A Strategy for Addressing Population Health Management

Area of Science:

• Public Health
• Health Disparities
• Preventive Medicine

Background:

• The US faces a health disadvantage compared to peer nations, with high rates of obesity and lower life expectancy for women.
• Lifestyle factors significantly impact risks for obesity, heart disease, and some cancers, including breast cancer.
• Population health management strategies are crucial for addressing health disparities and improving outcomes.

Purpose of the Study:

• To explore women's perceptions of breast cancer mortality risk versus heart disease mortality risk.
• To assess the perceived likelihood of developing breast cancer.
• To determine awareness of lifestyle factors associated with breast cancer risk.

Main Methods:

• A cross-sectional online survey was conducted.
• Participants included female US residents aged 35-49 without a prior cancer diagnosis.
• The study was set within a mid-Missouri healthcare system's service area.

Main Results:

• Minority women and those with lower education levels were more likely to perceive breast cancer as causing more female deaths than heart disease.
• Women with prior mammograms reported a higher perceived likelihood of developing breast cancer.
• Less educated women demonstrated lower awareness of modifiable lifestyle behaviors for breast cancer risk reduction.

Conclusions:

• Significant gaps exist in public understanding of breast cancer risks and lifestyle modifications.
• Targeted strategies are needed to improve health literacy and promote preventive behaviors.
• Bridging messages for heart health and breast health can enhance population health management efforts.