Kamila Kayla Aisha, Liow Jonathan Jun Kit, Giam Freda, Lim Zi Lin, Ho Peh Joo, Sim Tomiko Mei Ying, Khng Alexis, Chin Chi Hui, Iau Philip Tsau Choong, Liu Jenny, Kwek Sing Cher, Zhang Zhi Peng, Tan Benita Kiat Tee, Tan Veronique Kiak Mien, Hartman Mikael, McCrickerd Keri, Li Jingmei
Genome Institute of Singapore (GIS), Agency for Science, Technology and Research (A*STAR), Singapore.
Institute for Human Development and Potential (IHDP), Agency for Science, Technology and Research (A*STAR), Singapore.
BMJ Open. 2025 Mar 12;15(3):e086340. doi: 10.1136/bmjopen-2024-086340.
To explore husbands' views on breast cancer screening, risk-based screening and their role in influencing their wives' health-seeking behaviours.
Qualitative focus group discussion (FGD) supplemented by quantitative data from a cohort study using a structured questionnaire.
This study was conducted in a community-based setting, with participants recruited online through non-profit organisations via social media and email.
Nineteen husbands of women without breast cancer history participated. The questionnaire data were completed by 3395 women with no breast cancer history.
Not applicable.
Not applicable.
Six key themes emerged from FGDs regarding husbands' attitudes towards women's breast cancer screening practices: awareness, priorities, social support structures, fears, incentives and attitudes towards risk-based screening. These themes were supported by the questionnaire data, which also identified additional concerns not raised in FGDs, suggesting a gap in the husband's awareness and limited health-related communication between spouses. While husbands expressed interest in their wives' health and provided support in making screening appointments, their influence may be limited by these communication gaps. Most husbands were receptive to risk-based screening but raised concerns around the testing frequency and result interpretation.
This study highlights the need to actively engage husbands in breast cancer screening discussions and develop support strategies that enhance their involvement. Strengthening spousal communication on breast health may increase screening uptake among women.
探讨丈夫对乳腺癌筛查、基于风险的筛查的看法，以及他们在影响妻子寻求健康行为方面的作用。
定性焦点小组讨论（FGD），并辅以来自队列研究的结构化问卷定量数据。
本研究在社区环境中进行，参与者通过非营利组织在社交媒体和电子邮件上在线招募。
19名无乳腺癌病史女性的丈夫参与其中。问卷数据由3395名无乳腺癌病史的女性完成。
不适用。
不适用。
焦点小组讨论中出现了六个关于丈夫对女性乳腺癌筛查做法态度的关键主题：意识、优先事项、社会支持结构、恐惧、激励措施以及对基于风险的筛查的态度。这些主题得到了问卷数据的支持，问卷数据还识别出了焦点小组讨论中未提及的其他担忧，这表明丈夫的意识存在差距，配偶之间与健康相关的沟通有限。虽然丈夫们表示对妻子的健康感兴趣，并在安排筛查预约方面提供支持，但他们的影响可能会受到这些沟通差距的限制。大多数丈夫接受基于风险的筛查，但对检测频率和结果解读表示担忧。
本研究强调需要让丈夫积极参与乳腺癌筛查讨论，并制定增强他们参与度的支持策略。加强配偶之间关于乳房健康的沟通可能会提高女性的筛查接受率。
