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Lamichhane B, Adhikari B, Poudel L, Pandey AR, Kakchhapati S, K. C. SP, Giri S, Dulal BP, Joshi D, Gautam G, Baral SC. Factors associated with uptake of breast and cervical cancer screening among Nepalese women: Evidence from Nepal Demographic and Health Survey 2022. PLOS GLOBAL PUBLIC HEALTH 2024; 4:e0002971. [PMID: 38466682 PMCID: PMC10927089 DOI: 10.1371/journal.pgph.0002971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Accepted: 02/06/2024] [Indexed: 03/13/2024]
Abstract
Breast cancer screening (BCS) and cervical cancer screening (CCS) are integral parts of initiatives to reduce the burden associated with these diseases. In this context, we aimed to determine factors associated with BCS and CCS uptake among Nepalese women aged 30 to 49 years using data from the Nepal Demographic Health Survey (NDHS) 2022. We performed a weighted analysis to account complex survey design of the NDHS 2022. We employed univariable and multivariable logistic regression to determine factors associated with the uptake of BCS and CCS and results were presented as crude odds ratio and adjusted odds ratio (AOR) along with 95% confidence interval (CI). The uptake of BCS and CCS among Nepalese women aged 30 to 49 years were 6.5% and 11.4% respectively. Women from Terai compared to mountain region (AOR = 0.54, 95%CI: 0.31, 0.93) and those engaged in agriculture compared to non-working (AOR = 0.59, 95%CI: 0.42, 0.82) women had lower odds of BCS uptake. Conversely, Dalit women compared to Brahmin/Chhetri (AOR = 2.08, 95%CI: 1.37, 3.16), and women with basic (AOR = 1.49, 95%CI: 1.04, 2.13), secondary (AOR = 1.96, 95%CI: 1.33, 2.88), and higher education (AOR = 2.80, 95% CI: 1.51, 5.19) compared to those with no education had higher odds of BCS uptake. Women from rural areas (AOR = 0.76, 95%CI: 0.61, 0.96), and those living in Bagmati (AOR = 2.16, 95% CI: 1.44, 3.23) and Gandaki (AOR = 2.09, 95%CI: 1.40, 3.14) provinces had higher odds of CCS uptake compared to their urban counterparts and those living in Koshi province, respectively. The odds of CCS increased with age (AOR = 1.06, 95%CI: 1.04, 1.08). Women with secondary education (AOR = 1.47, 95%CI: 1.06, 2.04) had higher odds of CCS uptake compared to those without education. Similarly, married women (AOR = 8.24, 95%CI: 1.03, 66.21), and those with health insurance (AOR = 1.41, 95%CI: 1.08, 1.83) had higher odds of CCS. In conclusion, the uptake of both BCS and CCS was relatively poor among Nepalese women indicating a need for targeted and tailored intervention to increase BCS and CCS uptake.
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Affiliation(s)
- Bipul Lamichhane
- Research and Development Department, HERD International, Lalitpur, Nepal
| | - Bikram Adhikari
- Research and Development Department, HERD International, Lalitpur, Nepal
| | - Lisasha Poudel
- Central Department of Public Health Institute of Medicine, Tribhuvan University, Kathmandu, Nepal
| | - Achyut Raj Pandey
- Research and Development Department, HERD International, Lalitpur, Nepal
| | | | | | - Santosh Giri
- Research and Development Department, HERD International, Lalitpur, Nepal
| | | | - Deepak Joshi
- Research and Development Department, HERD International, Lalitpur, Nepal
| | - Ghanshyam Gautam
- Research and Development Department, HERD International, Lalitpur, Nepal
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Hoq MI, Jahan S, Mahmud MH, Hasan MMU, Jakaria M. Breast cancer screening awareness, practice, and perceived barriers: A community-based cross-sectional study among women in south-eastern Bangladesh. Health Sci Rep 2024; 7:e1799. [PMID: 38204752 PMCID: PMC10777436 DOI: 10.1002/hsr2.1799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Revised: 09/30/2023] [Accepted: 12/14/2023] [Indexed: 01/12/2024] Open
Abstract
Background and Aims Breast cancer is a leading cause of mortality in Bangladesh. An early-stage screening is the best way to reduce both the morbidity and mortality burden of breast cancer. The study evaluated awareness, practice, and perceived barriers toward breast cancer screening in Bangladesh. Methods A community-based cross-sectional study was conducted from October 2021 to December 2022 in Chattogram, Bangladesh, where 869 women (18 years or above) were randomly selected in this study. Results Among 869 participants, 47.3% of women were recruited from urban areas and 52.7% participated from rural areas. Only 32.68% of respondents (urban vs. rural: 44.28% vs. 22.27%) were aware of breast self-examination (BSE) and 52.47% of respondents (urban vs. rural: 63.75% vs. 42.36%) had ever heard Clinical Breast Examination (CBE), respectively. Among the respondents, 27.73% (urban vs. rural: 40.15% vs. 16.59%) performed their BSE, and only 14.61% of respondents (urban vs. rural: 21.90% vs. 8.08%) had ever visited for CBE. Women residing in rural areas were approximately three times (AOR: 0.36 [95% CI: 0.25-0.52], AOR: 0.37 [95% CI: 0.23-0.58]) less likely to perform BSE and CBE, respectively, than urban dwellers. We found that higher-educated women tend to do more BSE and CBE than women with low levels of education. Perceptions of having "no symptoms" and being "risk-free" are leading barriers to breast screening among women. Conclusion Poor awareness and practice were observed in screening among the urban and rural women in Bangladesh. Urban area dwellers had comparatively better understanding and practice than rural dwellers. We think extending health education and health promotion activities toward breast cancer screening is essential in this region.
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Affiliation(s)
- Mohammad Injamul Hoq
- School of Public Health, Epidemiology and Social Medicine at the Institute of Medicine, Sahlgrenska AcademyUniversity of GothenburgGothenburgSweden
- Department of Public HealthUniversity of Creative Technology ChittagongChittagongBangladesh
| | - Shamima Jahan
- Department of Pharmaceutical SciencesState University of BangladeshDhakaBangladesh
- Department of PharmacyInternational Islamic University ChittagongKumiraChittagongBangladesh
| | - Md. Hasan Mahmud
- Department of Pharmaceutical SciencesState University of BangladeshDhakaBangladesh
- Department of PharmacyInternational Islamic University ChittagongKumiraChittagongBangladesh
| | - Md. Mayin Uddin Hasan
- Department of PharmacyInternational Islamic University ChittagongKumiraChittagongBangladesh
| | - Md. Jakaria
- The Florey InstituteThe University of MelbourneParkvilleVictoriaAustralia
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