The effect of smoking on breast cancer screening results in female population:a study in Wu wei, China

Objective To construct a pathway analysis model of breast cancer screening population in this region based on Anderson model theory, and explore the influencing factors and pathways of screening results of breast cancer screening population in this region, in order to provide reference for refining breast cancer screening strategies and programs. Methods Firstly, the distribution of each variable in the detection of breast related diseases was described by single factor analysis, and then a pathway analysis model for screening results of female breast cancer screening population in 2021-2023 was constructed according to the results of factor screening, so as to clarify the influence path and influence coefficient of each factor. Results A total of 1792 female residents participated in breast cancer screening between 2021 and 2023, and 353 were detected with breast related diseases, with a detection rate of 19.7%. Single factor analysis showed that: Exposure to harmful substances, age, highest education, marital status, family history of breast cancer, menopause, weekly intake of fresh vegetables and fruits, weekly intake of processed foods, weekly intake of meat, eggs and milk, taste preference, preferred food or drink temperature, smoking, alcohol consumption, regular physical exercise, history of breast biopsy or breast benign Variables such as history of surgery and history of chest radiotherapy were different in whether breast related disease was detected. The result of path analysis model shows that the overall model fits well. The most significant variable of propensity characteristic dimension is the highest education; The significant variable in the dimension of medical behavior was smoking. The path coefficient indicates that the female population with lower education and smoking is more likely to detect mamma-related lesions in the screening population. In addition to the direct effect, the highest degree of education also had an indirect effect on whether breast related lesions were detected in the female screening population through the mediating variable of smoking. Conclusion The results of this study confirm the importance of a healthy lifestyle. We should further strengthen the publicity and education on smoking cessation, and persuade smokers, especially pay attention to the promotion of smoking cessation behavior in the female population with low education level.