Spousal perceptions and their role in promoting breast cancer screening: a focus group study

Objectives To explore husbands’ views on breast cancer screening, risk-based screening and their role in influencing their wives’ health-seeking behaviours.Design Qualitative focus group discussion (FGD) supplemented by quantitative data from a cohort study using a structured questionnaire.Setting T...

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Main Authors: Jenny Liu, Mikael Hartman, Jingmei Li, Peh Joo Ho, Benita Kiat Tee Tan, Veronique Kiak Mien Tan, Keri McCrickerd, Kayla Aisha Kamila, Jonathan Jun Kit Liow, Freda Giam, Zi Lin Lim, Tomiko Mei Ying Sim, Alexis Khng, Chi Hui Chin, Philip Tsau Choong Iau, Sing Cher Kwek, Zhi Peng Zhang
Format: Article
Language:English
Published: BMJ Publishing Group 2025-03-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/3/e086340.full
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Summary:Objectives To explore husbands’ views on breast cancer screening, risk-based screening and their role in influencing their wives’ health-seeking behaviours.Design Qualitative focus group discussion (FGD) supplemented by quantitative data from a cohort study using a structured questionnaire.Setting This study was conducted in a community-based setting, with participants recruited online through non-profit organisations via social media and email.Participants Nineteen husbands of women without breast cancer history participated. The questionnaire data were completed by 3395 women with no breast cancer history.Interventions Not applicable.Primary and secondary outcome measures Not applicable.Results Six key themes emerged from FGDs regarding husbands’ attitudes towards women’s 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’s awareness and limited health-related communication between spouses. While husbands expressed interest in their wives’ 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.Conclusions 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.
ISSN:2044-6055