scholarly journals Awareness and Early Detection of Ante Natal Clinic Attendees towards Breast Cancer at a Tertiary Hospital in South – South Nigeria

Author(s):  
S. Eli ◽  
D. G. B. Kalio ◽  
F. E. Aaron ◽  
N. A. E. Okeji ◽  
K. E. Okagua ◽  
...  

Background: Breast cancer is the leading cause of death globally in women between 44 – 50 years. As a result of poor awareness, late presentation is often times common amongst women with breast cancer in developing countries of the world as such outcome is poor. Aim: To determine the awareness and early detection of ante natal clinic attendees towards breast cancer at the Rivers State University Teaching Hospital (RSUTH), Port Harcourt, Nigeria. Methods: This was a cross-sectional study of ANC attendees at the RSUTH. Simple randomized sampling method was used. A structured pre-test survey questionnaire The information was analyzed using SPSS version 25. Results: A total of 180 questionnaires were distributed and 176 questionnaires retrieved. The mean gestational age was 32.4 years. The modal parity was 1. With respect to the educational level, tertiary were 129 (73.3%), secondary 43 (24.4%) and primary 4 (2.3%). Those aware of breast cancer were 159 (90.3%). Means of information by the subjects for breast cancer prevention were media 96 (54.6%), hospital 39 (22.0%), religious house 3 (3.8%) and others 38 (19.6%) Antenatal mothers who carried out self breast examination for detection of breast lumps were 95 (54%). Subjects who were aware of mammogram were 42 (23.9%) while those who had mammogram in the past were 2 (1.1%). ANC attendees who had family history of breast cancer were 7 (4%). The relationship between breast cancer awareness and educational status were as follows, tertiary 123 (69.9%), secondary 34 (19.3%), primary 2 (1.1%). Conclusion: Though the level of breast cancer awareness was high 90.3%. Self breast examination for early detection of breast cancer was above average (54%), while the use of mammogram for early detection of breast cancer was still not encouraging represented by 1.1% of the respondents. The media was the commonest medium of awareness for the prevention of breast cancer represented by 54.6% of the ante natal clinic attendees.

Author(s):  
S. Eli ◽  
D. G. B. Kalio ◽  
F. Aaron ◽  
K. Okagua ◽  
N. C. T. Briggs ◽  
...  

Introduction: Pastors and religious leaders have a role to play in the prevention of diseases, in this scenario prevention of breast cancer. Breast cancer is the leading cause of death globally in women between 44 – 50 years. Aim: The role pastors and religious leaders play in the prevention of breast cancer exemplified by the analysis of 176 antenatal clinic (ANC) attendees at the Rivers State University Teaching Hospital (RSUTH). Methods: It was a prospective study of ANC attendees at the RSUTH. The information was coded and analyzed using SPSS version 25. Results: A total of 180 questionnaires were distributed and 176 questionnaires retrieved. The mean gestational age was 32.4 years. The modal parity was 1.As regards level of education, tertiary were 129 (73-3%), secondary 43 (24.4%) and primary 4 (2.3%). Those aware of breast cancer were 159 (90.3%). Means of information by the subjects for breast cancer prevention were media 96 (54.6%), hospital 39 (22.0%), religious house 3 (3.8%) and others 38 (19.6%) Antenatal mothers who carried out self breast examination for detection of breast lumps were 95 (54%). Subjects who were aware of mammogram were 42 (23.9%) while those who had mammogram in the past were 2 (1.1%). ANC attendees who had family history of breast cancer were 7 (4%). The relationship between breast cancer awareness and educational status tertiary 123 (69.9%), secondary 34 (19.3%), primary 2 (1.1%) and no information on educational status 17(9.7%). Conclusion: Though the level of breast cancer awareness was high 90.3%, religious houses contributed to only 3%. In addition, preventive measures such as self breast examination (54%) and mammogram (1.1%) are still not encouraging.


2015 ◽  
Vol 26 ◽  
pp. iii1
Author(s):  
E.M. Al-Khasawneh ◽  
V. Seshan ◽  
Y. Al-Farsi ◽  
S.T. Siddiqui ◽  
M.S. Al-Moundhri

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.


Breast Care ◽  
2020 ◽  
pp. 1-7
Author(s):  
Elna Kuehnle ◽  
Wulf Siggelkow ◽  
Kristina Luebbe ◽  
Iris Schrader ◽  
Karl-Heinz Noeding ◽  
...  

<b><i>Background:</i></b> Although immigrant health is an important issue in national health policy, there is a serious shortage of data in many countries. Most studies lack information on educational status, which is a major limitation. This prospective cross-sectional study analyzed a real-world breast cancer population on the influence of immigration background and educational status on participation in breast cancer early detection programs in the federal state of Lower Saxony, Germany. <b><i>Methods:</i></b> Data collection was conducted from 2012 to 2016 in six certified breast cancer centers using a standardized questionnaire for patients’ interview and tumor-specific data from the patients’ medical records. <b><i>Results:</i></b> 2,145/3,047 primary breast cancer cases were analyzed. 17.5% of our patients had a history of immigration, including <i>n</i> = 202 first-generation immigrants and <i>n</i> = 168 second-generation immigrants. Most of them were citizens of EU27 member states. No significant difference was seen in age, tumor stage, histology, grading, Ki-67, Her2/neu-status, and hormone receptor status compared to the native cohort. 100% participation rate in the breast cancer early detection programs were seen in patients with no school graduation. With regards to the national mammography screening program, participation decreased significantly with educational status (<i>p</i> = 0.0003). <b><i>Conclusions:</i></b> No tumor biological differences were seen between immigrants and German natives. In first-generation immigrants, early detection programs were well accepted despite sociocultural and language differences. Participation rate decreased significantly with higher education levels irrespective of country of origin. Immigration background does not have a negative effect on the participation in breast cancer screening. This mainly relates to immigrants from EU27 member states.


2018 ◽  
Author(s):  
Tolulope Allo ◽  
Patrick Edewor ◽  
Imhonopi, David O.

<p>This study is aimed at examining the moderating role of demographic characteristics in facilitating breast cancer awareness among women in relation to their behavioural disposition to the disease. The study adopted the descriptive (survey) and cross-sectional research designs to elicit information from women of adult age selected across five Local Government Areas in Ogun state. The data, collected through questionnaire were analysed through the use of a variance-based SEM Partial Least Square (PLS). The result shows that demographic characteristics (age and education) had a positive significant effect and jointly explain 74.9% of the variance in the breast cancer awareness and behavioural disposition among women in the study area. The findings revealed that a significant number of women with breast cancer have not acquired useful knowledge that could potentially be used to diagnose, prevent, and manage the disease. Unfortunately, the practice of Breast Self-Examination is grossly low among Nigerian women, as a consequence, only 20-30% of the women in study areas, including professionals know of the benefits of BSE and only a smaller percentage practice BSE. There is therefore a need to educate women on the benefits of this simple life saving procedure through the consistent use of media platforms.</p>


2020 ◽  
Vol 9 (10) ◽  
pp. 679-689
Author(s):  
Na Liu ◽  
Ping Li ◽  
Jie Wang ◽  
Ping-ping Guo ◽  
Xue-hui Zhang ◽  
...  

Aim: This study aimed to explore the factors that influence breast cancer awareness. Materials & methods: A community-based cross-sectional study was conducted between January and April 2019 in Changchun, Jilin Province, China. Results: A total of 274 women were recruited for this cross-sectional study. Participants had a moderate level of breast cancer awareness (median = 76.50 [68.75, 84.00]). Women in the action/maintenance stages reported higher breast cancer awareness (p = 0.044). Women's breast cancer awareness was positively associated with high health information literacy level, husbands' higher educational degrees, seeing doctors after detecting abnormal breast changes and living within a short distance from the nearest hospital. Conclusion: History of screening and higher health information literacy levels are important positive factors linked to higher breast cancer awareness.


2016 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Sofia Shehzad

The month of October comes with a familiar sight of ‘pink ribbon’ display and events organized in this context, globally. While this is an integral part of the international calendar in the developed world, developing countries like Pakistan attach little importance to promotion of this concept brand. One of the reasons for this apathy is a lack understanding amongst the social circles and general population about what the pink ribbon advocates. This editorial is meant to highlight the true spirit and importance of this symbol.  A ‘pink ribbon’ is an international symbol of breast cancer awareness with the month of October referred to as ‘pinktober’ chosen as the breast cancer awareness month in many countries over the world. Breast cancer is the most common cancer amongst the female gender with more than one million women worldwide diagnosed with the disease every year. The WHO in its global health estimate reported 508000 deaths in women worldwide from this disease in the year 20111.More than 58% of deaths from breast cancer are known to occur in less developed countries2, which sets aside the misconception that the disease is a problem of the more affluent class. Early detection of breast cancer with its favorable impact on morbidity and mortality associated with the disease is now established as the cornerstone of management3.  Against the backdrop of the magnitude and impact of this condition there is a dire need for creating awareness about the symptoms and treatment of the disease as well as promoting research and facilities leading to early detection, multimodality treatment and support for those suffering from the disease.  Pink ribbon as a concept brand allows a platform to achieve these goals by raising money and encouraging scientific progress. The first known use of Pink Ribbon dates back to 1991 when it was handed out by the Susan G Koman foundation to participants of a New York city race for breast cancer survivors and adopted as an official symbol in 19924. Buying, wearing, displaying or sponsoring pink ribbon is a sign of support for women health. Thousands of pink ribbon products are advertised and sold each year with part of the earnings spent in promoting breast cancer awareness and funding research.  The month of October as the national breast cancer awareness month (NBCAM) was started in 1985 by the American Cancer Society and pharmaceutical company Astra Zeneca. The organization behind NBCAM is keen on promoting mammography as a screening tool for early detection of breast cancer. Running, walking and riding besides observing pink dress day and pink hijab day form the essence of events organized globally as fundraisers under this banner.  The campaign for helping breast cancer patients is not limited to diagnosis and treatment only. Addressing the burden of physical, social and psychological stigma associated with the disease is as important as the initial steps in management. The term She-ro, derived from hero is sometimes used to refer to those suffering from the disease. After treatment, the she-ro regains her femininity by using breast reconstruction, prosthetic devices, wigs, cosmetics, and clothing to present an aesthetically appealingappearance5.Breast cancer culture, or pink ribbon culture, refers to steps taken in public to effectively address different aspects of the disease.  It supports the efforts of the doctors, promotes diagnostic modalities such as mammograms and various treatment options on offer for breast cancer patients.  Pakistan has the highest rate of breast cancer in Asia. One out of every nine women is at the risk of breast cancer making the Pakistani women most susceptible to the disease after the non Arab Israeli women6. Studies have shown that a significant number of young women make the afore-mentioned list. Therefore, Pink Ribbon has reading-prc-Iterature been running Youth Awareness Program in collaboration with Higher Education Commission (HEC) since 2012. This program not only educates the young women about the importance of self-examination and screening modalities like ultrasound scan and mammograms but also through their interaction with members of their family and society makes them conscious of the disease and advocating regular check-ups. Benefit is also derived from established women groups and Lady Health workers who are in contact with the population in far-flung areas of the country, in spreading awareness to the grass root level.  In collaboration with Pakistan Atomic Energy Commission hospitals, Pink ribbon has launched a free nationwide Breast Cancer screening program and is working on building a dedicated Breast Cancer Hospital in Lahore, Pakistan.  Realizing the disease burden and the health, social and financial implications of breast cancer it is imperative that Pink Ribbon as a source of Breast Cancer awareness is propagated in the society and an all out moral and material support be extended to the organizations working under this banner. 


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