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Patient Awareness of Alcohol Consumption and Breast Cancer Risk
Dawn M Mussallem1, Elizabeth K Farkouh2, Taryn L Smith3
1Robert and Monica Jacoby Center for Breast Health, Mayo Clinic, Jacksonville, FL, USA (DMM).
Objective:
To estimate the proportion of female patients from Mayo Clinic Family Medicine and Community Internal Medicine clinics who are aware of alcohol use as a breast cancer (BC) risk factor.
Patients And Methods:
One thousand women aged 21 to 70 completed a survey collecting information on demographics, medical/family history, frequency and quantity of alcohol consumption, and other health behaviors. Participants were also asked to grade how likely certain factors were to increase lifetime BC risk.
Results:
Most participants (844/990 [85.3%]) identified a family history of BC as a BC risk factor. In contrast, 48.4% (475/982) identified alcohol use as a BC risk factor. The remaining 51.6% (507/982) reported either they were not sure about alcohol consumption as a risk factor (341/982 [34.7%]), believed that there was no association (143/982 [14.6%]), or believed that alcohol consumption decreases the risk of BC (23/982 [2.3%]). In multivariable analyses, factors associated with awareness of alcohol consumption and BC risk included having never been pregnant (P = 0.048), more education (P < 0.001), and higher frequency of alcohol consumption in the past 12 months (P = 0.005).
Conclusion:
Further education of patients and the public is needed to promote awareness of alcohol as a risk factor for BC.
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