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focus group discussion (FGD) supplemented by quantitative data from a cohort study using a structured questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>This study was conducted in a community-based setting, with participants recruited online through non-profit organisations via social media and email.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Nineteen husbands of women without breast cancer history participated. The questionnaire data were completed by 3395\u2009women with no breast cancer history.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Not applicable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary and secondary outcome measures<\/jats:title>\n                    <jats:p>Not applicable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Six key themes emerged from FGDs regarding husbands\u2019 attitudes towards women\u2019s breast cancer screening practices: awareness, priorities, social support structures, fears, incentives and attitudes towards risk-based screening. These themes were supported by the questionnaire data, which also identified additional concerns not raised in FGDs, suggesting a gap in the husband\u2019s awareness and limited health-related communication between spouses. While husbands expressed interest in their wives\u2019 health and provided support in making screening appointments, their influence may be limited by these communication gaps. Most husbands were receptive to risk-based screening but raised concerns around the testing frequency and result interpretation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study highlights the need to actively engage husbands in breast cancer screening discussions and develop support strategies that enhance their involvement. Strengthening spousal communication on breast health may increase screening uptake among women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-086340","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T04:50:26Z","timestamp":1741755026000},"page":"e086340","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Spousal perceptions and their role in promoting breast cancer screening: a focus group study"],"prefix":"10.1136","volume":"15","author":[{"given":"Kayla Aisha","family":"Kamila","sequence":"first","affiliation":[{"name":"Genome Institute of Singapore (GIS), Agency for Science, Technology and Research (A*STAR), Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan Jun Kit","family":"Liow","sequence":"additional","affiliation":[{"name":"Genome Institute of Singapore (GIS), Agency for Science, Technology and Research (A*STAR), 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