Mise en place d'un modèle de stratification de risques personnels pour la prévention et la détection précoce du cancer du sein en soins primaires: une approche axée sur les populations vulnérables


Satya Khare

Université McGill


Domaine : Services de santé

Programme : Formation de doctorat

Concours 2016-2017


Unité SOUTIEN du Québec (Stratégie de recherche axée sur le patient)

Breast cancer is the most common cancer diagnosed in women, with women under the age of 50 at a greater risk of dying from the disease. Screening is important for prevention and early detection, but screening programs do not target women under the age of 50. Also, women who are poor, who have very little education, or who move to Canada from other countries (considered as vulnerable women) very rarely get screened for breast cancer. A toolkit has been developed that provides women between the ages of 35-49 with a better idea of their risk of breast cancer so that those at high risk can receive proper care.

In Québec, the toolkit is ready to be implemented in primary care, but how this would work for women who are poor, have little education or are recent arrivals to Canada have not been explored. My project will explore how these women can be reached and how we can change the toolkit to improve their screening rates. Vulnerable women aged 35-49 will be recruited from academic and community-based family medicine clinics in Québec for in-depth interviews. Based on what is learned from the women, a better way to provide the toolkit will be considered. Focus groups with vulnerable women will then be conducted to get feedback on what has been designed.

After the toolkit has been given to doctors in primary care, we will look at how well this works with vulnerable women using medical records from hospitals and community screening centers in Québec. This study will provide an understanding of the factors that influence breast cancer screening decisions among young vulnerable women, and allow for improved screening rates in those who are at high-risk.