Study of Cohort Construction for Development of Early Alarm System (EMS) for Breast Cancer: based on women living in a rural area.
- Author:
Hea Kung HUR
1
;
So Mi PARK
;
Gi Yon KIM
;
Hae Jong LEE
;
Eun Po JEAN
Author Information
1. Department of Nursing, Wonju College of Medicine, Yonsei University, Korea.
- Publication Type:Original Article
- Keywords:
Cohort;
Alarm system;
Breast neoplasms
- MeSH:
Biopsy;
Breast Diseases;
Breast Neoplasms*;
Breast*;
Cohort Studies*;
Female;
Humans;
Live Birth;
Mammography;
Menarche;
Risk Assessment;
Risk Factors;
Ultrasonography
- From:Journal of Korean Academy of Adult Nursing
2006;18(1):146-156
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: 1) to construct cohorts according to risk scores calculated with the Gail Breast Cancer Risk Assessment Tool (Gail et al., 1989) (Gail) and the Breast Cancer Risk Appraisal (Lee et al,. 2003) (Lee) 2) to identify the distribution of risk factors and preventive behavior stages between the cohorts 3) to identify abnormal breast conditions in risk cohort. METHOD: Using convenience sampling, 775 rural women were selected. Risk appraisal was scored using Gail and Lee. Preventive behavior stages for BSE (Breast self examination) and mammography were measured using 4 stages of the Transtheoretical Model (Prochaska & DiClemente, 1983). RESULTS: 1) The risk cohort according to Gail was 12.3% (n=95), and Lee, 3.1% (n=24). 2) There were significant differences in the distribution of risk factors (age, family history, age at 1st live birth, age at menarche, number of breast biopsy, history of breast disease, and breast-feeding) between cohorts. 3) There was a significant difference in the distribution of the stage of BSE according to Lee. 4) Six women in the risk group detected masses or nodules and physician consultation and ultrasonography were recommended. CONCLUSION: On the basis of the constructed cohorts, further longitudinal studies of cohorts are recommended with interventions according to characteristics of cohorts.
