Anxiety and Adherence to Breast Self-Examination in Women With a Family History of Breast Cancer

1999 ◽  
Vol 61 (2) ◽  
pp. 181-187 ◽  
Author(s):  
Kate Brain ◽  
Paul Norman ◽  
Jonathon Gray ◽  
Robert Mansel
2019 ◽  
Vol 7 (19) ◽  
pp. 3216-3220
Author(s):  
Ahmad S. A. Al-Gburi ◽  
Nada A. S. Alwan

BACKGROUND: Breast Cancer (BC) is the most common cancer and the leading cause of cancer death among women globally. The disease can be cured with limited resources if detected early. Breast self-examination (BSE) is considered a cost-effective feasible approach for early detection of that cancer in developing countries. AIM: To determine the correlation between BSE performance and demographic characteristics, risk factors and clinical stage of BC among Iraqi patients. METHODS: This retrospective study included a total of 409 female patients diagnosed with BC at the Referral Training Center for Early Detection of Breast Cancer and the National Cancer Research Center in Baghdad. The studied variables included the age of the patient, occupation, marital and educational status, parity, history of lactation, contraceptive pill intake, family history of cancer and the clinical stage of the disease. RESULTS: Our findings revealed that the most important predictors for practicing BSE was family history of BC or any other cancers (OR = 3.87, P = 0.018) followed by being a governmental employee (OR = 1.87, P = 0.024), history of contraceptive use (OR = 1.80, P = 0.011) and the high level of education (OR = 1.73, P = 0.004). On the other hand, there was no significant correlation between the practice of BSE and the BC stage at the time of presentation. CONCLUSION: There is a relatively poor practice of BSE among Iraqi patients diagnosed with BC. It is mandatory to foster the national cancer control strategies that focus on raising the level of awareness among the community through public education as a major approach to the early detection of cancer in Iraq.


Author(s):  
Nisar Haider Zaidi ◽  
Fatma K. Althoubaity

Objective: To evaluate the attitude, awareness and experience of Women towards the breast self-examination. Methods: This is population-based study with the total number of the participants were 349 between 25-70 yrs of age, between December 2017 to February 2018 at King Abdulaziz University Hospital, Jeddah. A questionnaire was given to females attending the clinic or attending a lecture for breast cancer awareness. Results: A total of 349 patients were studied. Saudi was 76.5% and non-Saudi was 23.5%. Patients less than 25 years were 26.4% and above 25 years were 73.6%. The majority were between 25 to 45 years of age which was 66.4%. The majority were married 64.5%, single 30.4%, widow 2.9% and divorced were 2.3%. 65% had children and 59.3% did lactate their kids. Use of contraceptive pills was 50.4%. Family history of breast cancer was in 18.1% and sister had breast cancer in 3.46%, aunt 3.7%, stepdaughter in 6%, grandmother in 3.2% and mother in 2% of cases. Smokers were 10.6%. Family history of other malignancy was in 9.7% with colon cancer in 6.3% and uterus in 3.4%. History of taking herbs was in 14.6% of cases of which soya in 3.4%, baboon 2.6%, green tea 2.3%, ginger 2.3% and weight lowering herbs 1.7%. 12.3% of patient had breast biopsy and 12% had another tumour like thyroid, uterus, colon etc. 22.1% admitted that they did self- breast examination. Their source of knowledge about breast self-examination was Television in 13.5%, hospital 5.7% and doctor in 2.9%. Routine clinical examination was done in 82.2% and the reason for it was not known to the majority of them. Examination by doctors was done in 25.5% of cases. Mammography was done by 16.9%, ultrasound in 16.9%. 12.3% preferred mammography. Regarding the belief that biopsy will lead to spreading of the tumour, 16.3% said that they believe it. 3.4% believed that cancer is infective disease and 86.2% believed that breastfeeding decreases breast cancer incidence. Conclusions: Breast self-examination is an effective tool to detect early breast cancer especially in poor and underdeveloped countries which lack resources for proper screening of breast cancer. Cultural beliefs and ritual practices may affect early detection of breast cancer.


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Samira S. Abo Al-Shiekh ◽  
Mohamed Awadelkarim Ibrahim ◽  
Yasser S. Alajerami

Breast cancer is the highest public detected cancer among female population in the majority of countries worldwide. Breast self-examination (BSE) is a useful screening tool to empower women and raise awareness about their breast tissues and help detect any breast abnormalities when they occur. This study aimed to assess the level of female university students’ knowledge and practice of BSE. A self-administered questionnaire was used to assess the knowledge about breast cancer and related items, and an observation checklist was used to test practicing BSE using a breast simulator. Eighty-six students participated in the study, 58.1% studying nursing and 41.9% studying clinical nutrition in the third (40.7%) or the fourth level (59.3%). Of them, 24.4% had previous family history of breast cancer. The majority of the students (80.2%) had previous information about breast cancer acquired from different sources, university studies (57%), the Internet (45%), and social media (41%). Findings showed good scores (≥70%) regarding signs and symptoms and risk factors of breast cancer; however, low knowledge scores (<70%) were detected regarding general knowledge about breast cancer disease, methods of early detection and management, and applying steps of practicing BSE. Roughly all the students (96.5%) have heard about BSE, and 69.8% knew the time to do BSE; however, only 31.4% practice it regularly. Three barriers to practice were dominant among students who do not have a breast problem (39.7%), do not know how to do it (37.9%), and being busy 31%. On the other hand, breast cancer early detection purpose and the presence of family history of breast cancer were considered facilitators to regular practice BSE. A statistically significant relationship existed between knowledge about the steps of applying the BSE and regular practicing. A training program should be implemented to increase the level of awareness about BC and practicing BSE.


2020 ◽  
Vol 15 (2) ◽  
pp. 28-34
Author(s):  
Nada A. S. Al-Alwan

Background : To assess the actual practice of breast self-examination (BSE), as an early detection tool for breast cancer, among a sample of patients affected with breast cancer in Iraq.Methods: A random sample of 200 female patients with breast cancer was analyzed to evaluate the extent of their actual practice of breast self-examination before the diagnosis of the disease.  The examined variables included the age of the patients, marital status, education, occupation, smoking habit, family history of cancer, frequency of gravidity, parity and abortions. Results: The age of patients ranged from (24-70) years with a mean age of 48 years. The highest frequency of the examined sample (24%) was noted in the age group   (50-54) years. The majority of the patients (89%) were married, 33% had university degree and 57% were employed. While 46% of the patients had a family history of cancer, in 33.5% the breast was involved. Only 5.5% of the total number of patients had practiced BSE regularly before the diagnosis of breast cancer, 57.5% had carried out the procedure randomly while 37% did not perform BSE at all during their lives.  The study illustrated that the level of education, occupation and family history of cancer had significant roles in the practice of BSE. Conclusions: The findings of this study emphasize the urgent need for promoting screening in our society through strengthening practical policy decisions to raise the level of public awareness among the Iraqi women towards the adoption of simple approaches for early detection of breast cancer.


1990 ◽  
Vol 7 (3) ◽  
pp. 136-142 ◽  
Author(s):  
Maureen Beckett ◽  
Selina Redman ◽  
Christina Lee

Fifty women with a history of breast lumps, and fifty control women matched for age and educational level, were administered a self-report questionnaire to determine knowledge of breast cancer, frequency and proficiency of breast self-examination (BSE), and health beliefs relating to BSE. Although women with previous breast lumps were more knowledgeable about breast cancer than those without, the two groups did not differ in attitudes or preventive behaviours. Overall knowledge of cancer and of BSE practice was low. This suggests a need for educational campaigns to increase knowledge and awareness, as a first step towards behaviour change, and a need for research to identify more effective predictors of BSE practice.


1996 ◽  
Vol 16 (2) ◽  
pp. 175-185
Author(s):  
Oladimeji Oladepo ◽  
Florence Adegoke

The breast self-examination (BSE) of 690 female students in two tertiary institutions of a cosmopolitan city was investigated. The students were interviewed about their BSE practices including variables that might have influenced their BSE behavior. Results revealed that although 84.6 percent of the respondents were aware of BSE, 65.1 percent did not know the correct step and sequence of BSE. While respondents attitudinal disposition to BSE was generally favorable, only 11.6 percent of the respondents correctly practiced BSE in the last six months and standing before the mirror position was the most popular technique employed (29.6%). In addition, previous breast problems were found to affect BSE but not history of breast cancer in the family. Of the 234 respondents (33.9%) who had never practiced BSE, 23 percent attributed it to lack of knowledge and 18 percent felt it was not important. Based on these findings we recommend that school based BSE educational programs should be organized with the participation of student and non-student associations.


Author(s):  
Sherin Ishaaque ◽  
Nandini Gopalamenon

Background: Breast cancer is the most common cancer in women. It is estimated that 5,08,000 women died due to breast cancer in 2011 globally. Late detection of breast cancer decreased the survival rate to 56% and the 5-year survival rate reached 85% with early detection of breast cancer. Breast self-examination (BSE) is an inexpensive tool which helps women to detect any early changes in their breasts and thus helps to reduce the breast cancer mortality and morbidity. The present study was designed to determine the knowledge, attitude and practice regarding BSE among women aged 25 years and above.Methods: A community-based, cross-sectional study was conducted in rural North Kerala, among 206 women aged ≥25 years selected by cluster sampling. Data was collected using a semi-structured questionnaire.Results: The participants were aged between 25-94 years (mean age 40.15±13.17). 62.6% have heard about BSE. Among the 206 participants, 12% had good knowledge while 10.6% knew the correct technique of doing BSE and only 0.06% knew that BSE must be performed once a month. Though 80.5% have good attitude regarding BSE, only 36% practised BSE and only 0.04% performed it every month. Educational status (high school and below vs higher secondary and above) was found to be significantly associated with knowledge (p<0.001) and practice (p=0.003). Knowledge regarding BSE was significantly associated with practice (p<0.001) while family history of breast cancer was not (p=0.072).Conclusions: The respondents had good attitude regarding BSE but knowledge and practice on BSE were very poor. Educational status has an influence on the knowledge and practice while family history did not have any influence.


Background: Breast cancer is the most common non-skin malignancy affecting females in the world. In Lebanon, breast cancer rates are gradually increasing and young females are being more frequently affected. Few studies are available concerning this particular population. Objectives: This study aims to estimate the epidemiology of breast cancer in the young Lebanese females below the age of 40 with identification of variable characteristics and risk factors of the disease and ultimately, comparing our findings to other Arab countries. Methods: Breast cancer cases diagnosed at ≤ 40 years of age between 2011 and 2017 were collected from patient’s files in the Lebanese Hospital Geitaoui and Mount Lebanon Hospital, including the variable risk factors and tumors characteristics. The statistical data analysis was performed using SPSS statistics software. Results: 862 females were diagnosed with breast cancer in the aforementioned hospitals and forty-four were ≤ 40 years. The prevalence of breast cancer in the young Lebanese females is found to be 5.1%. Majority of cases (81.8%) were initially detected by breast self-examination. 20.5% had a positive family history. Infiltrative ductal carcinoma is the predominant histological subtype and grade 2 the most common histological grade. Estrogen and progesterone receptors are positive in 26 subjects and HER2/Neu receptors positive in 17 subjects. Most of cases were in stage 2A. Only 2 patients had BRCA gene testing done. Conclusion: The early onset breast cancer is not only related to the presence of a positive family history; other factors should be actively investigated. Breast self-examination should be considered as a screening method of breast cancer in young females at high risk.


Author(s):  
Saba Rasool ◽  
Maham Iqbal ◽  
Ammarah Siddiqui ◽  
Ramna Ahsan ◽  
Sahrish Mukhtar ◽  
...  

Aims: The study was aimed at investigating knowledge, attitude and practice towards breast cancer and breast self-examination among female undergraduate students in Karachi, Pakistan. Study Design:  Cross Sectional study. Place and Duration of Study: This study was conducted for a period of four months in different universities of Karachi, Pakistan. Methodology: The study was done using a self-administered questionnaire. A total of 381 undergraduate students of medical and non-medical universities were included. Results: The mean age of participants was 20.45 ± 3.67 years.  97% of the candidates had heard about breast cancer out of which only 65.4% were aware about its high prevalence rate in Karachi, Pakistan. A good proportion of candidates i.e. 78% of participants had good knowledge of breast self examination out of which only 43.8% knew how to perform it but just 24.9 % actually performed it. 20.5% of female population had made arrangements for breast screening once in their lifetime however many of the candidates (39.1%) never experienced any symptoms of breast pathology thus never felt the need to screen themselves. Various signs and symptoms were considered as indications of breast cancer though lump as a sign was answered the most by 76.1% students. Out of the several risk factors of breast cancer 70.9% of candidates responded as family history the most common risk factor and early menstruation as a risk factor was 22.8% (the least). 44.4% of the aware candidates stated that they acquired this knowledge from social media. 21.5% had a positive family history. Mammography as a diagnostic modality was considered the most helpful by 61.4% population. Conclusion: The study points out to the sufficient knowledge and attitude of breast cancer among female undergraduates in Karachi, Pakistan. However, they lacked the practice towards breast self examination. We expect that our results may provide useful data that could be used by the department of health in Karachi, Pakistan to formulate their health programs to increase the knowledge, attitude and practice towards breast cancer and breast self-examination.


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