Development of Systemic Interventions to Decrease Breast Cancer Risk: A Group Concept Mapping Study

Janet Gray (), Carrie Petrucci, Connie Engel, Nyisha Green-Washington and Nancy Buermeyer ()
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Janet Gray: Breast Cancer Prevention Partners, San Francisco, CA 94109, USA
Carrie Petrucci: Concept Systems, Inc., Ithaca, NY 14850, USA
Connie Engel: Breast Cancer Prevention Partners, San Francisco, CA 94109, USA
Nyisha Green-Washington: Breast Cancer Prevention Partners, San Francisco, CA 94109, USA
Nancy Buermeyer: Breast Cancer Prevention Partners, San Francisco, CA 94109, USA

IJERPH, 2024, vol. 21, issue 3, 1-18

Abstract: As breast cancer continues to take a devasting public health toll, most primary prevention approaches are targeted at individual actions. We have proposed, instead, developing systemic, population approaches to preventing the disease. We used a combined qualitative–quantitative methodology, group concept mapping (GCM), to identify Importance and Feasibility ratings of systemic interventions across a wide spectrum of approaches and stakeholders. Participants ( n = 351) from across the state of California sorted 84 potential interventions into topical piles, and then rated each intervention on perceived Importance and Feasibility. Multidimensional scaling and a cluster analysis identified eleven clusters or themes of interventions. Participants rated interventions on Importance and Feasibility differently depending on the region of the state in which they lived. The results of this study underscore the importance of sharing health information with and seeking public health solutions from community partners in general and from beyond the urban areas usually studied.

Keywords: breast cancer; primary prevention; community-partnered participatory research; group concept mapping; community public health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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