Regional Ministry of Health, La Rioja, Spain.
Behav Med. 2010 Oct-Dec;36(4):123-9. doi: 10.1080/08964289.2010.516783.
This article explores the relationship between family history of breast cancer (FHBC) and health-related behavior and medical management, using a cross-sectional analysis of 685 women, based on self-report. The influence of FHBC on lifestyle (alcohol use, physical activity, weight and diet) and medical management decisions (screening for chronic diseases) was assessed using odds ratios (OR) and 95% confidence interval (CI). Adjustment for confounders was performed using unconditional logistic regression. Sixty five women (9.5%) reported relatives with breast cancer. Women with FHBC are more likely to have had a mammography and colonoscopy or sigmoidoscopy. These women have about twice the probability of performing more intense physical exercise, contrasting with high-risk women whose consumption of fibre is lower and sweets is higher. No significant association was found between alcohol consumption or Body Mass Index and family history. Spontaneous behavioral change to a more preventive lifestyle in relatives of cancer patients is very low.
本文通过对 685 名女性进行基于自我报告的横断面分析，探讨了乳腺癌家族史 (FHBC) 与健康相关行为和医疗管理之间的关系。使用比值比 (OR) 和 95%置信区间 (CI) 评估 FHBC 对生活方式 (饮酒、体力活动、体重和饮食) 和医疗管理决策 (慢性病筛查) 的影响。使用非条件逻辑回归进行混杂因素调整。65 名女性 (9.5%) 报告有亲属患有乳腺癌。有 FHBC 的女性更有可能进行乳房 X 光检查和结肠镜检查或乙状结肠镜检查。这些女性进行更剧烈的体育锻炼的可能性约为两倍，与高风险女性形成对比，高风险女性的纤维摄入量较低，甜食摄入量较高。家族史与酒精摄入或体重指数之间没有显著关联。癌症患者亲属自发改变更具预防性的生活方式的行为非常低。
