Attitudes towards risk-stratified breast cancer screening: a population-based survey among 5,001 Danish women

Abstract Background The individual woman’s risk of being diagnosed with breast cancer can now be estimated more precisely, and screening can be stratified accordingly. The risk assessment requires that women are willing to provide a blood test, additional personal information, to know their risk, an...

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Main Authors: Louise Hougaard Loft, Line Hjøllund Pedersen, Janne Bigaard, Stig Egil Bojesen
Format: Article
Language:English
Published: BMC 2024-03-01
Series:BMC Cancer
Online Access:https://doi.org/10.1186/s12885-024-12083-2
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author Louise Hougaard Loft
Line Hjøllund Pedersen
Janne Bigaard
Stig Egil Bojesen
author_facet Louise Hougaard Loft
Line Hjøllund Pedersen
Janne Bigaard
Stig Egil Bojesen
author_sort Louise Hougaard Loft
collection DOAJ
description Abstract Background The individual woman’s risk of being diagnosed with breast cancer can now be estimated more precisely, and screening can be stratified accordingly. The risk assessment requires that women are willing to provide a blood test, additional personal information, to know their risk, and alter screening intervals. This study aimed to investigate Danish women’s attitudes towards risk-stratified breast cancer screening. Methods An online, cross-sectional survey was conducted among Danish women aged 52–67 years. We used logistic regression analyses to assess how personal characteristics were associated with the women’s attitudes. Results 5,001 women completed the survey (response rate 44%) of which 74% approved of risk estimation to potentially alter their screening intervals. However, only 42% would accept an extended screening interval if found to have low breast cancer risk, while 89% would accept a reduced interval if at high risk. The main determinants of these attitudes were age, education, screening participation, history of breast cancer, perceived breast cancer risk and to some extent breast cancer worry. Conclusion This study indicates that women are positive towards risk-stratified breast cancer screening. However, reservations and knowledge among subgroups of women must be carefully considered and addressed before wider implementation of risk-stratified breast cancer screening in a national program.
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spelling doaj.art-2e11444456ec4a91a50286630c650e142024-03-24T12:23:35ZengBMCBMC Cancer1471-24072024-03-012411910.1186/s12885-024-12083-2Attitudes towards risk-stratified breast cancer screening: a population-based survey among 5,001 Danish womenLouise Hougaard Loft0Line Hjøllund Pedersen1Janne Bigaard2Stig Egil Bojesen3Prevention and Information Dept, Danish Cancer SocietyPrevention and Information Dept, Danish Cancer SocietyPrevention and Information Dept, Danish Cancer SocietyDepartment of Clinical Biochemistry, Herlev and Gentofte Hospitals, Copenhagen University HospitalAbstract Background The individual woman’s risk of being diagnosed with breast cancer can now be estimated more precisely, and screening can be stratified accordingly. The risk assessment requires that women are willing to provide a blood test, additional personal information, to know their risk, and alter screening intervals. This study aimed to investigate Danish women’s attitudes towards risk-stratified breast cancer screening. Methods An online, cross-sectional survey was conducted among Danish women aged 52–67 years. We used logistic regression analyses to assess how personal characteristics were associated with the women’s attitudes. Results 5,001 women completed the survey (response rate 44%) of which 74% approved of risk estimation to potentially alter their screening intervals. However, only 42% would accept an extended screening interval if found to have low breast cancer risk, while 89% would accept a reduced interval if at high risk. The main determinants of these attitudes were age, education, screening participation, history of breast cancer, perceived breast cancer risk and to some extent breast cancer worry. Conclusion This study indicates that women are positive towards risk-stratified breast cancer screening. However, reservations and knowledge among subgroups of women must be carefully considered and addressed before wider implementation of risk-stratified breast cancer screening in a national program.https://doi.org/10.1186/s12885-024-12083-2
spellingShingle Louise Hougaard Loft
Line Hjøllund Pedersen
Janne Bigaard
Stig Egil Bojesen
Attitudes towards risk-stratified breast cancer screening: a population-based survey among 5,001 Danish women
BMC Cancer
title Attitudes towards risk-stratified breast cancer screening: a population-based survey among 5,001 Danish women
title_full Attitudes towards risk-stratified breast cancer screening: a population-based survey among 5,001 Danish women
title_fullStr Attitudes towards risk-stratified breast cancer screening: a population-based survey among 5,001 Danish women
title_full_unstemmed Attitudes towards risk-stratified breast cancer screening: a population-based survey among 5,001 Danish women
title_short Attitudes towards risk-stratified breast cancer screening: a population-based survey among 5,001 Danish women
title_sort attitudes towards risk stratified breast cancer screening a population based survey among 5 001 danish women
url https://doi.org/10.1186/s12885-024-12083-2
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