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Looking beyond the Lamppost: Population-Level Primary Prevention of Breast Cancer

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  • Gabriella M. McLoughlin

    (Implementation Science Center for Cancer Control and Prevention Research Center, Brown School, Washington University in St. Louis, One Brookings Drive, St. Louis, MO 63130, USA
    Department of Surgery, Division of Public Health Sciences, Washington University School of Medicine, Washington University in St. Louis, St. Louis, MO 63110, USA)

  • Eric M. Wiedenman

    (Implementation Science Center for Cancer Control and Prevention Research Center, Brown School, Washington University in St. Louis, One Brookings Drive, St. Louis, MO 63130, USA
    Department of Surgery, Division of Public Health Sciences, Washington University School of Medicine, Washington University in St. Louis, St. Louis, MO 63110, USA)

  • Sarah Gehlert

    (Suzanne Dworak-Peck School of Social Work, the University of Southern California, Los Angeles, CA 90089, USA
    Desmond Lee Professor of Racial and Ethnic Diversity, Brown School, Washington University in St. Louis, One Brookings Drive, St. Louis, MO 63130, USA)

  • Ross C. Brownson

    (Implementation Science Center for Cancer Control and Prevention Research Center, Brown School, Washington University in St. Louis, One Brookings Drive, St. Louis, MO 63130, USA
    Department of Surgery, Division of Public Health Sciences, Washington University School of Medicine, Washington University in St. Louis, St. Louis, MO 63110, USA)

Abstract

Although innovative and impactful interventions are necessary for the primary prevention of breast cancer, the factors influencing program adoption, implementation, and sustainment are key, yet remain poorly understood. Insufficient attention has been paid to the primary prevention of breast cancer in state and national cancer plans, limiting the impact of evidence-based interventions on population health. This commentary highlights the state of primary prevention of breast cancer and gaps in the current literature. As a way to enhance the reach and adoption of cancer prevention policies and programs, the utility of dissemination and implementation (D&I) science is highlighted. Examples of how D&I could be applied to study policies and programs for chronic disease prevention are described, in addition to needs for future research. Through application of D&I science and a strong focus on health equity, a clearer understanding of contextual factors influencing the success of prevention programs will be achieved, ultimately impacting population health.

Suggested Citation

  • Gabriella M. McLoughlin & Eric M. Wiedenman & Sarah Gehlert & Ross C. Brownson, 2020. "Looking beyond the Lamppost: Population-Level Primary Prevention of Breast Cancer," IJERPH, MDPI, vol. 17(23), pages 1-11, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:23:p:8720-:d:450183
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    References listed on IDEAS

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    Cited by:

    1. Matthew Jay Lyons & Senaida Fernandez Poole & Ross C. Brownson & Rodney Lyn, 2022. "Place Is Power: Investing in Communities as a Systemic Leverage Point to Reduce Breast Cancer Disparities by Race," IJERPH, MDPI, vol. 19(2), pages 1-13, January.

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