Khushalani Jaya S, Qin Jin, Ekwueme Donatus U, White Arica
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Prev Med Rep. 2019 Dec 9;17:101029. doi: 10.1016/j.pmedr.2019.101029. eCollection 2020 Mar.
Awareness of the link between breast cancer and risk factors such as family history of breast cancer and alcohol consumption may help modify health behaviors. To reduce risk factors for breast cancer among young women, it is important to understand overall levels of risk awareness and socioeconomic differences in awareness. Data from the National Survey of Family Growth 2011-2015 were used to examine awareness of two risk factors for breast cancer, positive family history and alcohol consumption, among women aged 15-44 years (n = 10,940) in the United States by presence of risk factors and by socioeconomic characteristics. Prevalence of positive family history, non-binge, and binge drinking was 30%, 29%, and 31%, respectively among women aged 15-44. Awareness of positive family history of breast cancer as a risk factor for breast cancer was 88%, whereas for alcohol consumption it was 25%. Awareness of family history as a risk factor was higher among women with positive family history of breast cancer compared to those without. Current drinkers were more likely to believe that alcohol was not a risk factor for breast cancer compared to those who did not drink. Racial/ethnic minority women and those with lower education and income had lower awareness of family history as a risk factor. Awareness of alcohol consumption as a risk factor for breast cancer was low across all socioeconomic groups. Evidence-based interventions to increase risk awareness and decrease excessive alcohol use among young women are needed to reduce the risk of developing breast cancer.
认识到乳腺癌与乳腺癌家族史和饮酒等风险因素之间的联系,可能有助于改变健康行为。为了降低年轻女性患乳腺癌的风险因素,了解风险意识的总体水平以及意识方面的社会经济差异非常重要。利用2011 - 2015年全国家庭成长调查的数据,按风险因素的存在情况和社会经济特征,对美国15 - 44岁的女性(n = 10,940)中乳腺癌的两个风险因素,即家族史阳性和饮酒情况的知晓度进行了研究。在15 - 44岁的女性中,家族史阳性、非暴饮和暴饮的患病率分别为30%、29%和31%。将乳腺癌家族史阳性作为乳腺癌风险因素的知晓率为88%,而饮酒作为风险因素的知晓率为25%。与没有乳腺癌家族史阳性的女性相比,有乳腺癌家族史阳性的女性对家族史作为风险因素的知晓率更高。与不饮酒者相比酗酒者更有可能认为酒精不是乳腺癌的风险因素。少数族裔女性以及教育程度和收入较低的女性对家族史作为风险因素的知晓率较低。在所有社会经济群体中,对饮酒作为乳腺癌风险因素的知晓率都很低。需要采取基于证据的干预措施,以提高年轻女性的风险意识并减少过量饮酒,从而降低患乳腺癌的风险。