scholarly journals PREDICTORS OF BREAST SELF-EXAMINATION UPTAKE AMONG WOMEN IN MALE’ REGION, MALDIVES

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.

2019 ◽  
Vol 26 (1) ◽  
pp. 107327481986377
Author(s):  
Do Thi Thanh Toan ◽  
Dinh Thai Son ◽  
Le Xuan Hung ◽  
Luu Ngoc Minh ◽  
Dinh Le Mai ◽  
...  

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.


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 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.


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.


2021 ◽  
Author(s):  
Joyce Ayugi ◽  
George Ndagijimana ◽  
Stanley Luyima ◽  
David Lagoro Kitara

Abstract Background: Breast cancer (BC) is one of the most common cancers that occur worldwide among women. There were more disability-adjusted life years (DALYs) lost to breast cancer among women worldwide than any other cancers, and DALYs occurred in women globally after puberty, with increasing rates later in life. Improvements in breast cancer survival began in the 1980s in countries where early detection programs combined with different modes of treatment to eradicate the invasive form of the disease were practiced. Recent data showed that there was a higher prevalence of breast cancer among women in Northern Uganda than among women in the rest of Uganda.The objective of this study was to determine factors associated with breast cancer awareness, breast self-examination (BSE), clinical breast examination (CBE), and other modalities for screening and early breast cancer detection among adult women in the Gulu main market.Methods: A cross-sectional study was conducted in the Gulu main market in 2020. A total of 98 adult women were recruited for the study by a random sampling method. The questionnaire had an internal validity of Cronbach’s α=0.72. The study was approved by a local IRB. SPSS version 26.0 was used for data analysis, and a p-value less than 0.05 was considered significant.Results: Most participants were 20-29 years 41(41.8%), married 44(44.9%), monthly incomes of >UGX1 million shillings 51(52.2%), Acholi 81(82.7%), Catholics 46(46.9%), vendors 75(76.5%), duration of work in the market (1-10 years) 64(65.4%), primary level of education 39(39.8%), and had 1-2 pregnancies 37(37.8%). The independent factors associated with breast cancer awareness, breast self-examination, and clinical breast examination were vendor (primary occupation) (β=-0.130, t=-2.979, p<0.004), duration of work in the market (1-10 years) (β=-0.186, t=-2.452, p<0.016), and higher level of education (β=-0.091, t=-2.506, p<0.014).Conclusions: Breast cancer awareness and downstaging practices in adult women in the Gulu main market were thought-provoking. Women with better socioeconomic status (higher education, moderate work duration in the market and primarily vendors) in the Gulu main market were more likely aware and practiced breast cancer downstaging activities. There is a need to strengthen publicity on breast cancer-related knowledge for lower-income occupational groups and those with lower education levels to better understand the importance of conducting BSE, CBE, and mammography for early breast cancer detection.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Nukhet Kirag ◽  
Mehtap Kızılkaya

Abstract Background Breast cancer is an important cancer type and the most common malignancy among women in both developed and developing countries and the second leading cause of cancer death in women worldwide. This study aimed to examine the projected risk of breast cancer in Turkish women academician, determine the levels of their breast cancer screening behaviors and uncover the relationship between their health beliefs and screening behaviors. Methods This cross-sectional descriptive study was conducted from March to July 2018 in the province of Aydın, Turkey with a total of 200 female academicians. The data were collected using questionnaires filled out by the participants and the Turkish version of the Champion Health Belief Model Scale. Data were analyzed using t test, ANOVA, Chi-square and logistic regression performed with Statistical Package for Social Sciences version 20. Results The mean age of the female academics was 36.1 ± 0.53 years. The female performing breast self-examination had higher perceived sensitivity (OR = 2.88, 95% Cl 1.32, 2.66) benefits to breast self-examination (OR = 0.90, 95% Cl 0.82, 0.99), self-efficacy (OR = 0.87, 95% Cl 0.81, 0.93) health motivation (OR = 1.74, 95% Cl 0.50, 0.90), benefit to mammography (OR = 0.97, 95% Cl 0.88, 1.08), lower barrier to mammography (OR = 1.05, 95% Cl 1.0, 1.09) than women who did not. Female academics with clinical breast examination had higher self-efficacy (OR = 0.91, 95% Cl 0.86, 0.97) and lower barrier to mammography (OR = 1.06, 95% Cl 1.02, 1.10) than women who did not. The female with take mammography had higher sensitivity (OR = 0.84, 95% Cl 0.72, 0.98), lower barrier to breast self-examination (OR = 1.08, 95% Cl 1.02, 1.15) and lower barrier to mammography (OR = 1.09, 95% Cl 1.04, 1.14) than female who did not. Conclusions Female academicians in Turkey exhibit positive attitudes towards breast self-examination, clinical breast examination and mammography as they have higher perceived sensitivity against breast cancer, self-efficacy and fewer barriers. Long-term community-based programs should be extended to different groups of women from a variety of socio-demographic environments.


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.


2017 ◽  
Vol 2 (2) ◽  
pp. 20-28
Author(s):  
Bekhal Abdalwahid Amin ◽  
Muhammed Babakir-Mina ◽  
Fadhil Ahmed Mohialdeen ◽  
Mohammed I. M. Gubari

Breast cancer is a devastating affliction, the frequency of which is gradually increasing all over the world. Cancer may be cured if properly intervened at the right time. The correct treatment, aided by professionals and the right technology can provide critical life support to breast cancer patients. This study was conducted to assessment knowledge, attitude and practice of breast cancer among Kurdish females visited Maternity Teaching Hospital in Sulaimani. A face-to-face interview through a question¬naire to assessment of knowledge and practices toward breast cancer of 500 non-breast cancer women visited Maternity Teaching Hospital was done. Data were computerized and analyzed using Statistical Package for the Social Science (SPSS, version 22). P-value of < 0.05 was considered as statistically significant. Out of 500 participants in the current study on knowledge and practices toward breast cancer among non-breast cancer women, consequently were 227 (45.4%) and 201 (40.2%) practiced breast self-examination(BSE) and clinical breast examination respectively. In this study the participants having no symptoms and lack of knowledge about how to do BSE where regarded as the barriers of not practicing BSE (44.7%, 55.3%) respectively. The most common reason for not doing clinical breast examination (CBE) is fear of the outcome and no sign & symptom of breast cancer (28.8%, 61.9%) respectively. The high education level showed significantly more knowledge of breast self-examination and mammography than Illiterate women P≤ 0.001 and P≤ 0.03 respectively. On the other hand, the high education level women showed significantly more practice of breast self-examination P≤ 0.001. In conclusion, the present study found the facts to the inadequate knowledge of female about breast cancer and recognized the negative influence of low knowledge on the practice of BSE, CBE and mammography and the breast cancer incidence. Therefore, more determinations are needed to develop a positive attitude toward BSE, CBE and mammography screening and practice in Sulaimani.


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