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Advancing Breast Health and Breast Cancer Prevention Through Policy, Community, System and Technological Change

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences".

Deadline for manuscript submissions: 30 August 2026 | Viewed by 1196

Special Issue Editors


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Guest Editor
School of Social Work, East Carolina University, Greenville, NC 27858, USA
Interests: cancer screening disparities in Asian immigrants; culturally appropriate interventions for the early detection of cancer; community-based participatory research

E-Mail Website
Guest Editor
Department of Health Education and Promotion, East Carolina University, Greenville, NC 27858, USA
Interests: cancer inequities; breast health; system level approaches to improve health equity

Special Issue Information

Dear Colleagues,

Breast cancer is one of the most common cancers affecting women. Breast health and breast cancer prevention are critical areas of focus in women's health, requiring comprehensive strategies across ecological levels. Extensive research has examined and sought to intervene on micro-level influences on breast health, such as knowledge, attitudes, beliefs, and individual behaviors. There is a growing need to develop, implement, and evaluate efforts to shape macro-level influences on women’s health. Public policies and healthcare systems play pivotal roles in ensuring that women have access to services that are essential for reducing the burden of breast cancer, including regular screenings, genetic counseling, and timely diagnosis. Breast density and breast health concerns during pregnancy, postpartum, and menopause are important aspects of breast health that can benefit from macro-level approaches. This issue highlights the importance of advancing breast health by focusing on systemic and policy-driven approaches. Papers in this Special Issue will highlight challenges and opportunities to improve breast health across the life span and mitigate the population-level impact of breast cancer through prevention and early detection. We are especially interested in submissions that describe models, polices, or programs that explicitly address equity as part of their development, implementation, or evaluation. We encourage participation from PhD students, postdoctoral researchers, and individuals at any stage of their research careers. Your contributions in this area are highly valued and will be greatly appreciated.

Topics that could be addressed in this Special Issue include but are not limited to the following:

  • National screening programs and policies, such as government-led screening initiatives and accessibility of population-wide screening strategies;
  • Frameworks for developing recommendations for screening and prevention behaviors;
  • Healthcare system infrastructure and implications for timely screening and diagnosis;
  • Community-based interventions that focus on improving breast health through system-level changes;
  • Policies and models that improve the uptake of genetic counseling and testing for recommended populations;
  • System-level efforts to address breast health throughout the life course (for example, pregnancy, postpartum, and menopausal periods);
  • Technological advances in breast cancer screening and their impact on prevention in underserved populations (for example, low-income, rural, or immigrant communities)

Dr. Mi Hwa Lee
Dr. Deeonna Farr
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • breast health
  • breast density
  • breast cancer
  • mammogram
  • health policy
  • intervention
  • breast cancer

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Published Papers (1 paper)

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Research

16 pages, 608 KB  
Article
Evaluation of a National Breast Cancer Screening Program in a Middle-Income Country: The Case of Kazakhstan
by Yuliya Semenova, Zhandos Burkitbayev, Sanzhar Shalekenov, Oxana Shatkovskaya, Gauhar Dunenova, Alma Zhylkaidarova, Azat Chinaliyev, Baurzhan Anapiya, Asel Sadvakassova, Ayan Yerekesh, Zhadyra Karashutova, Almira Manatova and Lyudmila Pivina
Int. J. Environ. Res. Public Health 2026, 23(4), 532; https://doi.org/10.3390/ijerph23040532 - 19 Apr 2026
Viewed by 625
Abstract
Breast cancer (BC) is the most common cancer in Kazakhstan, and a population-based breast cancer screening program was introduced in 2008, initially targeting women aged 50–60 years. It was subsequently expanded in 2018 to include women aged 40–70 years. This study evaluates the [...] Read more.
Breast cancer (BC) is the most common cancer in Kazakhstan, and a population-based breast cancer screening program was introduced in 2008, initially targeting women aged 50–60 years. It was subsequently expanded in 2018 to include women aged 40–70 years. This study evaluates the national BC screening program from its introduction in 2008 onward, focusing on program outputs, outcomes, and associated expenditures. Several administrative datasets and official sources were analyzed, including the legislative acts database, analytical reports on cancer screening programs, and cancer reporting forms. Trends in key indicators were summarized using the average annual percent change (AAPC). From the program’s inception, the absolute number of women screened increased steadily, with an AAPC of 6.23%. In contrast, the proportion of eligible women covered by screening declined over time, particularly following the expansion of the target age groups in 2018. Stage I BC detected through screening accounted for only about 50% of all stage I BC cases diagnosed nationwide, while the contribution of screening to stage II cancers was below 30%. Neither the introduction nor the subsequent expansion of the BC screening program was associated with statistically significant immediate or trend changes in national BC incidence or mortality rates. These findings may inform evidence-based discussions on potential refinements to BC screening policy and practice in Kazakhstan. Full article
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