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DOI: 10.4103/ijmpo.ijmpo_162_17
Knowledge, Attitudes, and Beliefs About Breast Cancer and Barriers to Breast Self-Examination Among Sikkimese Women
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Abstract
Objectives: The objectives of this study are to assess women's awareness on breast cancer; and their awareness, attitudes, and barriers to practice of breast self-examination (BSE). Methodology: This cross-sectional study was conducted from May 1, 2015 to June 30, 2015, involving 302 women between 18 and 65 years of age attending the Outpatient Department of Central Referral Hospital, Gangtok. Face-to-face semi-structured questionnaire-based interview was conducted among the participant women, after taking their written consent. Results: Three-fourths of the participants were aware of breast cancer. Eighty percent of the women who had heard about breast cancer were not aware of its risk factors. Forty-six percent of the participants were aware of BSE. Most common source of knowledge was from health professionals. Of the 138 women who were aware of BSE, 41.3% ever practiced BSE. Majority had started BSE between 21 and 45 years of age. Thirty-seven percent of the participants practiced BSE once in a year. Working women and students were found to be twice more likely to practice BSE compared to homemakers. Similarly, women belonging to lower socioeconomic status were 70% less likely to practice BSE than women of affluent class. Conclusions: Knowledge of the breast cancer and BSE practices is poor among indexed Sikkimese reproductive women attending tertiary hospital of Sikkim. There is an urgent need for information on the airwaves and in print, and for education at health centers on warning symptoms of breast cancer and various methods of screening for breast cancer including BSE.
Publikationsverlauf
Artikel online veröffentlicht:
03. Juni 2021
© 2019. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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References
- 1 Bener A, Ayub H, Kakil R, Ibrahim W. Patterns of cancer incidence among the population of Qatar: A worldwide comparative study. Asian Pac J Cancer Prev 2008; 9: 19-24
- 2 Bener A, El Ayoubi HR, Basha B, Joseph S, Chouchane L. Breast cancer screening barriers: Knowledge, attitudes and practices of women toward breast cancer. Breast J 2011; 17: 115-6
- 3 WHO. Breast Cancer: Prevention and Control. Available from: http://www.who.int/cancer/detection/breastcancer/en/index.html. [Last accessed on 2017 Mar 30]
- 4 Pisani P, Bray F, Parkin DM. Estimates of the world-wide prevalence of cancer for 25 sites in the adult population. Int J Cancer 2002; 97: 72-81
- 5 Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. et al. Global cancer statistics. CA Cancer J Clin 2011; 61: 69-90
- 6 Rao RS, Nair S, Nair NS, Kamath VG. Acceptability and effectiveness of a breast health awareness programme for rural women in India. Indian J Med Sci 2005; 59: 398-402
- 7 Dinshaw KA, Rao DN, Ganesh B. Tata Memorial Hospital Cancer Registry Annual Report. Mumbai, India: Tata Publisher; 1999
- 8 Verma Y, Pradhan PK, Gurung N, Sapkota SD, Giri P, Sundas P. et al. Population-based cancer incidence in Sikkim, India: Report on ethnic variation. Br J Cancer 2012; 106: 962-5
- 9 Karayurt O, Ozmen D, Cetinkaya AC. Awareness of breast cancer risk factors and practice of breast self examination among high school students in Turkey. BMC Public Health 2008; 8: 359
- 10 Richards MA, Westcombe AM, Love SB, Littlejohns P, Ramirez AJ. Influence of delay on survival in patients with breast cancer: A systematic review. Lancet 1999; 353: 1119-26
- 11 Elmore JG, Armstrong K, Lehman CD, Fletcher SW. Screening for breast cancer. JAMA 2005; 293: 1245-56
- 12 Lam WW, Chan CP, Chan CF, Mak CC, Chan CF, Chong KW. et al. Factors affecting the palpability of breast lesion by self-examination. Singapore Med J 2008; 49: 228-32
- 13 Mittra I, Baum M, Thornton H, Houghton J. Is clinical breast examination an acceptable alternative to mammographic screening?. BMJ 2000; 321: 1071-3
- 14 Breslow RA, Sorkin JD, Frey CM, Kessler LG. Americans' knowledge of cancer risk and survival. Prev Med 1997; 26: 170-7
- 15 Paul C, Barratt A, Redman S, Cockburn J, Lowe J. Knowledge and perceptions about breast cancer incidence, fatality and risk among Australian women. Aust N Z J Public Health 1999; 23: 396-400
- 16 Parkin DM, Bray F, Ferlay J, Pisani P. Global cancer statistics, 2002. CA Cancer J Clin 2005; 55: 74-108
- 17 Peto R, Boreham J, Clarke M, Davies C, Beral V. UK and USA breast cancer deaths down 25% in year 2000 at ages 20-69 years. Lancet 2000; 355: 1822
- 18 Oscarsson MG, Benzein EG, Wijma BE. Reasons for non-attendance at cervical screening as reported by non-attendees in Sweden. J Psychosom Obstet Gynaecol 2008; 29: 23-31
- 19 Doshi D, Reddy BS, Kulkarni S, Karunakar P. Breast self-examination: Knowledge, attitude, and practice among female dental students in Hyderabad city, India. Indian J Palliat Care 2012; 18: 68-73
- 20 Ramalingam S, Nivedhitha S, Divya P, Madhurima P, Poonguzhali R. Knowledge and attitude about breast cancer and breast self examination among school teachers in an urban area of Coimbatore. Asian Stud Med J 2012; 11: 1-5
- 21 Yadav P, Jaroli DP. Breast cancer: Awareness and risk factors in college-going younger age group women in Rajasthan. Asian Pac J Cancer Prev 2010; 11: 319-22
- 22 Sharma PK, Ganguly E, Nagda D, Kamaraju T. Knowledge, attitude and preventive practices of South Indian women towards breast cancer. Health Agenda 2013; 1: 16-22
- 23 Uche EE. Cancer awareness among a Nigerian population. Trop Doct 1999; 29: 39-40
- 24 Odusanya OO, Tayo OO. Breast cancer knowledge, attitudes and practice among nurses in Lagos, Nigeria. Acta Oncol 2001; 40: 844-8
- 25 Grunfeld EA, Ramirez AJ, Hunter MS, Richards MA. Women's knowledge and beliefs regarding breast cancer. Br J Cancer 2002; 86: 1373-8
- 26 Jacob TC, Penn NE, Brown M. Breast self-examination: Knowledge, attitudes, and performance among black women. J Natl Med Assoc 1989; 81: 769-76
- 27 Ferro S, Caroli A, Nanni O, Biggeri A, Gambi A. A cross sectional survey on breast self examination practice, utilization of breast professional examination, mammography and associated factors in Romagna, Italy. Tumori 1992; 78: 98-105