title: Women's interest in a personal breast cancer risk assessment and lifestyle advice at NHS mammography screening.
abstract: Although mortality from breast cancer is declining, incidence continues to increase and is often detected at routine NHS screening. Most middle aged and older women in England attend for screening every 3 years. Assessing their personal breast cancer risk and providing preventative lifestyle advice could help to further reduce breast cancer incidence.
  
  
  
  A cross-sectional, self-complete postal survey measured attendees' interest in having a personal risk assessment, expected impact on screening attendance, knowledge of associations between lifestyle and breast cancer and preferred ways of accessing preventative lifestyle advice.
  
  
  
  A total of 1803/4948 (36.4%) completed questionnaires were returned. Most participants (93.7%) expressed interest in a personal risk assessment and 95% (1713/1803) believed it would make no difference or encourage re-attendance. Two-thirds (1208/1803) associated lifestyle with breast cancer, but many were unaware of specific risks such as weight gain, obesity, alcohol consumption and physical inactivity. NHS sourced advice was expected to be more credible than other sources, and booklets, brief counselling or an interactive website were most preferred for accessing this.
  
  
  
  Attendees appear to welcome an intervention that would facilitate more proactive clinical and lifestyle prevention and address critical research gaps in breast cancer prevention and early detection.
authors.affiliation: Institute of Applied Health Research, University of Birmingham, Edgbaston B15 2TT, UK.
authors.forename: B A
authors.initials: BA
authors.lastname: Fisher
authors.affiliation: South West London Breast Screening Service, The Rose Centre, St George's Hospital NHS Trust, Perimeter Road, London SW17 0QT, UK.
authors.forename: L
authors.initials: L
authors.lastname: Wilkinson
authors.affiliation: Avon Breast Screening, The Bristol Breast Care Centre, Beaufort House, Southmead Hospital, Westbury-on-Trym, Bristol BS10 5NB, UK.
authors.forename: A
authors.initials: A
authors.lastname: Valencia
mesh_terms: D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis*; D003376:Counseling; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D008019:Life Style; D008131:London; D008327:Mammography; D008875:Middle Aged; D013222:State Medicine; D011795:Surveys and Questionnaires
keywords: cancer; health promotion; screening
references.citation: Br J Cancer. 2005 Sep 5;93(5):582-9
references.pmid: 16136032
references.citation: JAMA. 2006 Jul 12;296(2):193-201
references.pmid: 16835425
references.citation: Cochrane Database Syst Rev. 2012 Aug 15;(8):CD007675
references.pmid: 22895964
references.citation: Soc Sci Med. 2001 Jun;52(11):1661-76
references.pmid: 11327139
references.citation: JAMA. 2011 Nov 2;306(17):1884-90
references.pmid: 22045766
references.citation: Epidemiology. 2007 Jan;18(1):137-57
references.pmid: 17130685
references.citation: Health Psychol. 2007 Nov;26(6):718-27
references.pmid: 18020844
references.citation: Psychol Bull. 2014 Mar;140(2):511-43
references.pmid: 23731175
references.citation: Cancer Epidemiol Biomarkers Prev. 2005 Mar;14(3):656-61
references.pmid: 15767346
references.citation: J Epidemiol Community Health. 2009 Aug;63(8):610-22
references.pmid: 19386612
references.citation: J Epidemiol Community Health. 2008 Jul;62(7):638-46
references.pmid: 18559448
references.citation: Cancer Prev Res (Phila). 2013 Mar;6(3):165-72
references.pmid: 23324132
references.citation: J Epidemiol Community Health. 2004 Apr;58(4):303-7
references.pmid: 15026443
references.citation: Ann Behav Med. 2006 Jun;31(3):205-23
references.pmid: 16700634
references.citation: J Epidemiol Community Health. 2003 Jun;57(6):440-3
references.pmid: 12775791
references.citation: Stat Med. 2004 Apr 15;23(7):1111-30
references.pmid: 15057881
references.citation: Cancer Prev Res (Phila). 2012 Jul;5(7):943-51
references.pmid: 22581816
references.citation: Br J Cancer. 2004 Jan 26;90(2):393-6
references.pmid: 14735182
references.citation: Arch Intern Med. 2007 Oct 22;167(19):2091-102
references.pmid: 17954804
references.citation: Am J Prev Med. 2007 Oct;33(4):336-345
references.pmid: 17888860
references.citation: Stat Med. 1998 Apr 30;17(8):857-72
references.pmid: 9595616
references.citation: Int J Behav Nutr Phys Act. 2014 Dec 17;11:156
references.pmid: 25516158
references.citation: Int J Med Inform. 2012 Jun;81(6):388-94
references.pmid: 22265810
references.citation: J Natl Cancer Inst. 2000 Jul 5;92(13):1081-7
references.pmid: 10880551
references.citation: Health Technol Assess. 2003;7(42):1-92
references.pmid: 14670217
references.citation: J Clin Oncol. 2010 Sep 10;28(26):4074-80
references.pmid: 20644095
references.citation: N Engl J Med. 2015 Oct 8;373(15):1479
references.pmid: 26444742
references.citation: Clin Gastroenterol Hepatol. 2007 Apr;5(4):477-83
references.pmid: 17363335
references.citation: Psychol Bull. 2015 Mar;141(2):474-509
references.pmid: 25528345
references.citation: Obes Rev. 2012 Jul;13(7):606-17
references.pmid: 22404752
references.citation: Breast Cancer Res. 2013 Oct 01;15(5):R92
references.pmid: 24286369
references.citation: J Med Internet Res. 2014 Jan 27;16(1):e26
references.pmid: 24472854
references.citation: Health Promot Int. 2007 Jun;22(2):137-45
references.pmid: 17218347
references.citation: Br J Cancer. 2011 Dec 6;105 Suppl 2:S77-81
references.pmid: 22158327
references.citation: Med Oncol. 2011 Sep;28(3):753-65
references.pmid: 20411366
references.citation: J Natl Cancer Inst. 1996 May 15;88(10):650-60
references.pmid: 8627641