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Evidence-Informed Recommendations for Public Health in Reducing Breast Cancer Risk
— April 2011 —
Recommendation #3: Effective public health breast cancer prevention interventions
| Recommendations | Evidence (Author, Year) |
| Intervention strategies that are effective in changing behaviour related to breast cancer risk reduction include: | |
| Interventions to improve knowledge, attitudes, awareness, and/or beliefs about the importance of breast screening. Changing attitudes and beliefs may require interventions that include individualized counselling. |
Edwards 2003 Pignone 2003 Han 2009 Spadea 2010 |
| Personal breast cancer risk factor assessment, especially for high-risk women. |
Edwards 2003 |
| Invitations to mammography (though this is less effective for underscreened populations), phone calls, and educational material. |
Bailey 2005 Bonfill 2001 Denhaerynck 2003 Spadea 2010 |
Interventions targeted to practitioners and para-professionals that aim to improve screening compliance/ attendance, and:
|
Armstrong 2007 Baron 2010 Bonfill 2001 Gotzsche 2009 Mandelblatt 2003 Mandelblatt 1999 Noble 2009 Spadea 2010 |
| Mass media campaigns designed to increase awareness and promote screening, especially for underscreened populations. |
Grilli 2002 Legler 2002 |
| Specific to physical activity promotion, community-scale and street-scale urban design and land use regulations, policies, and practices (e.g., street design, pedestrian friendly designs). |
Heath 2006 |
| Interventions that are peer-led have been shown to be effective at increasing physical activity. |
Webel 2010 |
| Dietary advice (especially in a clinic setting), and nutrition education interventions in church and worksite settings. |
Pignone 2003 Thorogood 2007 |
| Alcohol reduction interventions including policies: making alcohol more expensive and less available; banning of alcohol advertising; drink-driving countermeasures; and individually directed interventions to drinkers already at risk. School-based alcohol prevention education does not reduce harm, but public information and education programmes can increase attention to alcohol on public and political agendas. |
Anderson 2009 Beaglehole 2009 Cummings 2009 Ellison 2001 Collaborative Group on Hormonal Factors in Breast Cancer 2002 Smith-Warner 1998 WHO 2011 |
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