scholarly journals Factors associated with breast cancer screening intention in Kathmandu Valley, Nepal

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245856
Author(s):  
Divya Bhandari ◽  
Akira Shibanuma ◽  
Junko Kiriya ◽  
Suzita Hirachan ◽  
Ken Ing Cherng Ong ◽  
...  

Background Breast cancer burden is increasing in low-income countries (LICs). Increasing incidence and delayed presentation of breast cancer are mainly responsible for this burden. Many women do not participate in breast cancer screening despite its effectiveness. Moreover, studies are limited on the barriers associated with low utilization of breast cancer screening in LICs. This study identified breast cancer screening behavior and factors associated with breast cancer screening intention among women in Kathmandu Valley, Nepal. Methods A cross-sectional study was conducted among 500 women living in five municipalities of Kathmandu Valley, Nepal. Data were collected from July to September 2018, using a structured questionnaire. Interviews were conducted among women selected through proportionate random household sampling. This study was conceptualized using the theory of planned behavior, fatalism, perceived susceptibility, and perceived severity. The outcome variables included: the intention to have mammography (MMG) biennially, the intention to have clinical breast examination (CBE) annually, and the intention to perform breast self-examination (BSE) monthly. Analysis was conducted separately for each outcome variable using partial proportional odds model. Results Out of 500 women, 3.4% had undergone MMG biennially, 7.2% CBE annually, and 14.4% BSE monthly. Women with a positive attitude, high subjective norms, and high perceived behavioral control were more likely to have the intention to undergo all three screening methods. Similarly, women were more likely to have intention to undergo CBE and MMG when they perceived themselves susceptible to breast cancer. Conversely, women were less likely to have intention to undergo CBE when they had high fatalistic beliefs towards breast cancer. Conclusion Women in this study had poor screening behavior. The practice of breast self-examination was comparatively higher than clinical breast examination and mammography. Multidimensional culturally sensitive interventions are needed to enhance screening intentions. Efforts should be directed to improve attitude, family support, and fatalistic belief towards cancer. Furthermore, the proper availability of screening methods should be ensured while encouraging women to screen before the appearance of symptoms.

Author(s):  
Yogita Autade ◽  
Grishma Chauhan

The rising incidence rate of breast cancer at a younger age is an alarming sign that future              mothers will need to be empowered to recognise breast cancer warning symptoms at an early stage. Aim and Objectives: To assess the knowledge and practice breast cancer and its screening methods, to determine the relationship between knowledge and practice, and its association with demographic variables among engineering girls. Method: Quantitative research approach with cross sectional study conducted at engineering College of Ahmednagar, 100 engineering girls of various branches participated in the study. Responses were recorded on a pretested questionnaire and self-reported practices through online mode and participants were agreed to participate in the study. Knowledge aspects consisted general information of breast cancer, risk factors and signs and symptoms, whereas self-reported practice for breast self-examination, clinical breast examination and mammography. Data was analysed with mean, SD, Chi Square test and Karl Pearson Co-efficient correlation. Result: Mean age of participants was 21 years. Maximum girls from 34% Information and Technology and 25% Electronics and Telecommunication. Maximum engineering girls had good 62%   to average 22% and 16 % poor knowledge. Majority 63% had poor and 36 % average breast cancer screening practices measures. Poor practices for breast self-examination followed by clinical breast examination and mammography. Knowledge was directly associated with education of mothers and Source of information is associated with practises with a significance level of p < 0.05. Knowledge and practises had a positive correlation of “r” =.270. Conclusion: engineering girls had average knowledge and poor practices of breast cancer screening measures.  Knowledge was directly associated with education of mothers and source of information were significantly associated with practices. Future mothers should be empowered through hands on training for breast self-examination and enhanced BSE and CBE will help for early detection for breast cancer among younger girls in future.


2006 ◽  
Vol 99 (2) ◽  
pp. 418-420 ◽  
Author(s):  
Ramani S. Durvasula ◽  
Pamela C. Regan ◽  
Oscar Ureño ◽  
Lisa Howell

This exploratory study examined frequency of self-reported cervical and breast cancer screening rates in a multiethnic sample of 331 female university students. In general, rates of lifetime screening were fairly low, with only 41% reporting having ever had a PAP examination and 44% reporting having undergone at least one clinical breast examination. Screening rates differed by ethnicity. Non-Hispanic White and African-American women had higher screening rates than Asian/Pacific Islander and Latina women. The significantly lower rate of screening among the latter groups is of particular concern given the higher cancer mortality rates typically observed in those groups.


Author(s):  
Mohammed Khaled Al-Hanawi ◽  
Rubayyat Hashmi ◽  
Sarh Almubark ◽  
Ameerah M. N. Qattan ◽  
Mohammad Habibullah Pulok

Timely and adequate screening for breast cancer could improve health outcomes and reduce health costs. However, the utilization of free breast cancer screening services among Saudi women is very low. This study aims to investigate socioeconomic inequalities in breast cancer screening among Saudi women. The data of this study were extracted from the nationally representative Saudi Health Interview Survey, conducted in 2013; the study included 2786 Saudi women. Multivariate logistic regression, the concentration curve, and the concentration index were used to examine, illustrate, and quantify income- and education-related inequalities in three outcomes: Knowledge about self-breast examination (SBE), clinical breast examination (CBE) received in the last year, and mammography, that has ever been previously carried out. Results showed a marked socioeconomic gradient in breast cancer screening services. The concentration index by income was 0.229 (SBE), 0.171 (CBE), and 0.163 (mammography). The concentration index by education was 0.292 (SBE), 0.149 (CBE), and 0.138 (mammography). Therefore, knowledge about breast cancer screening, and the utilization of screening services, were more concentrated among richer and better-educated women. Poorer and less educated women had less knowledge about self-breast examination, and had considerably less adherence to clinical breast examination and mammography. The findings are helpful for policy makers to devise and implement strategies to promote equity in breast cancer screening among Saudi women.


2020 ◽  
pp. 1200-1210
Author(s):  
Laura Bourdeanu ◽  
Manal Alatrash ◽  
Nayiri Ketchedjian ◽  
Barbara Pate

Breast cancer is the most prevalent malignancy among Lebanese women, and nearly half of these women are age < 50 years at diagnosis. Despite the current screening guidelines in Lebanon to start mammograms at 40 years of age, monthly self-breast examination, and yearly clinical breast examination, compliance with these recommendations remains low in both Lebanese and Lebanese-American women. This study aimed to examine different factors associated with breast cancer screening compliance in Lebanese and Lebanese-American women and determine and compare factors that predict breast cancer screening for these 2 groups. A cross-sectional study design was used to examine the factors associated with breast cancer screening compliance in Lebanese and Lebanese-American women. A total of 250 Lebanese women and 105 Lebanese-American women completed the questionnaires. Of these, 74.3% of Lebanese-American women and 72.5% of Lebanese women had ever had a mammogram, and 58.4% of Lebanese women had had a clinical breast examination, compared with 84.8% of Lebanese-American women. In both groups, health care provider recommendation was a predictor of having had a mammogram. Although the breast cancer screening practices of both groups are higher than previously reported, they continue to fall below the recommended rate of 81% according to the Healthy People Project. Given the susceptibility of Lebanese women age > 40 years to develop breast cancer, promotional breast cancer screening campaigns must emphasize the importance of adhering to screening guidelines for both Lebanese and Lebanese-American women.


JAMA ◽  
2016 ◽  
Vol 315 (13) ◽  
pp. 1403 ◽  
Author(s):  
Benjamin O. Anderson ◽  
Therese B. Bevers ◽  
Robert W. Carlson

JAMA ◽  
2016 ◽  
Vol 315 (13) ◽  
pp. 1404 ◽  
Author(s):  
Kevin C. Oeffinger ◽  
Elizabeth T. H. Fontham ◽  
Richard C. Wender

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