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Gümüştakim RŞ, Akbaba Ö, Bilgili P, Çevik M, Doğaner A, Coşkun E, Akdeniz M, Saper SHK. Assessment of Knowledge and Attitudes of Patients About Cancer Screenings in Primary Care. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2021; 36:359-369. [PMID: 31713104 DOI: 10.1007/s13187-019-01639-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
Incidence of cancer is increasing in the developing countries such as Turkey. Screenings are important part of preventive medicine practices which can reduce deaths due to cancer. Our aim was to identify patient's awareness and knowledge level of cancers and screenings and to create a road map of what we need to do to increase screening rates. This study was a descriptive type, and the research population was the patients between the age of 30 and 75, who went to 18 different Family Health Centres in different places in Turkey for any reason in July-September 2016. The survey was completed by face-to-face interview and consisted of 20 questions about the socio-demographic attributes, level of cancer and cancer screenings knowledge, causes of screening, and reasons for not doing. Screening rates was self-reported by patients. A total of 643 patients, 394 women (61.3%) and 249 men (38.7%), participated in the study. The average age was 45.67 ± 11.49. The most well-known cancer type was breast cancer (79%). Having no screening was high in general population (64.7%). Having a screening was statistically significantly higher in women, over 50 year olds group, divorced/widower group, housewives, primary school graduates, the group who have green-card (having very low or no income) as social security, and in the group who have a history of family member with cancer. 55.8% of patients received the information about screenings from healthcare professionals. The reasons for not having a screening were "not seeing themselves as under risk" (27.4%), not having knowledge (22.8%), and fear of the results (15%). First of all, the importance of cancer screening as an important part of the preventive health services should be understood by family doctors through in-service training. Then family doctors would share the information and experience, clear the lack of knowledge of them and by doing this rates of screening would increase.
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Affiliation(s)
- Raziye Şule Gümüştakim
- Faculty of Medicine, Family Medicine Department, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey.
| | - Özgür Akbaba
- İstanbul Beşiktaş 3 Family Health Center, İstanbul, Turkey
| | - Pınar Bilgili
- Antalya Değirmenönü Family Health Center, Antalya, Turkey
| | - Murat Çevik
- Ankara Güdül Family Health Center, Ankara, Turkey
| | - Adem Doğaner
- Faculty of Medicine, Biostatistics Department, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey
| | - Erkut Coşkun
- Nevşehir Makbule Hanım Family Health Center, Nevşehir, Turkey
| | - Melahat Akdeniz
- Faculty of Medicine, Family Medicine Department, Antalya Akdeniz University, Antalya, Turkey
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Yeshitila YG, Kassa GM, Gebeyehu S, Memiah P, Desta M. Breast self-examination practice and its determinants among women in Ethiopia: A systematic review and meta-analysis. PLoS One 2021; 16:e0245252. [PMID: 33444380 PMCID: PMC7808636 DOI: 10.1371/journal.pone.0245252] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2020] [Accepted: 12/26/2020] [Indexed: 12/29/2022] Open
Abstract
BACKGROUND The survival rate from breast cancer is lowest in African countries and the distribution of breast self-examination practice of and its determinants are not well investigated in Ethiopia. Therefore, this systematic review and meta-analysis was designed to determine the pooled prevalence of breast self-examination and its associated factors among women in Ethiopia. METHODS Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed for this systematic review and meta-analysis. The databases used were; PUBMED, Cochrane Library, Google Scholar, CINAHL, African Journals Online, Dimensions and Summon per country online databases. Search terms used were; breast self-examination, breast cancer screening, early detection of breast cancer and Ethiopia. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) was used for critical appraisal of studies. The meta-analysis was conducted using STATA 15 software. The pooled meta-analysis was computed to present the pooled prevalence and relative risks (RRs) of the determinate factors with 95% confidence intervals (CIs). RESULTS We identified 2,637 studies, of which, 40 articles (with 17,820 participants) were eligible for inclusion in the final meta-analysis. The pooled estimate of breast self-examination in Ethiopia was 36.72% (95% CI: 29.90, 43.53). The regional distribution breast self-examination ranged from 21.2% (95% CI: 4.49, 37.91) in Tigray to 61.5% (95% CI: 53.98, 69.02) in Gambela region. The lowest prevalence of breast self-examination was observed among the general population (20.43% (95% CI: 14.13, 26.72)). Women who had non-formal educational status (OR = 0.4 (95% CI: 0.21, 0.77)), family history of breast cancer (OR = 2.04 (95% CI: 1.23, 3.39)), good knowledge of breast self-examination (OR = 4.8 (95% CI: 3.03, 7.6)) and favorable attitude toward breast self-examination (OR = 2.75, (95% CI: 1.66, 4.55)) were significantly associated with practice of breast self-examination. CONCLUSIONS Only a third of women in Ethiopia practiced breast examination despite WHO guidelines advocating for this practice among all women of reproductive age. Intervention programs should address the factors that are associated with breast self-examination. Population specific programs are needed to promote breast self-examination.
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Affiliation(s)
| | | | - Selamawit Gebeyehu
- School of Public Health, College of Medicine and Health Science, Arba Minch University, Arba Minch, Ethiopia
| | - Peter Memiah
- Division of Epidemiology and Prevention: Institute of Human Virology, University of Maryland School of Medicine, Baltimore, Maryland, United States of America
| | - Melaku Desta
- Department of Midwifery, College of Health Science, Debre Markos University, Debre Markos, Ethiopia
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APPLICATION AND BELIEF OF BREAST SELF-EXAMINATION (BSE) IN BREAST CANCER IN FEMALE STUDYING IN SCIENCE AND SOCIAL SCIENCES: THE CASE OF TURKEY. INTERNATIONAL JOURNAL OF HEALTH SERVICES RESEARCH AND POLICY 2020. [DOI: 10.33457/ijhsrp.779831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Ju N, Liao S, Zheng S, Hua T, Zhang S. Structural equation modeling to detect predictors of breast self-examination behavior: Implications for intervention planning. J Obstet Gynaecol Res 2020; 47:583-591. [PMID: 33145891 DOI: 10.1111/jog.14550] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2020] [Revised: 08/07/2020] [Accepted: 10/18/2020] [Indexed: 01/22/2023]
Abstract
AIM Breast cancer is the most frequent malignant tumor among Chinese women. Breast self-examination (BSE) is a simple, effective method for early detection of screening and it is essential for the prevention and control of breast cancer. The aim of this study was to create a hypothetical model to determine the factors influencing women's BSE behavior in Eastern China. METHODS A survey was conducted using an online questionnaire and targeting 1200 women aged 18-70 years in Eastern China. Collected data were analyzed using ibm spss 25.0 and amos 24.0 software. RESULTS The final model showed a desirable fitness to sample data. A direct positive relationship exists between knowledge on risk factors and BSE. A direct positive association was found between positive attitudes and BSE, while negative attitudes have a direct negative impact on BSE. Objective factors not only had a significant direct impact on BSE, but also directly affected the positive attitudes. Positive attitudes play an intermediary role between objective factors and BSE. CONCLUSION Knowledge on risk factors about breast cancer, attitudes toward BSE and objective factors are new predictors which may influence BSE by using the structural equation modeling method.
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Affiliation(s)
- Nianting Ju
- School of Medical Imaging, Bengbu Medical College, Bengbu, Anhui, China
| | - Shengkai Liao
- Department of Stomatology, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, China
| | - Suge Zheng
- School of Medical Imaging, Bengbu Medical College, Bengbu, Anhui, China
| | - Tiantian Hua
- School of Medical Imaging, Bengbu Medical College, Bengbu, Anhui, China
| | - Shunhua Zhang
- School of Medical Imaging, Bengbu Medical College, Bengbu, Anhui, China
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Tarı Selçuk K, Avcı D, Yılmaz Dündar G, Mercan Y. Breast Cancer Screening Behaviors in Women Aged 40 Years and Over in a Semi-Urban Region in Turkey: Relationships with Health Beliefs. Healthcare (Basel) 2020; 8:healthcare8020171. [PMID: 32545805 PMCID: PMC7349266 DOI: 10.3390/healthcare8020171] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Revised: 06/09/2020] [Accepted: 06/11/2020] [Indexed: 12/29/2022] Open
Abstract
In this study, we aimed to determine the breast cancer screening behavior of women and to investigate the relationship between health beliefs and screening behaviors. The study was cross-sectional. It was conducted between April 2017 and June 2017 with 416 women aged ≥40. The Sociodemographic Information Form and the Champion's Health Belief Model Scale were used to collect data. In the statistical analysis, the number, percentage, mean, standard deviation, Pearson chi-square test, and multivariate binary logistic regression analysis were used. The rates for participating women performing breast self-examination, having clinical breast examination, and undergoing mammography were 11.8%, 8.9%, and 11.3%, respectively. Perceived susceptibility, seriousness, self-efficacy, benefits, health motivation, and perceived barriers were found to have strong associations with screening behaviors (p < 0.05). In this study, we found that few women performed breast self-examination, had clinical breast examination and mammography. In the present study, women perceived barriers related to both performing breast self-examination and undergoing mammography.
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Affiliation(s)
- Kevser Tarı Selçuk
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Bandırma Onyedi Eylül University, Bandırma, 10200 Balıkesir, Turkey
- Correspondence:
| | - Dilek Avcı
- Nursing Department, Faculty of Health Sciences, Bandırma Onyedi Eylül University, Bandırma, 10200 Balıkesir, Turkey; (D.A.); (G.Y.D.)
| | - Gönül Yılmaz Dündar
- Nursing Department, Faculty of Health Sciences, Bandırma Onyedi Eylül University, Bandırma, 10200 Balıkesir, Turkey; (D.A.); (G.Y.D.)
| | - Yeliz Mercan
- Department of Health Management, Kırklareli University School of Health, 39000 Kırklareli, Turkey;
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GÖZÜM S, TUZCU A, MUSLU L, AYDEMİR K, ILGAZ A, DAĞISTAN AKGÖZ A, DEMİR AVCI Y. Kırsal alanda yaşayan erişkin bireylerde bazı bulaşıcı olmayan hastalıklar için risk sıklığı. CUKUROVA MEDICAL JOURNAL 2020. [DOI: 10.17826/cumj.632153] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
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Tuyen DQ, Dung TV, Dong HV, Kien TT, Huong TT. Breast Self-Examination: Knowledge and Practice Among Female Textile Workers in Vietnam. Cancer Control 2019; 26:1073274819862788. [PMID: 31304772 PMCID: PMC6630076 DOI: 10.1177/1073274819862788] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Breast self-examination (BSE) is a simple, feasible, and suitable method for breast cancer screening in low–middle setting countries. The aim of this study was to assess the knowledge and practice of BSE among female textile workers in Vietnam. A cross-sectional study was conducted among 1036 female workers, aged 43.9 ± 3.1 years old, who were working in 4 textile enterprises in Hanoi and Ho Chi Minh City, in 2016. Overall, 22.7% of participants showed sufficient knowledge on BSE; 15.2% performed monthly BSE; and 7.7% completely performed all 5 steps of BSE. The prevalence of insufficient BSE knowledge was higher among participants with low level of education (odds ratio [OR]: 1.71; 95% confidence interval [CI]: 1.22-2.39, below vs above secondary school), and those whose husbands were farmers or workers (OR: 1.76; 95% CI: 1.27-2.45, compared to other sectors). This prevalence was, however, negatively associated with receiving information on BSE (OR: 0.16; 95% CI: 0.11-0.23, yes vs no). The prevalence of insufficient BSE practice was also higher among females with husbands who were farmers or workers (OR: 1.67; 95% CI: 1.15-2.43, compared to other sectors). In contrast, it was much lower among participants who had history of breast-related diseases (OR: 0.46; 95% CI: 0.24-0.88, yes vs no), received BSE information (OR: 0.13; 95% CI: 0.08-0.19, yes vs no), and had sufficient overall BSE knowledge (OR: 0.09; 95% CI: 0.06-0.13, yes vs no), compared to those who did not. There was a low prevalence of sufficient BSE knowledge (22.7%) and practice (15.8%) among female textile workers in Hanoi and Ho Chi Minh City. Low level of education and not being provided BSE information were associated with insufficient BSE knowledge and practice among Vietnamese female textile workers. Health education programs are essential to encourage and improve women’s knowledge and practice of BSE.
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Affiliation(s)
- Do Quang Tuyen
- 1 Faculty of Health Sciences, Thang Long University, Hanoi, Vietnam.,2 Department of Medical ethics and Medical sociology, The Institute of Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam
| | - Truong Viet Dung
- 1 Faculty of Health Sciences, Thang Long University, Hanoi, Vietnam
| | - Hoang Van Dong
- 3 Vietnam National Cancer Institute, Vietnam National Cancer Hospital, Hanoi, Vietnam
| | - Tran Trung Kien
- 3 Vietnam National Cancer Institute, Vietnam National Cancer Hospital, Hanoi, Vietnam
| | - Tran Thanh Huong
- 2 Department of Medical ethics and Medical sociology, The Institute of Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.,3 Vietnam National Cancer Institute, Vietnam National Cancer Hospital, Hanoi, Vietnam
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Johnson OE. Awareness and Practice of Breast Self Examination among Women in Different African Countries: A 10-Year Review of Literature. Niger Med J 2019; 60:219-225. [PMID: 31844349 PMCID: PMC6900901 DOI: 10.4103/nmj.nmj_84_19] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2019] [Revised: 09/03/2019] [Accepted: 09/06/2019] [Indexed: 12/24/2022] Open
Abstract
Breast self examination (BSE) is an important screening technique in detecting breast abnormalities. This procedure enables women become familiar with their breasts, thus making it easier for them to detect any changes that may occur. Routine performance of BSE is recommended for females above 20 years. This review of literature was conducted to assess the awareness and practice of BSE among women in different countries in Africa. A total of 28 out of 80 articles were reviewed from 15 African countries based on relevance. Review identification was performed through the search of Google Scholar and PubMed/MEDLINE/PubMed Central databases. Search terms used were “BSE,” “awareness,” “practice,” and “Africa.” Reference lists of identified studies were also used to find more studies. Majority of the reviewed studies showed adequate awareness, mainly from the media, but poor practice of BSE among women in various countries in Africa. A major barrier identified was inadequate knowledge of BSE technique. Although awareness of BSE was relatively high in many of the reviewed studies, the practice was low. Educational intervention program should be carried out among women in various African countries, not only to raise awareness but also to educate on the skills required to carry out BSE effectively.
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Affiliation(s)
- Ofonime Effiong Johnson
- Department of Community Health, University of Uyo Teaching Hospital/University of Uyo, Uyo, Nigeria
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Health beliefs, behaviour and determining factors in breast self – examination among a group of university students. MARMARA MEDICAL JOURNAL 2019. [DOI: 10.5472/marumj.638115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Maç ÇE. Knowledge, Attitudes and Behaviors of Geriatric People About Periodic Health Examination. ANKARA MEDICAL JOURNAL 2019. [DOI: 10.17098/amj.542156] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Pahlevan Sharif S, Abaeian V, Khanekharab J. Attitudes toward mammography: questionnaire psychometric properties. Int J Health Care Qual Assur 2018; 31:391-399. [PMID: 29865960 DOI: 10.1108/ijhcqa-02-2017-0026] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose The purpose of this paper is to evaluate the Persian version of the Attitude toward Breast Cancer Screening Procedures Scale (ABCSPS) among Iranian women. Design/methodology/approach In this methodological study, 1,000 Iranian women completed a demographic questionnaire and the 14-item Persian ABCSPS. The scale's construct validity was evaluated using exploratory and confirmatory factor analysis. Internal consistency and reliability were assessed using Cronbach's α and McDonald's coefficient ω. Findings The exploratory factor analysis revealed a two-factor solution accounting for 55.1 percent of the variance. The two-factor measurement model had a good fit with all factor loadings greater than 0.5, which were statistically significant. The results showed good reliability and internally consistency ( α=0.767 and 0.872; ω =0.979 and 0.997). Moreover, model structure was invariant across different income groups. Originality/value The Persian ABCSPS translation demonstrated good validity and reliability among Iranian women. The results also showed that the scale had a multidimensional structure. Regarding proper psychometric properties, the validated scale can be used in future studies as a reliable and relevant breast cancer screening attitude measure.
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Affiliation(s)
| | - Vahideh Abaeian
- Taylor's Business School, Taylor's University , Subang Jaya, Malaysia
| | - Jasmine Khanekharab
- Graduate School of Business, Universiti Tun Abdul Razak , Kuala Lumpur, Malaysia
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Kırca N, Tuzcu A, Gözüm S. Breast Cancer Screening Behaviors of First Degree Relatives of Women Receiving Breast Cancer Treatment and the Affecting Factors. Eur J Breast Health 2018; 14:23-28. [PMID: 29322115 DOI: 10.5152/ejbh.2017.3272] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2017] [Accepted: 06/14/2017] [Indexed: 01/20/2023]
Abstract
Objective First-degree relatives of women with breast cancer are under higher risk when compared with the general population. The aim of this study is to evaluate breast cancer screening behaviors of women who are first-degree relatives of women with breast cancer and factors affecting these behaviors. Materials and Methods This descriptive study included 240 patient relatives, who agreed to participate in the study through contact with first-degree relatives of 133 patients who were receiving breast cancer treatment at the Oncology and Chemotherapy unit of an university hospital in Turkey. Data were collected using the "Descriptive Characteristics Form," which consisted of socio-demographic characteristics, health history, breast cancer risk level and health beliefs as well as the "Breast Cancer Screening Behavior Evaluation Form". Results Out of the subjects, 17% reported doing breast self examination (BSE), 18% reported getting clinic breast examination (CBE) and 17% reported getting mammography. Logistic regression analysis showed that perceived susceptibility increased BSE by 0.57 times and increased mammography by 0.77 times. Physical exercise increased CBE by 0.21 times and increased mammography by 0.13 times. Conclusions It was found that women with familial breast cancer history (FBCH) had lower participation in screening behaviors. Higher susceptibility perception and regular physical exercise are the determinant variables. Women with a higher susceptibility can be led towards the screening and their participation can be increased. In women with family history, the development of healthy lifestyle behaviors like physical exercise should be supported.
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Affiliation(s)
- Nurcan Kırca
- Department of Fundamental of Health Nursing, Akdeniz University School of Nursing, Antalya, Turkey
| | - Ayla Tuzcu
- Department of Community Health Nursing, Akdeniz University School of Nursing, Antalya, Turkey
| | - Sebahat Gözüm
- Department of Community Health Nursing, Akdeniz University School of Nursing, Antalya, Turkey
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Zeren S, Bayhan Z, Koçak C. Clinical Approach to Patients with Mastalgia in Breast Disease Outpatient Clinic. JOURNAL OF CLINICAL AND EXPERIMENTAL INVESTIGATIONS 2016. [DOI: 10.5799/jcei.328663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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