scholarly journals Fatores envolvidos na não realização dos exames de rastreamento para o câncer de mama

2019 ◽  
Vol 21 ◽  
Author(s):  
Tanielly Paula Sousa ◽  
Janaína Valadares Guimarães ◽  
Flaviana Vieira ◽  
Ana Karina Marques Salge ◽  
Nathalia Melo Costa

O objetivo foi analisar as evidências disponíveis na literatura sobre os fatores envolvidos na não realização dos exames de rastreamento para o câncer de mama. A coleta de dados foi realizada nas bases de dados LILACS, MEDLINE e Scopus. A estratégia de busca foi: (tw:(“breast cancer screening”)) AND (tw:(“Health Knowledge, Attitudes, Practice”)) AND (tw:(mammography)) OR (tw:(ultrasonography)) OR (tw:(“clinical breast exam”)). A amostra final constituiu-se de 10 artigos. Os fatores que demonstraram serem associados a não realização dos exames de rastreamento do câncer de mama foram: internos - medos, crenças/cultura, atitudes de vergonha/pudor, conhecimento sobre o câncer de mama e externos - serviços, profissionais de saúde, fatores sociopolíticos, organizacionais. Assim, estes fatores demonstram a necessidade de utilização do serviço de forma organizada e universal, com profissionais preparados a acolher e orientar as mulheres, proporcionando o enfrentamento de fatores que inviabilizam a realização do rastreamento do câncer de mama.

2017 ◽  
Vol 1 ◽  
pp. 6
Author(s):  
Bahaty Riogi ◽  
Ronald Wasike ◽  
Hassan Saidi

<strong>Background:</strong> Breast cancer screening programmes have been developed in few developing countries to aid curb the increasing burden. However, breast cancer is still being detected in late stage, attributed to barriers in health care. Patient navigation programmes have been implemented in developed countries to help patients overcome these barriers, and they have been associated with early detection and timely diagnosis. Despite the consistent positive effects of breast navigation programmes, there are no studies conducted to show its effect in Africa where the needs are enormous.<br /><strong>Aim:</strong> To evaluate the effect of patient navigation programme on patient return after an abnormal clinical breast cancer screening examination finding at Aga Khan University Hospital, Nairobi(AKUH-N).<br /><strong>Setting:</strong> Women presenting for breast screening.<br /><strong>Methods:</strong> This was a before-and-after study conducted on 76 patients before and after the implementation of the navigation programme. They were followed up for 30 days. Measures included proportion of patient return and time to return.<br /><strong>Results:</strong> The proportion of return of patients in the navigated and non-navigated group was 57.9% and 23.7%, respectively (odds ratio [OR]: 4.43 [95% confidence interval, CI: 1.54– 12.78]; <em>p</em> = 0.0026).The proportion of timely return in the navigated group was 90.1% and 77.8% for the non-navigated group (OR: 2.85 [95% CI: 0.34–24.30], <em>p</em> = 0.34). The mean time to return in the non-navigated and navigated group was 7.33 days and 8.33 days, respectively (<em>p</em> = 0.67).<br /><strong>Conclusion:</strong> There was an increase in the proportion of patients who returned for follow-up following abnormal clinical breast examination finding after implementation of the breast navigation programme at AKUH-N.


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):  
Roy Rillera Marzo ◽  
Amaluddin Ahmad ◽  
Turani Talukder ◽  
Myat Thida Win ◽  
Maung Maung Soe

Introduction: Breast cancer is the most common cancer among women. The most recent estimate indicated that there are more than 1.6 million new cases of breast cancer worldwide yearly.Objectives: To assess the level of awareness on breast cancer screening practice among women in Muar.Methods: This is a quantitative cross-sectional survey done on 383 respondents in Muar where participants’ age ranged from 18-80 years. The study used a two-step sampling method namely cluster and simple random sampling. Descriptive analysis was used to describe participant s’ socio-demographic characteristics while chi square was used to present the results.Results: Conventional method of breast cancer awareness campaign currently available is probably unsatisfactory. In our survey, only 52.38% of vulnerable aged women among our study subjects in Muar have any knowledge or awareness on breast cancer screening practices. Factors influencing knowledge and awareness of breast cancer screening practices were greatly influenced by level of education and level of household monthly income. Only 50 to 60% of respondents in group 1 (18-25 years), group 2 (26-31 years), group 3 (32- 37 years) performs Breast Self-Examination (BSE). The practice of clinical breast examina t ion among women in group 4 (38-43 years) group 5 (44-50 years) and group 6 (>50 years) only ranged between as low as 30% to a maximum of 50% while annual mammogram screening was only 20% in group 5 and 30% in group 6.Conclusion: The results of the study proved poor knowledge and practices of breast screening practices among vulnerable women in Muar district. Compliance to clinical breast examina t ion and mammogram is even lower.International Journal of Human and Health Sciences Supplementary Issue: 2019 Page: 43


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.


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