The Impact of Online Educational Talks on Young Equestrians' Knowledge of Breast Health and Breast Issues
Keywords:
Horse rider, breast issues, stigma, educationAbstract
The breasts are a barrier to female participation in physical activity. Breast and bra issues are prevalent in female horse riders. Wearing a sports bra can minimize these issues, but many do not exclusively wear one for horse-riding. This study investigated the impact of live online breast educational talks on subsequent self-perception of knowledge and understanding. Two online surveys (GoogleForms™), one immediately pre-talk and one immediately post-talk, were created to assess perceived impact. The talks consisted of five sections: breast anatomy; types of sports bras; breast issues in relation to exercise; breast issues specifically related to horse riders and the importance of increasing awareness in the horse-riding community. Four educational talks were delivered to different groups of college and university students (n = 67) studying equine courses. Completed pre- and post-talk surveys (40 female, 2 male) were analyzed using a generalized linear model and post hoc Tukey tests. Comfort talking to others about breast health issues increased significantly after the talks, particularly for larger-breasted (≥ D cup) participants (p = 0.032). Knowledge of bra fit, breast support, and breast pain significantly increased (p < 0.01) post-talk, particularly in those who had not previously experienced breast pain whilst horse-riding (p ≤ 0.001). The intervention was successful at increasing participant understanding and knowledge of breast health issues, although different educational tools such as access to online resources or in-person talks may prove beneficial to equestrians to further increase comfort in broaching breast health issues with peers and support networks in future.
References
Klaperski S, Koch E, Hewel D, Schempp A, Müller J. Optimizing mental health benefits of exercise: The influence of the exercise environment on acute stress levels and wellbeing. Mental Health & Prevention 2019;15:200173. https://doi.org/10.1016/j.mhp.2019.200173.
Benefits of exercise. NHS 2021. https://www.nhs.uk/live-well/exercise/exercise-health-benefits/ (accessed August 29, 2021).
Physical activity. World Health Organisation 2020. https://www.who.int/news-room/fact-sheets/detail/physical-activity (accessed August 29, 2021).
Mills K, Dudley D, Collins NJ. Do the benefits of participation in sport and exercise outweigh the negatives? An academic review. Best Practice & Research Clinical Rheumatology 2019;33:172–87. https://doi.org/10.1016/j.berh.2019.01.015.
Audickas L. Sport participation in England. 2017.
National equestrian survey 2015. British Equestrian Trade Association (BETA) (accessed August 21, 2021).
Church A, Taylor B, Maxwell N, Gibson O, Twomey R. The Health Benefits of Horse Riding in the Uk. 2010.
Burbage J, Cameron L. An investigation into the prevalence and impact of breast pain, bra issues and breast size on female horse riders. Journal of Sports Sciences 2016;35:1091–7. https://doi.org/10.1080/02640414.2016.1210818.
Burnett E, White J, Scurr J. The influence of the breast on physical activity participation in females. Journal of Physical Activity and Health 2015;12:588–94. https://doi.org/10.1123/jpah.2013-0236.
Brown N, White J, Brasher A, Scurr J. The experience of breast pain (mastalgia) in female runners of the 2012 London Marathon and its effect on exercise behaviour. British Journal of Sports Medicine 2013;48:320–5. https://doi.org/10.1136/bjsports-2013-092175.
White JL, Scurr JC, Smith NA. The effect of breast support on kinetics during overground running performance. Ergonomics 2009;52:492–8. https://doi.org/10.1080/00140130802707907.
Burbage J, Cameron LJ. An investigation of bra concerns and barriers to participation in horse riding. Comparative Exercise Physiology 2018;14:1–10. https://doi.org/10.3920/cep170030.
Coltman CE, Steele JR, McGhee DE. Does breast size affect how women participate in physical activity? Journal of Science and Medicine in Sport 2019;22:324–9. https://doi.org/10.1016/j.jsams.2018.09.226.
Mills C, Sanchez A, Scurr J. Estimating the gravity induced three dimensional deformation of the breast. Journal of Biomechanics 2016;49:4134–7. https://doi.org/10.1016/j.jbiomech.2016.10.012.
Jesinger RA. Breast anatomy for the interventionalist. Techniques in Vascular and Interventional Radiology 2014;17:3–9. https://doi.org/10.1053/j.tvir.2013.12.002.
Anatomy of the Breasts. John Hopkins Medicine 2021. https://www.hopkinsmedicine.org/health/wellness-and-prevention/ (accessed August 29, 2021).
Scurr JC, White JL, Hedger W. The effect of breast support on the kinematics of the breast during the running gait cycle. Journal of Sports Sciences 2010;28:1103–9. https://doi.org/10.1080/02640414.2010.497542.
Burbage J, Cameron L, Goater F. The effect of breast support on vertical breast displacement and breast pain in female riders across equine simulator gaits. Journal of Veterinary Behavior 2016;15:81. https://doi.org/10.1016/j.jveb.2016.08.020.
Cameron LJ, Burbage J, Lewis V, Dumbell L, Billingsley E, Young K, et al. Breast biomechanics, exercise induced breast pain (mastalgia), breast support condition and its impact on riding position in female equestrians. Comparative Exercise Physiology 2022;18:9–19. https://doi.org/10.3920/cep210005.
Scurr J, Brown N, Smith J, Brasher A, Risius D, Marczyk A. The influence of the breast on sport and exercise participation in school girls in the United Kingdom. Journal of Adolescent Health 2016;58:167–73. https://doi.org/10.1016/j.jadohealth.2015.10.005.
Chen X, Wang J, Wang Y, Gho SAG, Steele JR. Breast pain and sports bra usage reported by Chinese women: why sports bra education programs are needed in China. Fibres and Textiles in Eastern Europe 2019;27:17–22. https://doi.org/10.5604/01.3001.0013.1815.
Omrani A, Wakefield-Scurr J, Smith J, Wadey R, Brown N. Breast education improves adolescent girls' breast knowledge, attitudes to breasts and engagement with positive breast habits. Frontiers in Public Health 2020;8:591927–591927. https://doi.org/10.3389/fpubh.2020.591927.
McGhee DE, Steele JR, Munro BJ. Education improves bra knowledge and fit, and level of breast support in adolescent female athletes: a cluster-randomised trial. Journal of Physiotherapy 2010;56:19–24. https://doi.org/10.1016/s1836-9553(10)70050-3.
McGhee DE, Steele JR. Biomechanics of breast support for active women. Exercise and Sport Sciences Reviews 2020;48:99–109. https://doi.org/10.1249/jes.0000000000000221.
Brown N, Smith J, Brasher A, Omrani A, Wakefield-Scurr J. Breast cancer education for schoolgirls: an exploratory study. European Journal of Cancer Prevention 2018;27:443–8. https://doi.org/10.1097/cej.0000000000000356.
Stigma around women's health must be addressed, says RCGP 2018. Royal College of General Practitioners n.d. https://www.rcgp.org.uk/about-us/news/2018/june/stigma-around-womens-health-must-be-addressed-says-rcgp.aspx (accessed September 10, 2021).
Vrinten C, Waller J, Marlow LAV. Cancer stigma and cancer screening attendance: a population-based survey in England. The Lancet 2016;388:S109. https://doi.org/10.1016/s0140-6736(16)32345-5.
Dumbell L. Profiles of British Equestrian Olympians: Evaluating historical, socio-cultural and sporting influences and how they could inform equestrianism in the future. Doctoral Dissertation. University of the West of England, 2022.
Xie W, Ye C, Zhang W. Negative emotion reduces visual working memory recall variability: A meta-analytical review. Emotion 2023;23:859–71. https://doi.org/10.1037/emo0001139.
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Copyright (c) 2024 Lorna Cameron, Rachel Smith, Natalie Stones, Marianne Freeman, Victoria Lewis, Lucy Dumbell, Jenny Burbage
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