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Fund","award":["CGAug16C002"],"award-info":[{"award-number":["CGAug16C002"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Current Oncology"],"abstract":"<jats:p>Singapore launched a population-based organised mammography screening (MAM) programme in 2002. However, uptake is low. A better understanding of breast cancer (BC) risk factors has generated interest in shifting from a one-size-fits-all to a risk-based screening approach. However, public acceptability of the change is lacking. Focus group discussions (FGD) were conducted with 54 women (median age 37.5 years) with no BC history. Eight online sessions were transcribed, coded, and thematically analysed. Additionally, we surveyed 993 participants in a risk-based MAM study on how they felt in anticipation of receiving their risk profiles. Attitudes towards MAM (e.g., fear, low perceived risk) have remained unchanged for ~25 years. However, FGD participants reported that they would be more likely to attend routine mammography after having their BC risks assessed, despite uncertainty and concerns about risk-based screening. This insight was reinforced by the survey participants reporting more positive than negative feelings before receiving their risk reports. There is enthusiasm in knowing personal disease risk but concerns about the level of support for individuals learning they are at higher risk for breast cancer. Our results support the empowering of Singaporean women with personal health information to improve MAM uptake.<\/jats:p>","DOI":"10.3390\/curroncol29120719","type":"journal-article","created":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T08:43:03Z","timestamp":1669624983000},"page":"9181-9198","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["\u201cIt Will Lead You to Make Better Decisions about Your Health\u201d\u2014A Focus Group and Survey Study on Women\u2019s Attitudes towards Risk-Based Breast Cancer Screening and Personalised Risk Assessments"],"prefix":"10.3390","volume":"29","author":[{"given":"Jonathan Jun Kit","family":"Liow","sequence":"first","affiliation":[{"name":"Laboratory of Women\u2019s Health and Genetics, Genome Institute of Singapore, A*STAR, Singapore 138672, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7854-8728","authenticated-orcid":false,"given":"Zi Lin","family":"Lim","sequence":"additional","affiliation":[{"name":"Laboratory of Women\u2019s Health and Genetics, Genome Institute of Singapore, A*STAR, Singapore 138672, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomiko Mei Ying","family":"Sim","sequence":"additional","affiliation":[{"name":"Laboratory of Women\u2019s Health and Genetics, Genome Institute of Singapore, A*STAR, Singapore 138672, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3017-4023","authenticated-orcid":false,"given":"Peh Joo","family":"Ho","sequence":"additional","affiliation":[{"name":"Laboratory of Women\u2019s Health and Genetics, Genome Institute of Singapore, A*STAR, Singapore 138672, Singapore"},{"name":"Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore 117597, Singapore"},{"name":"Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117549, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su-Ann","family":"Goh","sequence":"additional","affiliation":[{"name":"Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117549, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheen Dian","family":"Choy","sequence":"additional","affiliation":[{"name":"Human Development, Singapore Institute for Clinical Sciences, A*STAR Research Entities, Singapore 117609, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying Jia","family":"Chew","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Ng Teng Fong General Hospital, Singapore 609606, Singapore"},{"name":"Department of Surgery, National University Hospital, Singapore 119074, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benita Kiat-Tee","family":"Tan","sequence":"additional","affiliation":[{"name":"SingHealth Duke-NUS Breast Centre, Singapore 168582, Singapore"},{"name":"Division of Surgery and Surgical Oncology, National Cancer Centre Singapore, Singapore 169610, Singapore"},{"name":"Department of Breast Surgery, Singapore General Hospital, Singapore 168753, Singapore"},{"name":"Department of General Surgery, Sengkang General Hospital, Singapore 544886, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronique Kiak Mien","family":"Tan","sequence":"additional","affiliation":[{"name":"SingHealth Duke-NUS Breast Centre, Singapore 168582, Singapore"},{"name":"Division of Surgery and Surgical Oncology, National Cancer Centre Singapore, Singapore 169610, Singapore"},{"name":"Department of Breast Surgery, Singapore General Hospital, Singapore 168753, Singapore"},{"name":"Department of General Surgery, Sengkang General Hospital, Singapore 544886, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikael","family":"Hartman","sequence":"additional","affiliation":[{"name":"Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore 117597, Singapore"},{"name":"Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117549, Singapore"},{"name":"Department of Surgery, National University Hospital, Singapore 119074, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3171-7584","authenticated-orcid":false,"given":"Keri","family":"McCrickerd","sequence":"additional","affiliation":[{"name":"Human Development, Singapore Institute for Clinical Sciences, A*STAR Research Entities, Singapore 117609, Singapore"},{"name":"Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117597, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8587-7511","authenticated-orcid":false,"given":"Jingmei","family":"Li","sequence":"additional","affiliation":[{"name":"Laboratory of Women\u2019s Health and Genetics, Genome Institute of Singapore, A*STAR, Singapore 138672, Singapore"},{"name":"Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore 117597, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2971","DOI":"10.1002\/cncr.32859","article-title":"Mammography screening reduces rates of advanced and fatal breast cancers: Results in 549,091 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