Department of Behavioural Science and Health, University College London, London WC1E 6BT, UK.
Leeds Institute of Health Sciences, University of Leeds, Leeds LS2 9NL, UK; Department of Behavioural Science and Health, University College London, London WC1E 6BT, UK.
Prev Med. 2019 Mar;120:19-25. doi: 10.1016/j.ypmed.2018.12.005. Epub 2018 Dec 19.
Cancer screening could be an opportunity to deliver cancer prevention advice, but it is not known how such information would be received. We explored willingness to receive lifestyle advice in the context of the English National Health Service cervical, breast, and bowel (FS; flexible sigmoidoscopy) screening programmes. A population-based survey was conducted in 2016 to collect nationally representative data on willingness to receive lifestyle advice across cervical (n = 768), breast (n = 420) and FS (n = 308) screening programmes. Additional items assessed the impact of lifestyle advice on screening attendance, preference for receiving advice in the event of an abnormal screening result, and timing of advice. Most respondents were willing to receive lifestyle advice around the time of cancer screening (cervical 78.9%, breast 79.4%, FS 81.8%), and if their results were abnormal (cervical 86.3%, breast 83.0%, FS 85.1%). A small proportion indicated it may discourage future attendance (cervical 4.9%, breast 7.0%, FS 8.8%). Most preferred information to be delivered at the screening appointment (cervical 69.8%, breast 72.6%, FS 70.7%). There were no associations between sociodemographic characteristics and willingness to receive lifestyle advice at breast screening. For those intending to attend cervical screening, non-White ethnicity and higher education were associated with increased willingness to receive lifestyle advice. Women were more likely to be willing to receive advice at FS screening than men. Providing lifestyle advice at cancer screening is likely to be acceptable to the general population. The optimal approach for delivery needs careful consideration to minimise potential negative effects on screening attendance.
癌症筛查可能是提供癌症预防建议的机会，但尚不清楚人们对此类信息的接受程度。我们探讨了在英国国家医疗服务体系（NHS）宫颈癌、乳腺癌和结直肠癌（FS；乙状结肠镜检查）筛查项目的背景下，人们对接受生活方式建议的意愿。我们于 2016 年开展了一项基于人群的调查，以收集全国范围内有关在宫颈癌（n=768）、乳腺癌（n=420）和 FS（n=308）筛查项目中接受生活方式建议意愿的代表性数据。其他项目评估了生活方式建议对筛查参与度的影响、对异常筛查结果时接受建议的偏好以及建议的时间。大多数受访者愿意在癌症筛查时（宫颈癌 78.9%、乳腺癌 79.4%、FS 81.8%）以及在结果异常时（宫颈癌 86.3%、乳腺癌 83.0%、FS 85.1%）接受生活方式建议。一小部分人表示，这可能会影响他们未来的参与度（宫颈癌 4.9%、乳腺癌 7.0%、FS 8.8%）。大多数人更喜欢在筛查预约时获得信息（宫颈癌 69.8%、乳腺癌 72.6%、FS 70.7%）。社会人口特征与在乳腺癌筛查时接受生活方式建议的意愿之间没有关联。对于那些打算参加宫颈癌筛查的人来说，非白种人和接受更高教育程度与增加接受生活方式建议的意愿有关。与男性相比，女性更有可能愿意在 FS 筛查中接受建议。在癌症筛查中提供生活方式建议可能会被一般人群接受。为了将潜在的负面影响降到最低，需要仔细考虑最佳的传递方式。
