Buyukasik Suleyman, Kankaya Burak, Altundal Yusuf Emre, Ozgul Mustafa, Atashbari Fatemeh, Osman Aisha Abshir Hussain, Alis Halil, Kapan Selin
Department of General Surgery, Faculty of Medicine, Istanbul Aydin University, Istanbul, Turkey.
Department of Ophthalmology, Gavin Herbert Eye Institute, University of California Irvine, Irvine, CA, USA.
Breast Cancer (Dove Med Press). 2025 Aug 25;17:741-754. doi: 10.2147/BCTT.S533079. eCollection 2025.
Breast cancer is a major global health concern. In some societies, male family members influence women's healthcare decisions, yet their awareness and attitudes toward breast cancer screening remain poorly understood. Our research aimed to analyze awareness, knowledge, and willingness to recommend breast cancer screening among men from two distinct populations, and to examine how age and educational level influence willingness to recommend breast examinations for female family members.
This prospective cross-sectional survey study included male academic staff at a university (University Personnel Group, n=105) and male patients visiting a hospital policlinic with non-breast-related complaints along with their male companions (Clinical Attendee Group, n=100). A 10-item structured questionnaire assessed demographics, knowledge about breast cancer, and attitudes toward mammography screening using statistical analysis.
Both groups demonstrated similar knowledge levels regarding breast cancer frequency in women (55%), male breast cancer occurrence (45%), and annual mammography necessity (~52%). The clinical attendee group showed significantly greater willingness to recommend breast examinations compared to the university personnel group (94.0% vs 74.3%, p<0.001). In the clinical attendee group, willingness increased with age (88.9% in ages 15-25 to 100% in ages 40+), showing a significant positive trend (p<0.05). The university personnel group exhibited peak willingness (87.1%) in the 25-40 age group, with lower rates in other age categories. Educational status strongly influenced willingness in the university personnel group, increasing from 33.3% at high school level to 87.8% at Master's/Ph.D. level, while the clinical attendee group maintained high willingness (91.7-100%) across all education levels.
Our findings show patterns of breast cancer awareness and screening recommendation willingness between clinical attendees and university personnel. While basic knowledge about breast cancer was similar, willingness to recommend screening differed significantly, with age and education having differential impacts between groups.
乳腺癌是全球主要的健康问题。在一些社会中，男性家庭成员会影响女性的医疗保健决策，但他们对乳腺癌筛查的认识和态度仍知之甚少。我们的研究旨在分析来自两个不同人群的男性对乳腺癌筛查的认识、知识和推荐意愿，并研究年龄和教育水平如何影响为女性家庭成员推荐乳房检查的意愿。
这项前瞻性横断面调查研究包括一所大学的男性学术人员（大学人员组，n = 105）以及因非乳房相关疾病前往医院门诊就诊的男性患者及其男性同伴（临床就诊者组，n = 100）。一份包含10个条目的结构化问卷通过统计分析评估了人口统计学特征、关于乳腺癌的知识以及对乳房X线筛查的态度。
两组在女性乳腺癌发病率（约55%）、男性乳腺癌发生率（约45%）和年度乳房X线检查必要性（约52%）方面表现出相似的知识水平。与大学人员组相比，临床就诊者组表现出明显更高的推荐乳房检查的意愿（94.0%对74.3%，p<0.001）。在临床就诊者组中，意愿随年龄增加而上升（15 - 25岁年龄段为88.9%，40岁及以上年龄段为100%），呈现出显著的正相关趋势（p<0.05）。大学人员组在25 - 40岁年龄组表现出最高意愿（87.1%），其他年龄组的比例较低。教育程度对大学人员组的意愿有强烈影响，从高中水平的33.3%增至硕士/博士水平的87.8%，而临床就诊者组在所有教育水平上都保持着较高的意愿（91.7 - 100%）。
我们的研究结果显示了临床就诊者和大学人员在乳腺癌认识和筛查推荐意愿方面的模式。虽然关于乳腺癌的基本知识相似，但推荐筛查的意愿存在显著差异，年龄和教育程度在两组中的影响有所不同。
