Abstract
Families share behavioral risk factors that can increase the risk of cancer development. We examined whether having a positive family breast cancer history is associated with health behaviors/screening practices. Analyses were based on a cross-sectional sample of 545 Brazilian National Cancer Institute Hospital patients with newly diagnosed breast cancer in 2013/2014. Women were categorized according to their breast cancer family history. Age-adjusted Poisson regressions with robust variance were performed to estimate the association between breast cancer family history and selected health-related behaviors and screening practices. About one fourth of women reported a positive family history of breast cancer. Contrary to expectation, we found that women with a family history of breast cancer did not report healthier behaviors more often than those without a family history. However, those with a family history were more likely to report a mammographic exam prior to the mammographic diagnosis. Our study suggests that having a family history of cancer is not sufficient to change women’s behaviors about physical activity, weight control and diet, smoking, and drinking, but it seems to influence their breast cancer screening behavior. Our results suggest the need to increase women’s information and/or understanding that healthier lifestyles contribute to cancer prevention.
Abbreviations
- SD:
-
Standard deviation
- BMI:
-
Body mass index
- CI:
-
Confidence interval
References
Amadou A, Hainaut P, Romieu I, Amadou A, Hainaut P, Romieu I. Role of obesity in the risk of breast cancer: lessons from anthropometry, role of obesity in the risk of breast cancer: lessons from anthropometry. J Oncol J Oncol. 2013;2013:e906495.
Strumylaite L, Sharp SJ, Kregzdyte R, Poskiene L, Bogusevicius A, Pranys D. The association of low-to-moderate alcohol consumption with breast cancer subtypes defined by hormone receptor status. PLoS One. 2015;10(12):e0144680.
Kapil U, Bhadoria AS, Sareen N, Singh P, Dwivedi SN. Reproductive factors and risk of breast cancer: a review. Indian J Cancer. 2014;51(4):571–6.
Bennett IC, Gattas M, Teh BT. The management of familial breast cancer. Breast Edinb Scotl. 2000;9(5):247–63.
King M-C, Marks JH, Mandell JB, New York Breast Cancer Study Group. Breast and ovarian cancer risks due to inherited mutations in BRCA1 and BRCA2. Science. 2003;302(5645):643–6.
Bostean G, Crespi CM, McCarthy WJ. Associations among family history of cancer, cancer screening and lifestyle behaviors: a population-based study. Cancer Causes Control CCC. 2013;24(8):1491–503.
Kolonel LN. Cancer patterns of four ethnic groups in Hawaii. J Natl Cancer Inst. 1980;65(5):1127–39.
Ziegler RG, Hoover RN, Pike MC, Hildesheim A, Nomura AM, West DW, et al. Migration patterns and breast cancer risk in Asian-American women. J Natl Cancer Inst. 1993;85(22):1819–27.
Azevedo E, Silva G, de Moura L, Curado MP, Gomes F d S, Otero U, et al. The fraction of cancer attributable to ways of life, infections, occupation, and environmental agents in Brazil in 2020. PLoS One. 2016;11(2):e0148761.
Kolak A, Kamińska M, Sygit K, Budny A, Surdyka D, Kukiełka-Budny B, et al. Primary and secondary prevention of breast cancer. Ann Agric Environ Med AAEM. 2017;24(4):549–53.
Instituto Nacional de Câncer (INCA). Estimativa 2016: incidência de câncer no Brasil [Internet]. Rio de Janeiro: INCA; 2015. Available from: http://www.inca.gov.br/estimativa/2016/estimativa-2016-v11.pdf.
Instituto Nacional de Câncer (INCA). Atlas On-line de Mortalidade [Internet]. [cited 2016 Sep 22]. Available from: https://mortalidade.inca.gov.br/MortalidadeWeb/.
Instituto Nacional de Câncer (INCA). Diretrizes para a detecção precoce do câncer de mama no Brasil [Internet]. Rio de Janeiro: INCA; 2015. Available from: http://www1.inca.gov.br/inca/Arquivos/livro_deteccao_precoce_final.pdf.
Ripping TM, Hubbard RA, Otten JDM, den Heeten GJ, Verbeek ALM, Broeders MJM. Towards personalized screening: cumulative risk of breast cancer screening outcomes in women with and without a first-degree relative with a history of breast cancer. Int J Cancer J Int Cancer. 2016;138(7):1619–25.
Hall P, Easton D. Breast cancer screening: time to target women at risk. Br J Cancer. 2013;108(11):2202–4.
Roth FL, Camey SA, Caleffi M, Schuler-Faccini L, Palmero EI, Bochi C, et al. Consistency of self-reported first-degree family history of cancer in a population-based study. Familial Cancer. 2009;8(3):195–202.
Spector D, Mishel M, Skinner CS, DeRoo LA, VanRiper M, Sandler DP. Breast cancer risk perception and lifestyle behaviors among White and Black women with a family history. Cancer Nurs. 2009;32(4):299–308.
Tomazelli JG, Migowski A, Ribeiro CM, de Assis M, de Abreu DMF. Assessment of actions for breast cancer early detection in Brazil using process indicators: a descriptive study with Sismama data, 2010–2011. Epidemiol E Serv Saude Rev Sist Unico Saude Bras. 2017;26(1):61–70.
de Abrahão KS, Bergmann A, de Aguiar SS, Thuler LCS. Determinants of advanced stage presentation of breast cancer in 87,969 Brazilian women. Maturitas. 2015;82(4):365–70.
Joffe M, Ayeni O, Norris SA, McCormack VA, Ruff P, Das I, et al. Barriers to early presentation of breast cancer among women in Soweto, South Africa. PLoS One. 2018;13(2):e0192071.
de Munck L, Fracheboud J, de Bock GH, den Heeten GJ, Siesling S, Broeders MJM. Is the incidence of advanced-stage breast cancer affected by whether women attend a steady-state screening program? Int J Cancer. 2018; 143(4):842–850. https://doi.org/10.1002/ijc.31388
Matsubara H, Hayashi K, Sobue T, Mizunuma H, Suzuki S. Association between cancer screening behavior and family history among Japanese women. Prev Med. 2013;56(5):293–8.
Madlensky L, Vierkant RA, Vachon CM, Pankratz VS, Cerhan JR, Vadaparampil ST, et al. Preventive health behaviors and familial breast cancer. Cancer Epidemiol Biomark Prev Publ Am Assoc Cancer Res Cosponsored Am Soc Prev Oncol. 2005;14(10):2340–5.
Thomson AK, Heyworth JS, Girschik J, Slevin T, Saunders C, Fritschi L. Beliefs and perceptions about the causes of breast cancer: a case-control study. BMC Res Notes. 2014;7:558.
Montgomery GH, Erblich J, DiLorenzo T, Bovbjerg DH. Family and friends with disease: their impact on perceived risk. Prev Med. 2003;37(3):242–9.
Silva GAE, de Rezende LFM, da Gomes FS, de Souza Júnior PRB, Szwarcwald CL, Eluf Neto J. Lifestyle among former cancer patients in Brazil in 2013. Cienc Saude Coletiva. 2016;21(2):379–88.
Martins LFL, de Almeida LM, Szklo AS, Tupinambá HA, Szklo M, Coeli CM. The association between scheduling a gynecologic clinical visit and clinical breast examination in Rio de Janeiro. Int J Gynaecol Obstet Off Organ Int Fed Gynaecol Obstet. 2015;131(3):289–92.
Acknowledgements
The authors thank Alexandre do Carmo, Beatriz Jardim, and Francisca Lucena for the support on the study design and data collection.
Funding
This study was supported by the Brazilian National Cancer Institute.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare there is no conflict of interest.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Electronic Supplementary Material
ESM 1
(DOCX 22 kb)
Rights and permissions
About this article
Cite this article
Bertoni, N., de Souza, M.C., Crocamo, S. et al. Is a Family History of the Breast Cancer Related to Women’s Cancer Prevention Behaviors?. Int.J. Behav. Med. 26, 85–90 (2019). https://doi.org/10.1007/s12529-018-9737-9
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12529-018-9737-9