Improving knowledge about breast cancer and breast self examination in female Nigerian adolescents using peer education: a pre-post interventional study

Abstract Background Prevention of BC of which the cornerstone is creating awareness and early detection is important in adolescents and young women because of their worse outcomes. Early detection strategies such as mammography are currently beyond the reach of most women in sub-Saharan Africa.. Lack of awareness and late presentation contribute to the poor outcomes. Awareness creation among adolescents may result in modification of some risk factors for BC with adoption of healthy life styles including accessing early detection activities. This study determined the effect of peer education as a strategy to create awareness on BC and breast self examination (BSE) among in-school female adolescents in Benin City. Methods This was a pre-post interventional study carried out in October –December 2016 on female students of four secondary schools in Benin City. Pre-peer training, using a pre-tested self-administered questionnaire, knowledge about BC and BSE was assessed in about 30% of each school population. This was followed by training of 124 students selected from the schools (one student per class) as peer trainers. The peer trainers provided training on BC and BSE (the intervention) for their classmates. Within two weeks of peer training knowledge about BC and BSE was reassessed in 30% of each school population. Selection of students for assessment pre and post intervention was by systematic sampling. Correct knowledge was scored and presented as percentages. Chi square test, student t test and ANOVA were used to assess associations and test differences with level of significance set at p < 0.05. Results There were 1337 and 1201 students who responded to the pre and post-training questionnaires respectively. The mean BC knowledge score (20.61 ± 13.4) prior to training was low and it statistically significantly improved to 55.93 ± 10.86 following training p < 0.0001 Following peer training, statistically significant improvement (p 0.037- < 0.001) occurred in most knowledge domains apart from symptomatology. Pre-peer training 906(67.8%) students knew about BSE but only 67(4.8%). Significantly more students 1134(94.7%) knew about BSE following peer training. Conclusions Peer education strategy can be used to improve BC and BSE knowledge in adolescents. This strategy is low cost and could be very useful in low resource settings.

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Effectiveness of Health Education With Peer Education Method On The Attitude Of Student Bse (Breast Self-Examination) In Senior High School 5 Kedir

Journal Of Nursing Practice ◽

10.30994/jnp.v2i2.57 ◽

2019 ◽

Vol 2 (2) ◽

pp. 136-142

Author(s):

Suci Anggraeni ◽

Cahyu Novita Angraeini

Keyword(s):

Breast Cancer ◽

High School ◽

Health Education ◽

Early Detection ◽

Student Attitudes ◽

Positive Attitude ◽

Peer Education ◽

Senior High School ◽

Breast Self Examination ◽

Self Examination

Background: BSE (Breast Self-Examination) is one of the early detection steps to prevent breast cancer is more effective if done as early as possible when adolescents reach the age of reproduction. Purpose : The purpose of this research is to know the influence of health education with peer education method toward student attitude in do realize in Senior High School 5 Kediri. Methods :The research design in this research is pre experimental design with one group pre test approach - post test design. The Sampel is some female students of class XI in Senior High School 5 Kediri as many as 104 respondents taken with Simple Random Sampling technique. Variable dependent attitude of student, independent variable of health education with peer education method. The instrument used is a questionnaire. The results of analysis using Mc Nemar with α = 0,05. Result : The result of this research is that most respondents have positive attitude in doing BSE before giving health education as much 65 respondent (62,5%), while most of respondent have positive attitude in doing BSE after giving health education 96 responden (92,3%) . The result of Mc Nemar statistic test is obtained ρ value = 0,000 <α = (0,05), which means there is Effect of Health Education with Peer Education Method toward Student Attitudes In Conduct BSE in Senior High School 5 Kediri City. Conclusion : Peer education method has relationship with respondent attitude about BSE because counseling with peer education method about is very important for respondent and expected by giving counseling about BSE will increase knowledge and also ability to do BSE for early detection breast cancer

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Self-Efficacy and Perceived Barriers as Determinants of Breast Self-Examination Among Female Nonmedical Students of the University of Ghana

International Quarterly of Community Health Education ◽

10.1177/0272684x19885501 ◽

2019 ◽

Vol 40 (4) ◽

pp. 289-297

Author(s):

Isaac M. Boafo ◽

Peace Mamle Tetteh

Keyword(s):

Breast Cancer ◽

Early Detection ◽

Self Efficacy ◽

Breast Cancer Mortality ◽

Perceived Barriers ◽

Sub Saharan Africa ◽

Breast Self Examination ◽

The University ◽

University Of Ghana ◽

Self Examination

Breast cancer mortality in sub-Saharan Africa is comparatively high largely because of low levels of knowledge and late presentation at hospitals. Breast self-examination (BSE) provides an important way of early detection of breast cancer, particularly for resource constrained countries. This study therefore examined the factors which influence the performance of BSE among female undergraduate nonmedical students of the University of Ghana. A cross-sectional survey was conducted between April and May 2018. It involved 308 students drawn from the University of Ghana. The instrument was based on the Health Belief Model and the Breast Cancer Knowledge questionnaires. The results suggest that about a quarter (23.4%) of the participants performed BSE at least once every month, despite 75.3% believing that checking the breast every month helps in early detection of breast cancer. As expected, those who had ever performed BSE had higher knowledge of breast cancer ( M = 6.722, standard deviation [ SD] = 2.090) compared with those who had never performed BSE ( M = 4.850, SD = 1.982), p = . 000. Similarly, they perceived barriers to performing BSE to be lower ( M = 17.900, SD = 5.733) compared with nonperformers ( M = 19.850, SD = 6.976), p < .05. Results of logistic regression analysis indicated that knowledge level, self-efficacy, and level at the university were statistically significant predictors of BSE. Educational and training programs that focus on equipping women with the skill to perform BSE are therefore recommended.

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81P Breast Self-Examination (BSE): A strategy for early detection of breast cancer in Nigeria

Annals of Oncology ◽

10.1016/s0923-7534(21)00241-6 ◽

2016 ◽

Vol 27 ◽

pp. ix24

Author(s):

Y.C. Adetule

Keyword(s):

Breast Cancer ◽

Early Detection ◽

Breast Self Examination ◽

Self Examination

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Breast self‐examination training video with the sign language for deaf women: An interventional study

European Journal of Cancer Care ◽

10.1111/ecc.13543 ◽

2021 ◽

Author(s):

Melike Koçak Akgün ◽

Selda İldan Çalım

Keyword(s):

Sign Language ◽

Interventional Study ◽

Breast Self Examination ◽

Training Video ◽

Deaf Women ◽

Self Examination

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Beliefs and behaviours of Iranian teachers toward early detection of breast cancer and breast self-examination

Public Health ◽

10.1038/sj.ph.1900854 ◽

2002 ◽

Vol 116 (4) ◽

pp. 245-249 ◽

Cited By ~ 39

Author(s):

S Jarvandi ◽

A Montazeri ◽

I Harirchi ◽

A Kazemnejad

Keyword(s):

Breast Cancer ◽

Early Detection ◽

Breast Self Examination ◽

Self Examination

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81P Breast Self-Examination (BSE): A strategy for early detection of breast cancer in Nigeria

Annals of Oncology ◽

10.1093/annonc/mdw575.020 ◽

2016 ◽

Vol 27 (suppl_9) ◽

Cited By ~ 4

Author(s):

Y.C. Adetule

Keyword(s):

Breast Cancer ◽

Early Detection ◽

Breast Self Examination ◽

Self Examination

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Knowledge, Attitude, and Practice Regarding Breast Cancer Early Detection Among Women in a Mountainous Area in Northern Vietnam

Cancer Control ◽

10.1177/1073274819863777 ◽

2019 ◽

Vol 26 (1) ◽

pp. 107327481986377

Author(s):

Do Thi Thanh Toan ◽

Dinh Thai Son ◽

Le Xuan Hung ◽

Luu Ngoc Minh ◽

Dinh Le Mai ◽

...

Keyword(s):

Breast Cancer ◽

Early Detection ◽

Clinical Breast Examination ◽

Breast Self Examination ◽

Cancer Early Detection ◽

Attitude And Practice ◽

Breast Examination ◽

Clinical Breast ◽

Self Examination ◽

Knowledge Attitude And Practice

Breast cancer is the most common cancer in women all over the world, also in Vietnam. In recent years, the incidence of breast cancer has been increasing in Vietnam, and most cases are diagnosed at late stages, making treatment more difficult. More and better early detection could help more women to survive. The aim of this study was to identify the current knowledge, attitude and practice about early detection of breast cancer as well as potential predictors of breast cancer screening among women aged 20 to 49 year in a mountainous commune in Thanh Hoa Province, Vietnam, in a largely ethnic Muong population. Women aged 20 to 49 years were selected by systematic random sampling to participate in a cross sectional study in October 2017. They were interviewed with a closed questionnaire about their knowledge of breast cancer, its risk factors, and warning signs. A checklist for performance of breast self-examination was also applied. Three hundred six women agreed to participate in the study. More than half had a low level of knowledge, and were weak in attitude and practice about breast self-examination, clinical breast examination, breast ultrasound, and mamography. Among women who had practiced at least 1 screening method, 17.0% mentioned clinical breast examination, and only 13.8% reported practicing breast self-examination. Factors associated with practice included knowledge about breast cancer early detection (BCED), ethnicity, income, the BCED information approach, and the BCED screening programs approach. The finding of a very low proportion of women in the mountainous setting with good awareness and practice on early detection of breast cancer is important evidence to inform the BCED intervention program developers about where and how to target which information, especially to reach more ethnic minority women.

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