Abstract: This study aimed to investigate personal needs and preferences regarding the
promotion of cervical and breast cancer screening in Bulgaria by 2024. Materials and Methods
of Study: Documentary and sociological methods were used. An anonymous survey was
distributed on social networks between April and May 2024. A questionnaire was used,
including the preferred sources, measures, and interventions for the promotion of screening for
cervical and breast cancer. The survey included 785 Bulgarian and French respondents aged
20–80 years. Results: More than half of the respondents, 42% of Bulgarian women and 56%
of French women (p < 0.001), trusted their doctors. In the form of free comments, 41% of
Bulgarian women mentioned the Internet, specialized platforms, and social networks.

Bulgarian respondents placed more importance on the intervention of the personal physician
and employer (33% vs. 21%, p = 0.001 and 14% vs. 5%, p < 0.001, respectively). French
participants trusted the organized mass screening and reminder letters (20% vs. 37%, p <
0.001). Leaflets in the mailbox were the most preferred written forms of information in both
groups (59% vs. 75%, p < 0.001). Conclusion: We provide key information to improve health
literacy in screening for cervical and breast cancers in Bulgaria.

Keywords: cervical cancer, breast cancer, screening, health promotion

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