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Vol.16 Issue.4 · October-December 2025
Page: 227-241 Research Article 127x viewed
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Evaluation of breast cancer risk factors in women who apply to city of Samsun Atakum cancer early diagnosis, screening education center for breast cancer screening: A cross sectional study

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Published Online: 29 December 2025 · Accepted: 4 December 2025 · Received: 20 October 2025
Doi: 10.15511/tjtfp.25.00427
Cite Code: The Journal of Turkish Family Physician 2025;16(4):227-241
Authors: Bektaş Murat Yalçın 1 · Merve İlkaya Yediel 2
1 Ondokuz Mayıs University Faculty of Medicine, Department of Family Medicine, Prof. Dr., Samsun.
2 Ondokuz Mayıs University Faculty of Medicine, Department of Family Medicine, Specialist Doctor, Samsun. {ORCID:0000-0002-0837-0626}

Citation code: Yalçın BM, Yediel Mİ. Evaluation of Breast Cancer Risk Factors in Women Applying to Samsun Province Atakum Cancer Early Detection, Screening and Education Center: A Cross-Sectional Study. Jour Turk Fam Phy 2025; 16 (4):227-241 doi: 10.15511/tjtfp.25.00427

Ethical Approval and Permissions: Ethical approval was obtained from the Ondokuz Mayıs University Clinical Research Ethics Committee on November 24, 2021, with decision number 2021/530, and from the Samsun Provincial Health Directorate Scientific Research Evaluation Committee on December 16, 2021, with decision number 604.01.02. No conflict of interest was reported.

This article is published online via Open Access and distributed under the terms of the Creative Commons Attribution Non-Commercial License 4.0 (CC BY-NC 4.0).


Keywords: Breast cancer · cancer prevention · Gail Model · primary care · risk factor
PDF - Evaluation of breast cancer risk factors in women who apply to city of Samsun Atakum cancer early diagnosis, screening education center for breast cancer screening: A cross sectional study
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Abstract

Aim: To evaluate breast cancer risk factors in women who applied to Samsun Atakum Cancer Early Diagnosis, Screening Education Center (KETEM), affiliated to Atakum District Health Directorate, for breast cancer screening.

Materials and Methods: This is a cross-sectional, descriptive study. 205 women who applied for breast cancer screening to the Samsun Atakum KETEM were included in the study. Sociodemographic, anthropometric and breast cancer risk data of the participants were obtained by applying a one to one survey, and the breast cancer risk was calculated using the Gail Model together with the mammografy results.

Results: The average age of the participants is 52.49 ± 8.138 years, and the average BMI measurement is 29.94 ± 5.583 kg/m2. The five-year average risk score of developing breast cancer in participants whose relatives were diagnosed with breast cancer was found to be 10.61±3.83 (t= -4.680; p<0.01), while the lifetime risk average score of women with BIRADS 0 was found to be 10.91±3.23 (t= -3.057; p<0.01). Women with breast types C and D were found to have a higher risk of developing breast cancer than women with other breast structures (F=12.824; p<0.01). There was a negative correlation between the lifetime risk of developing breast cancer and age, BMI, weight, waist circumference, breast circumference, age at first menstruation, number of births, duration of HRT use and total breastfeeding duration (p<0.01). There was a positive correlation between the five-year risk of developing breast cancer and age, age at first birth, and age at menopause (p<0.01).

Conclusion: In our study, the most important risk factors for developing breast cancer were found to be advanced age, early age of menstruation, late menopause age, late birth age, low birth rate and duration of breastfeeding, and the presence of a history of breast cancer in a relative. In our study, unlike the literature; age, BMI, weight, waist circumference, chest circumference, and duration of HRT taking are negatively correlated with breast cancer risk; ıt shows that a unique calculation tool should be created based on the lifestyle, anthropometric structure, reproductive characteristics and genetic characteristics of the population in our country

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The Journal of Turkish Family Physician (e-ISSN 2148-550X) is a peer-reviewed national periodical journal published four times a year, quarterly on-line only. The journal can include all scientific, evidence-based articles in both Turkish and English, such as research articles, case reports, reviews, letters to the editor, national and international scientific documents and translations, which are related to general medicine and family medicine and primary health care services.

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