Researchers in Southampton are leading a pioneering national initiative to incorporate alcohol awareness into breast screening and breast cancer clinic appointments.
Led by Dr Julia Sinclair, a consultant in alcohol liaison, and Dr Ellen Copson, a consultant in breast oncology, of University Hospital Southampton NHS Foundation Trust, the project – Abreast of Health – aims to enable women to record the amount of alcohol they consume and receive feedback – eventually through the development of a web-based app.
Breast cancer is the most common type of cancer in the UK, with one in eight women likely to be diagnosed at some point in their lifetime – but around 30% of cases may be preventable through changes in lifestyle.
In a pilot study, less than 20% of women who attended screening or a symptomatic clinic in Southampton were aware of alcohol as a risk factor for breast cancer – despite it being second only to obesity.
“We want to empower women to know what they are drinking as so many are unaware and, for breast cancer, the risk increases with every unit of alcohol consumed from one unit a day – which is around half a medium glass of wine,” said Dr Sinclair, who is an associate professor of psychiatry at the University of Southampton.
“Strengths of alcohol have increased, sizes of glasses have increased and lots of people that I meet say ‘well, I just have a glass of wine which is one unit isn’t it’, but if it is a large glass that is often 250ml at 14% which will be three to four units of alcohol – so people are often drinking far more than they think.”
She added: “Evidence shows that people are more receptive to health improvement advice and to make positive changes in their lifestyle when facing significant health events.
“So, particularly for women coming into a clinic when they have found a lump – 95% of whom will be given the all clear – it is a really good time to say here are some things you could do to maximise breast health and your overall health in the future.”
Dr Sinclair said society needed to “catch up” with where it is with smoking and be made aware “alcohol is in the same cancer-causing league as tobacco”.
“Thirty years ago smoking was the cool thing to do of an evening out and now, with alcohol, many people see it as the default option to wind down of an evening,” she explained.
“Someone said to me the other day ‘when we did we stop having a cup of tea when we got home?’”
As part of the 18-month programme, which is being funded by the Medical Research Council and being developed in Southampton, researchers will use the study as an awareness-raising initiative alongside input into the development of an app.
Dr Sinclair said: “This is really about prevention and the first part of the study is to get women’s input into what the app should be about because most of the apps available at the moment are for people at higher levels of risk of drinking and we don’t need to replicate them.
“So we will use already established services such as screening and clinic appointments to determine information needs, how tailored and supportive public health messages can be provided and what tools – such as an app – can help women to develop a longer-term motivation to reduce alcohol consumption.”
Posted on Wednesday 29 November 2017