INSERM U1193, département d'oncologie médicale, Hôpital Paul Brousse, 12 avenue Paul Vaillant Couturier, 94800, Villejuif, France.
CCDC 37, Hôpital Bretonneau, 2 boulevard Tonnellé, 37044, Tours Cedex 9, France.
Curr Oncol Rep. 2018 Mar 5;20(Suppl 1):15. doi: 10.1007/s11912-017-0647-9.
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.
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?".
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.
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.
癌症的一级预防依赖于对危险因素的认识和相应的识别。我们不仅调查了普通女性，还调查了女性医生对乳腺癌危险因素的认识。
使用配额法，通过电话访谈对 40-75 岁的代表性女性人群（737 名普通女性和 105 名女性医生）进行了 EDIFICE 4 全国性观察性调查。本分析重点关注对问题“在您看来，增加乳腺癌风险的五个主要危险因素是什么？”的自发回答。
遗传/乳腺癌家族史是两种研究人群中最广泛认可的危险因素（医生 98.1% vs. 普通女性 54.2%；P≤0.01）。吸烟（19.0%和 17.5%）和饮酒（3.8%和 5.5%）分别是医生和普通女性分别提到的生活方式危险因素。然而，其他已确定的危险因素很少被医生或普通女性提及，例如，接触医用辐射（分别为 4.8%和 0.4%；P≤0.05）或根本没有提及，即良性乳腺病和个人乳腺癌病史。
本调查强调了与乳腺癌行为危险因素相关的一些误解，包括酒精和烟草消费的相对影响以及绝经状态的重要性。对与接触医用辐射、良性乳腺病或个人乳腺癌病史相关的风险的认识有限，这引起了对遵守国家筛查建议的关注。
