 8. Département d'Anticipation et de Suivi du Cancer DASC, Institut Paoli-Calmettes, 232, boulevard Sainte Marguerite, BP 156, 13273, Marseille Cedex 9, France.
Abstract
BACKGROUND: Primary prevention of cancer relies on awareness of and consequent identification of risk factors. We investigated knowledge of breast cancer risk factors not only among laywomen but also among female physicians. METHODS: The EDIFICE 4 nationwide observational survey was conducted by phone interviews of a representative female population (737 laywomen and 105 female physicians) aged 40-75 years, using the quota method. This analysis focuses on spontaneous replies to the question "In your opinion, what are the five main risk factors that increase the risk of breast cancer?". RESULTS: Heredity/Family history of breast cancer was the most widely recognized risk factor in both study populations (98.1% physicians vs. 54.2% laywomen; P ≤ 0.01). Smoking (19.0 and 17.5%) and alcohol consumption (3.8 and 5.5%) were among the lifestyle risk factors that were cited by similar proportions of physicians and laywomen, respectively. Other established risk factors were however very rarely cited by either physicians or laywomen, e.g., Exposure to medical radiation (4.8 vs. 0.4%, respectively; P ≤ 0.05) or not cited at all, i.e., Benign mastopathy and Personal history of breast cancer. CONCLUSION: This survey highlights a number of misconceptions relating to behavioral risk factors for breast cancer, including the relative impact of alcohol and tobacco consumption and the importance of menopausal status. The limited awareness of the risk related to Exposure to medical radiation, Benign mastopathy, or Personal history raises concern regarding compliance with national screening recommendations.
BACKGROUND: Primary prevention of cancer relies on awareness of and consequent identification of risk factors. We investigated knowledge of breast cancer risk factors not only among laywomen but also among female physicians. METHODS: The EDIFICE 4 nationwide observational survey was conducted by phone interviews of a representative female population (737 laywomen and 105 female physicians) aged 40-75 years, using the quota method. This analysis focuses on spontaneous replies to the question "In your opinion, what are the five main risk factors that increase the risk of breast cancer?". RESULTS: Heredity/Family history of breast cancer was the most widely recognized risk factor in both study populations (98.1% physicians vs. 54.2% laywomen; P ≤ 0.01). Smoking (19.0 and 17.5%) and alcohol consumption (3.8 and 5.5%) were among the lifestyle risk factors that were cited by similar proportions of physicians and laywomen, respectively. Other established risk factors were however very rarely cited by either physicians or laywomen, e.g., Exposure to medical radiation (4.8 vs. 0.4%, respectively; P ≤ 0.05) or not cited at all, i.e., Benign mastopathy and Personal history of breast cancer. CONCLUSION: This survey highlights a number of misconceptions relating to behavioral risk factors for breast cancer, including the relative impact of alcohol and tobacco consumption and the importance of menopausal status. The limited awareness of the risk related to Exposure to medical radiation, Benign mastopathy, or Personal history raises concern regarding compliance with national screening recommendations.
Entities:
Keywords:
Alcohol consumption; Breast cancer; Heredity; Personal history; Risk factors; Smoking
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