A pilot study of breast cancer intervention and early detection program in China

Background: The incidence rate of breast cancer has increased dramatically over the last several decades in several large urban cities in China, making breast cancer the most common cancer among women in these regions. It is predicted 2.5 million new cases of breast cancer by 2021 among Chinese women who were 35–49 years old in 2001. Although considerable progress was made in U.S. and other western countries in breast cancer screening to reduce the incidence and mortality rates of breast cancer, the utilization of recommended tests is extremely low among women in China. Therefore, breast cancer education and early detection have become an increasingly important health issue. Objective: The purpose was to evaluate the effects of a worksite-based intervention that combined breast cancer education with patient navigation among Chinese women residing in China. Methods: 751 Chinese women were recruited and enrolled from 12 worksites from Nanjing City of Jiangsu Province, China. Participants were assigned to the intervention or control group. The intervention group received workshop education and educational brochures on breast cancer, and clinical assistance for breast cancer screening, and the control group received information about women's health, healthy life style such as nutrition and physical exercise to last a lifetime. Knowledge and attitude change were assessed at baseline and post education. Outcome measure of screening (mammogram) was measured at 6-month follow up post intervention. Results: Preliminary results indicated a significant increase of breast cancer screening in intervention group. Knowledge, attitudes and factors impact on screening will be presented in poster. Discussion: A worksite breast cancer intervention is an effective approach in increasing the awareness of breast cancer and participation in breast cancer education and early detection