scholarly journals Knowledge and attitude among outpatient women visiting a healthcare center in northern Iran regarding breast self-examination: a cross-sectional study

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Amir Ahmadzadeh Amiri ◽  
Mohammadreza Haghshenas ◽  
Ali Ahmadzadeh Amiri ◽  
Fatemeh Daneshvar

PurposeBreast cancer is one of the most prevalent malignancies worldwide. This study aimed to compare the level of knowledge and attitude of females regarding Breast cancer and to determine the role of knowledge, attitude and barriers in performing regular self-examination.Design/methodology/approachNon-physician females aged 18 years old or above were enrolled in this cross-sectional study in two groups of usual clients and healthcare staff from January 2018 to January 2019 from a healthcare center in Sari, a major city in the northern district of Iran. A questionnaire was used to score the participants’ knowledge and attitude levels using questions about the participants' knowledge and attitude towards Breast cancer along with their status on Breast self-examination and barriers. Mean scores were used for statistical analysis using SPSS V25. p < 0.05 was considered significant.FindingsA final dataset of 279 females were collected. A significant difference in the knowledge and attitude regarding breast cancer was found between the two study groups (p < 0.001). The practice of BSE was significantly lower in the usual clients compared to non-physician healthcare staff (p < 0.001). The most frequent barriers for not performing a regular BSE were fear of finding a mass in usual clients (17.8%) and lack of confidence in healthcare staff (3.8%).Research limitations/implicationsLimitations include single-centered sample selection.Practical implicationsGiven the importance of early detection in breast cancer prevention and the general taboo regarding breast cancer screening methods in certain parts of the world, leading to poor results in early detection and prevention, the authors believe that it is of superior importance to address and promote positive attitudes in general population towards breast self-examination.Originality/valueGiven the importance of early detection in breast cancer prevention, and the general taboo regarding breast cancer screening methods in certain parts of the world, leading to poor results in early detection and prevention, the authors believe that it is of superior importance to address and promote positive attitudes in general population toward breast self-examination. The authors of this study believe that the manuscript represents honest and original work.

Author(s):  
Mohammad Ali Morowatisharifabad ◽  
Masumeh Seifi ◽  
Arefe Dehghani ◽  
Saeid Kargar ◽  
Seyed Mohammad Reza Mortazavizadeh

Introduction: breast cancer, as the most common cancer among women, is controllable if it is diagnosed at the early stages. Breast self- examination is a simple method for early detection. One of the most important effective factors on the cancer-related mortality is the defection stage. This study was conducted to determine the relationship between breast self-examination and the disease stage with regard to the detection time among patients with breast cancer in Yazd. Method: this cross-sectional study was carried out on 159 women with breast cancer, who referred to medical centers in Yazd. Data collection tool was a questionnaire with two parts. The first part was the demographic information and the second part dealt with the patients' breast self-examination before the detection of their disease. The disease stage in the detection time was determined based on the results of the pathology test. Data were analyzed using χ2 and other description tests by SPSS. Result: A statistically signification relationship was observed between disease stage at the defection time and breast self-examination. The disease was detected earlier in individuals who reported a higher frequency of breast self-examination in comparison with those who did not. Conclusion: Breast self-examination affects the early detection of breast cancer and those who were educated had better practice. So, the results show the importance of educational programs in this regard.


2020 ◽  
Author(s):  
Temesgen Abiso Lera ◽  
Aman Beyene ◽  
Befekadu Bekele ◽  
Solomon Abreha

Abstract Background: Early detection of breast cancer plays an important role in decreasing morbidity and mortality associated with breast cancer. Breast self-examination (BSE) is one of the screening methods for early detection of breast cancer. BSE involves the woman herself looking at and feeling each breast for possible lumps, distortions or swelling. BSE is a simple exercise which can potentially save the life of a woman but it is not well focused yet. So, this study was aimed to assess breast Self-Examination and associated factors among women in Wolaita Sodo city, Ethiopia. Methods: Community based cross-sectional study design was employed. Systematic random sampling technique was used to select 626 women aged 20-65 years old. The data were collected using pre-tested and structured questionnaire. The data was entered using Epi data version 3.5.1 and exported to SPSS version 21 software for statistical analysis. Bivariable and multiple logistic regression analysis were done.Variables with P-value less than 0.05 were considered as statically significant. Results: A total of 629 women were included in the study. More than half (60.9%) of the participants were in the age range of 20-29 years. Women who had mentioned BSE as method for early detection of breast problem were 6.36 times (AOR: 6.36, 95% CI :( 3.72, 10.71) more likely to perform BSE than those who say that they don’t know any method. Women breast feed 13-24 months were 2.43 times AOR: 2.43, 95% CI :( 1.28, 4.59) more likely to examine their breast than those who breast feed different duration. Employed women were 3.13 times more likely AOR: 3.13 95% CI :( 1.14, 8.58) to practice BSE than women not employed. Likewise being student was 3.73 times AOR: 3.73, 95% CI (1.19, 11.73) more likely to perform BSE than others. Conclusion: The finding of this study showed that women’s practice of breast self-examination is relatively low. Knowledge of BSE, breast feeding 13-24 months, being employed and being student were factors affecting performing breast self-examination. Therefore, educating girls and increasing awareness on electronics media is important.


2021 ◽  
Vol 21 (2) ◽  
pp. 440-448
Author(s):  
Aishath Niyaf ◽  
Sairah AK ◽  
Mohammed Abdalqader

Breast cancer (BC), is the most common cancer that affects women, and one of the significant causes of mortality among them. Screening and early detection of the disease are encouraged as a means of reducing mortality and enhancing the prognosis. The purpose of the study is to determine the prevalence of Breast Self-Examination (BSE) uptake and to identify the factors that are associated with the BSE uptake among Maldivian women in the Male’ region. The cross-sectional study was carried out over a period of 3 months in the Male’ region, of the Maldives. A total of 600 female citizens aged 20-79 years were selected using stratified random sampling method. Data were collected using an interviewer-administered questionnaire. About 82.70%, 54.80%, and 63.30% of the respondents had heard about BC, breast cancer screening (BCS), and BSE respectively. 50.80% of the respondents had ever performed BSE with only 22.00% performed it regularly. The significant predictors for BSE uptake were: ever heard about BC [OR=2.069, 95% CI(1.081-3.959)], ever heard about BSE [OR=2.342, 95% CI(1.326-4.137)], ever heard about clinical breast examination (CBE) [OR=1.946, 95% CI(1.117-3.390)], knowledge on early detection of BC [OR=1.077, 95% CI(1.011-1.148)], perceptions on the severity of BC [OR=1.062, 95% CI(1.010-1.116)], perceptions on barriers towards BSE [OR=0.900, 95% CI(0.846-0.958)] and self-efficacy [OR=1.112, 95% CI(1.076-1.150)]. The findings indicated that there is a pressing need for continued education and behaviour modification intervention programs using theories and models to increase women’s overall knowledge and awareness of BC and BCS and modify the long-held incorrect beliefs and misconceptions. In particular, the relevant authorities should play a proactive role in raising awareness of BC and promote BCS.


2015 ◽  
Vol 2 (3) ◽  
pp. 276-281
Author(s):  
Rika Maya Sari

In Indonesia, based on data from the Global Burden of Cancer (Globocan), breast cancer inwomen (26 per 100,000), followed by uterus cancer (16 per 100,000). The easiest way and does notrequire a fee for early detection of breast cancer is the breast self examination (BSE). The purpose ofstudy was to analyze the correlation of women knowledge and early detection of breast cancer throughthe BSE. The design was analytic cross sectional study with the sample of 98 mothers in the villageNglames Madiun district. The data was collected using questionnaires and analyzed with Chi Square.The results showed most women had the knowledge and efforts of BSE well and there was a correlationsbetween women’s knowledge and early detection of breast cancer through the BSE with a significancelevel of p value 0,010 <0,05. The women were expected to enhance the knowledge about early detectionof breast cancer and for health centers to improve health education efforts in the community about theimportance of early detection of breast cancer.


2019 ◽  
Author(s):  
Temesgen Abiso Lera ◽  
Aman Beyene ◽  
Befekadu Bekele ◽  
Daniel Baza

Abstract Background: Early detection of breast cancer plays an important role in decreasing morbidity and mortality associated with breast cancer. Breast self-examination (BSE) is one of the screening methods for early detection of breast cancer. BSE method involves the woman herself looking at and feeling each breast for possible lumps, distortions or swelling. BSE is a simple exercise which can potentially save the life of a woman but it is not well focused yet and no study has addressed BSE at community level. So, this was aimed assess breast Self-Examination and associated factors among women in Wolaita Sodo city, Ethiopia.Methods: Community based cross-sectional study design was employed. Systemic random sampling technique was used to select 626 women aged 20-65 years old. The data were collected using pre-tested and structured questionnaire. The data entry was done using Epi data version 3.5.1 and exported to SPSS version 21 software for cleaning and statistical analysis. Bivariable analysis was done and variables with p-value of less than 0.25 were made candidate for multiple logistic regression analysis. The relative contribution of each selected variables to the outcome of interest was assessed using multiple logistic regression and variables with P-value less than 0.05 were considered as statically significant.Results: A total of 629 women between 20 and 65 years old were included in the study. More than half (60.9%) of the participants were in the age range of 20-29 years and 8.2% were less than 50 years old. Two hundred eighteen (34.7%) and 338(53.7%) had primary and secondary/ college/university education, respectively. Women who had mentioned BSE as method for early detection of breast problem were 6.359 times (AOR: 6.359, 95% CI :( 3.719, 10.713) more likely to perform BSE than those who say that they don’t know any method. Conclusion The finding of this study showed that women’s practice of breast self-examination is relatively low. Knowledge of BSE, breast feeding up to 24 months, being employed and being student were factors affecting performing breast self-examination. Therefore, educating girls and increasing awareness on electronics media is important.


2021 ◽  
Author(s):  
Rumpa Sarker ◽  
Md. Saiful Islam ◽  
Mst. Sabrina Moonajilin ◽  
Mahmudur Rahman ◽  
Hailay Abrha Gesesew ◽  
...  

Early diagnosis of breast cancer is the best approach towards its control that may result in alleviating related mortality and morbidity. This study aimed to evaluate knowledge about breast cancer and both practices and perceived barriers to breast self-examination among female university students in Bangladesh. A cross-sectional study was carried out with 400 female students of Jahangirnagar University, Bangladesh. Participants were sampled from female dormitories at the university from January to April 2020. Proportionate stratified random sampling was conducted to calculate the study sample from each dormitory. A pre-tested, semi-structured self-reported questionnaire was employed to collect data from participants during the survey periods. The questionnaire consists of demographic variables, items about knowledge about breast cancer, breast self-examination practices and its barriers. We applied descriptive and inferential statistics, and data were analyzed using SPSS. Participants aged between 18-26 years and comprised university students of 1st year (20%), 2nd year (24%), 3rd year (22%), 4th year (21%) and Masters (14.%). 18% of them had reported positive family history (mother, aunt, sister/cousin, grandmother) of breast cancer. The overall mean score of total knowledge items was 15 (SD = 3) out of 43, with an overall correct rate of 34%. The mean score of total knowledge items was significantly higher (p<0.001) among Masters students and students with family members who have breast cancer. Only one in five students (21%) ever practiced breast self-examination. The mean score of practice towards breast self-examination was significantly higher (p<0.001) among participants who reported having family member of breast cancer. It is noted that the total knowledge score about breast cancer and practice towards breast self-examination are significantly correlated with each other (r = 0.54; p<0.001). About 33% participants had reported that lack of knowledge as the main barrier to practicing breast self-examination followed by I do not have the symptoms (22%), and shyness/ uncomfortable feelings (17%). The study revealed low levels of knowledge about breast cancer and low breast self-examination practices. This implies the need of promotion and implementation of educational interventions programs that are social and culturally appropriate and suitable for specific age groups.


2019 ◽  
Author(s):  
seifadin Ahmed Shallo ◽  
Jibril Dori Boru

Abstract Abstract Objective : Breast cancer is the leading cause of death among reproductive-age women worldwide and the second leading cause of death among women in Ethiopia. Regular breast self-examination is the most cost-effective methods for early detection of breast cancer. Despite this fact, breast self-examination was low among women in the general population and it was not well documented among health care workers. Therefore, this study intended to assess the magnitude of breast self-examination practice and associated factors among female healthcare workers in public health facility in West Shoa zone, Ethiopia. Institutional based cross-sectional study was conducted among 379 female healthcare workers. The study participants were recruited by lottery method. Data were collected from March to April 2019. Data were entered into Epi data version 4.5 and analyzed using SPSS version 25. Bivariate and multiple logistic regressions analysis were done. With 95% CI, significance level was decided at p-value≤ 0.05 Results: The magnitude of regular breast self-examination practice was 32.6%. Educational levels, breast cancer awareness, knowledge towards breast self-examination were predictors of breast self-examination. Regular awareness creation forum on breast self-examination technique, risk factors, and related matters should be facilitated so that all female health care workers will be reminded.


2019 ◽  
Vol 4 (2) ◽  
pp. 39-43
Author(s):  
Nur Anis Izzati Che Mut ◽  
Noor Hidayah Abu Bakar ◽  
Izdihar Kamal ◽  
Siti Aisyah Abdullah Suhaimi ◽  
Nurul Mawaddah Mohammad ◽  
...  

Objective: Breast Self-Examination (BSE) is an early detection method of breast cancer. It is able to develop responsibility for breast health among women to always aware of any changes in the breast. Thus, secondary school girls age is the perfect age to start practice the BSE. The purpose of this study is to determine the level of knowledge and awareness on BSE among secondary school girls in Seremban, Negeri Sembilan. Methods: A cross-sectional study was conducted among 502 secondary school girls using self-administered questionnaire covering socio-demographic data, knowledge and awareness of breast cancer and knowledge and awareness of BSE. Results: The mean age of the participants is 14.9 ± 0.06 years. The majority of the participants were Malays (86.5%). A total of 6.1% of the participants had a family history of breast cancer. Nine percent of participants had a good knowledge and 91.0% had poor knowledge regarding BSE. There is a significant difference between the age of participants with the level of knowledge and awareness (p = 0.014). Conclusion: The knowledge and awareness of BSE were poor among secondary school girls in Seremban, Negeri Sembilan.


Author(s):  
I. N. Usman ◽  
S. O. Olanrewaju ◽  
Saheed Opeyemi Usman

Background: Breast cancer is the most common invasive cancer affecting women worldwide. It comprises 22.9% of invasive cancers in women and 16% of all female cancers.   It affects about 12% of the women population worldwide. In Nigeria, about one breast cancer death is reported in every 25 cases identified and the practice of breast self-examination has been reported to range from 19% to 43.2%. This cross sectional study assessed the knowledge, attitude and practice of breast self-examination (BSE) among female secondary school students in Osogbo Metropolis. Methods: A total of 400 respondents were selected using multistage sampling technique. Data were collected using pre-tested self-administered semi structured questionnaire, analyzed using Statistical Package for Social Sciences and presented using appropriate tables and charts. Level of significance set at < 0.05. Results: The mean age ± SD is 14.77 ± 1.46 years.  390 (97.5%) respondents reported that they have heard of breast cancer while 235 (58.8%) respondents stated that they have heard of breast self-examination (BSE). 15 (3.8%) respondents said the procedures is time wasting while 82 (20.5%) respondents said the procedures were strenuous. 199 (49.8%)  strongly disagree that performing breast self-examination may expose them to breast cancer. Individuals with poor knowledge are one time less likely to do breast self-examination (OR = 1.245, CI = 0.647 - 2.394) while in terms of attitude, those with unfavorable attitude are one time less likely to do breast self-examination (OR = 1.025 CI = 0.949 -1.107). Conclusion: This study revealed a larger proportion of respondents have heard about breast cancer and breast self-examination but with inadequate knowledge of the correct procedures of breast self-examination (BSE) thereby resulting into poor attitude & practice of breast self-examination (BSE). This challenge therefore indicates an urgent need for continuous awareness and sensitization programs in the communities.


2019 ◽  
Author(s):  
seifadin Ahmed Shallo ◽  
Jibril Dori Boru

Abstract Abstract Objective : Breast cancer is the leading cause of death among reproductive-age women worldwide and the second leading cause of death among women in Ethiopia. Regular breast self-examination is the most cost-effective methods for early detection of breast cancer. Despite this fact, breast self-examination was low among women in the general population and it was not well documented among health care workers. Therefore, this study intended to assess the magnitude of breast self-examination practice and associated factors among female healthcare workers in public health facility in West Shoa zone, Ethiopia. Institutional based cross-sectional study was conducted among 379 female healthcare workers. The study participants were recruited by lottery method. Data were collected from March to April 2019. Data were entered into Epi data version 4.5 and analyzed using SPSS version 25. Bivariate and multiple logistic regressions analysis were done. With 95% CI, significance level was decided at p-value≤ 0.05 Results: The magnitude of regular breast self-examination practice was 32.6%. Educational levels, breast cancer awareness, knowledge towards breast self-examination were predictors of breast self-examination. Regular awareness creation forum on breast self-examination technique, risk factors, and related matters should be facilitated so that all female health care workers will be reminded.


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