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Background: Early detection and identification of the risk factors is crucial in minimizing morbidity and mortality arising due to breast cancer. Research has proven that, physiotherapist as a part of multidisciplinary team, plays an important role in treating these patients after surgery. However, evidence suggesting the role of physiotherapist in the domain of health promotion and prevention is limited. Thus an effort is made in this study to explore the level of awareness about the risk factors and prevention and to predict the percent risk of having breast cancer in future five years.Methods: A cross sectional study was conducted in the urban slums of Turbhe. 200 females aged 35 years and above were selected. A self structured questionnaire was formed using Gail’s model. The questionnaire was validated and a house to house survey was conducted.Results: 67.5% females thought that alcohol/tobacco consumption carried the highest risk of breast cancer. 61.5% females were aware of lack of breast feeding as the risk factor for breast cancer. 74% females did not know about breast self – examination while 78.5% had not heard about mammography as screening methods for breast cancer prevention. 14.5% females carried a high risk of getting breast cancer in the future five years.Conclusions: Awareness of study participants about breast cancer was very poor. There is a need for awareness programs to educate women about risk factors and promotion of early detection of breast cancer.
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Breast cancer, as one of the most common malignant tumors in women, is a serious threat to life and health of women worldwide. To develop a simple and effective model to predict individual's risk of breast cancer has become the focus of breast cancer prevention research. Among the established predictive models, the Gail model is the most widely used one in developed countries, such as the United States and the countries in Europe. This paper reviews the application and research progress of Gail model in China and foreign countries, particularly focuses on the advantages and disadvantages in Gail model, in order to provide some references for the establishment of breast cancer risk assessment model suitable for Chinese population.
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OBJECTIVES: The aim of this study is to estimate the relative risk for breast cancer using the Gail model and to observe the relationship between mammographic density and the 5-year risk of breast cancer. METHODS: A total of 600 women who visited the Department of Obstetrics and Gynecology in Chung-Ang University Yongsan Hospital were screened using the Gail model to estimate their relative risk for breast cancer. The correlation between the 5-year risk of breast cancer and the mammographic density of 462 women who had performed mammography within 1 year of the study was analyzed. RESULTS: The mean age of the study subjects was 56.7 +/- 8.2 years. The estimated mean values for the 5-year risk and lifetime risk for breast cancer were 1.23 +/- 0.46% and 7.90 +/- 2.76% respectively in all study subjects. The estimated mean value of the 5-year risk for breast cancer increased with age. Otherwise, the estimated lifetime risk for breast cancer decreased with age. Ninety-two women (15.3%) were classified as high-risk because their estimated 5-year risk was over 1.67% or their lifetime risk was over 20%. High risk percentages according to age were 10.5% in the thirties, 0.84% in the forties, 7.2% in the fifties, 32.7% in the sixties, and 35.7% in the seventies. Among the high risk postmenopausal women, 52.2% were taking hormone therapy. Mammographic density was not significantly correlated with the estimated 5-year risk for breast cancer. CONCLUSION: About fifteen percent of study subjects were at high risk for breast cancer according to the estimated 5-year risk or lifetime risk for breast cancer using Gail model. Mammographic density was not correlated with the 5-year risk for breast cancer.