title: Compliance with screening recommendations according to breast cancer risk levels in Izmir, Turkey.
abstract: Early diagnosis has a major role in improving prognosis of breast cancer. The purpose of this study was to assess the risk status of women 35-69 years of age using risk assessment models and the prevalence of mammography in a community setting. The sample of this cross sectional study consisted of 227 women, 35-69 years of age residing in Izmir, a city located in western region of Turkey. A questionnaire was used to collect data and the Gail and Cuzick-Tyrer models were applied to assess the risk of breast cancer. In this study, 52.7% of women had mammography at least once, and 41.3% of the women over the age of 40 had mammography screening in the last two years. The five years risk for breast cancer was high in 15.8% of women according to the Gail model and ten years risk was high in 21.7% with the Cuzick-Tyrer model. In the present study, the breast cancer risk levels were assessed in a population setting for the first time in Turkey using breast cancer risk level assessment models. Being in 60-69 age group, having low education and not being in menopause were significant risk factors for not having mammography according to logistic regression analysis. Mammography utilization rate was low. Women must be educated about breast cancer screening methods and early diagnosis. The women in the high risk group should be informed on their risk status which may increase their attendance at breast cancer screening.
authors.affiliation: Health Sciences Institute, Department of Public Health, Dokuz Eylul University, Izmir, Turkey. ayla.acikgoz@deu.edu.tr
authors.forename: Ayla
authors.initials: A
authors.lastname: Acikgoz
authors.forename: Gul
authors.initials: G
authors.lastname: Ergor
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000453:epidemiology; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer; D005260:Female; D005500:Follow-Up Studies; D017408:Guidelines as Topic; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D008403:Mass Screening / Q000592:standards*; D008875:Middle Aged; D010349:Patient Compliance; D011379:Prognosis; D018570:Risk Assessment; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014421:Turkey / Q000453:epidemiology