Health Care System Factors

According to the [https://www.cancer.gov/types/breast/hp/breast-prevention-pdq National Cancer Institute], use of combination '''hormone therapy''' (estrogen-progestin) is associated with approximately a 25% increase in the risk of invasive breast cancer. Also, exposure of the breast to '''ionizing radiation''' (for example, during radiation therapy for Hodgkins lymphoma) is associated with an approximately sixfold increase in the risk of developing breast cancer overall. (Risk is especially high if exposure occurs during puberty, when the breast develops.) [Last reviewed: 1/26/20] Since November 2018, the [https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/unhealthy-alcohol-use-in-adolescents-and-adults-screening-and-behavioral-counseling-interventions United States Preventive Services Task Force] has recommended '''screening for unhealthy alcohol use''' in primary care settings in adults 18 years or older and providing persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use. [Last reviewed: 1/21/20]