Breast cancer risk and early diagnosis applications in Turkish women aged 50 and over.

BACKGROUND: The aim of the study was to determine breast cancer risk and early diagnosis applications in women aged ≥50. MATERIALS AND METHODS: This cross-sectional, descriptive field study focused on a population of 4,815 in Mansurog?lu with a 55.1% participation rate in screening. In the study, body mass index (BMI) was also evaluated in the calculation of breast cancer risk by the Breast Cancer Risk Assessment Tool (BCRA) (also called the "Gail Risk Assessment Tool") . The interviewers had a three-hour training provided by the researchers, during which interactive training methods were used and applications were supported with role-plays. RESULTS: The mean age of the women participating in the study was 60.1±8.80. Of these women, 57.3% were in the 50-59 age group, 71.7% were married, 57.3% were primary school graduates and 61.7% were housewives. Breast-cancer development rate was 7.4% in the women participating in the study. When they were evaluated according to their relationship with those with breast cancer, it was determined that 73.0% of them had first- degree relatives with breast cancer. According to the assessment based on the Gail method, the women's breast cancer development risk within the next 5 years was 17.6%, whereas their calculated lifetime risk was found to be as low as 0.2%. Statistically significant differences (P=0.000) were determined between performing BSE - CBE and socio-demographic factors. CONCLUSIONS: It was determined that 17.6% of the participants had breast cancer risk. There was no statistically significant difference between the women with and without breast cancer risk in terms of early diagnosis practices, which can be regarded as a remarkable finding. It was planned to provide training about the early diagnosis and treatment of breast cancer for people with high-risk scores, and to conduct population-based breast cancer screening programs.

Sociodemographic aspects of consanguineous marriage in an urban slum of a metropolitan area in Izmir, Turkey.

BACKGROUND: Consanguineous marriage is a common practice in Turkey. Sociodemographic and cultural factors associated with it are still unclear. AIM: The purpose of this study was to investigate the association between sociodemographic and fertility factors and consanguineous marriages in an urban slum of a metropolitan area in Turkey. METHODS: This community-based case-control study was conducted in Bayrakli Municipality health centres. Of the 1243 married women, 85 consanguineously married were included in the case group. A control group in non-consanguineous marriages consisted of 85 women matched to cases according to age and neighbourhood. Information about the subjects' sociodemographic features, fertility history and opinions about consanguineous marriage was collected. RESULTS: Factors that were associated with consanguinity included; having a low level of education (OR = 2.7, CI = 1.1-6.7), a brief duration time in Izmir after migration (OR = 4.7, CI = 1.9-11.6) and consanguineous parents (OR = 3.8, CI = 1.5-9.7). Despite the increased numbers in fertility features and higher perinatal mortality for first cousin marriages, there was no significant difference in the mean numbers of pregnancies, births, stillbirths and living children. CONCLUSION: Time after migration and educational background of women were the main factors associated with consanguineous marriages. Public health interventions to reduce consanguineous marriage in urban areas should target socioeconomically disadvantaged populations in cities.

Midwives roles in women's improvement of protective behaviour against breast cancer whether they have a family history of cancer or not.

PURPOSE: The aim of the study was to determine roles of midwives in helping women improve behavior for protection against breast cancer and towards early diagnosis whether they have a family history of cancer or not. MATERIALS AND METHODS: The study was planned in order to evaluate the efficacy of education about the risk factors of breast cancer and primary and secondary protection (early diagnosis) measures given to the women between the ages of 20-49, literate, married and who had or did not have cancer cases in their families. It was carried out in the region of Çamkule Levent Kara Health Care Center between March 2006 and April 2007. RESULTS: Age, educational and economic status of the women with or without a cancer case in their families have been equivalent and a statistically significant difference has not been determined between both of the groups (p>0.05). The cancer risk perception of the women having a cancer case in their families (75.8%) was higher than in those without (62.8%) (p<0.005). Although they were also better informed about protection against cancer and early diagnosis, they do not participate to a greater extent in the practices of early diagnosis-scanning of breast cancer and they do not turn the information into attitude or behavior. CONCLUSION: The results of the study showed that midwives have significant responsibilities for directing all women towards protection against breast cancer and early diagnosis programs.