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International Quarterly of Community... Jul 2020Breast cancer mortality in sub-Saharan Africa is comparatively high largely because of low levels of knowledge and late presentation at hospitals. Breast...
Breast cancer mortality in sub-Saharan Africa is comparatively high largely because of low levels of knowledge and late presentation at hospitals. Breast self-examination (BSE) provides an important way of early detection of breast cancer, particularly for resource constrained countries. This study therefore examined the factors which influence the performance of BSE among female undergraduate nonmedical students of the University of Ghana. A cross-sectional survey was conducted between April and May 2018. It involved 308 students drawn from the University of Ghana. The instrument was based on the Health Belief Model and the Breast Cancer Knowledge questionnaires. The results suggest that about a quarter (23.4%) of the participants performed BSE at least once every month, despite 75.3% believing that checking the breast every month helps in early detection of breast cancer. As expected, those who had ever performed BSE had higher knowledge of breast cancer ( = 6.722, standard deviation [] = 2.090) compared with those who had never performed BSE ( = 4.850, = 1.982), = . 000. Similarly, they perceived barriers to performing BSE to be lower ( = 17.900, = 5.733) compared with nonperformers ( = 19.850, = 6.976), < .05. Results of logistic regression analysis indicated that knowledge level, self-efficacy, and level at the university were statistically significant predictors of BSE. Educational and training programs that focus on equipping women with the skill to perform BSE are therefore recommended.
Topics: Adult; Breast Neoplasms; Breast Self-Examination; Cross-Sectional Studies; Early Detection of Cancer; Female; Ghana; Health Knowledge, Attitudes, Practice; Humans; Self Efficacy; Socioeconomic Factors; Students; Universities; Young Adult
PubMed: 31652076
DOI: 10.1177/0272684X19885501 -
CMAJ : Canadian Medical Association... Nov 1997
Topics: Adult; Breast Neoplasms; Breast Self-Examination; Canada; Female; Humans; Mammography; Mass Screening; Middle Aged; Reproducibility of Results
PubMed: 9361641
DOI: No ID Found -
BMC Research Notes Aug 2018Breast cancer is the leading cause of cancer mortality worldwide. The incidence of breast has been increasing in most regions of the world. Regular breast...
OBJECTIVE
Breast cancer is the leading cause of cancer mortality worldwide. The incidence of breast has been increasing in most regions of the world. Regular breast self-examination is one of the most cost-effective methods for early detection of breast cancer in asymptomatic women. Despite this fact, breast self-examination practice remains low in Ethiopia. Therefore, the aim of this study is to assess breast self-examination practice and associated factors among women aged 20-70 years attending public health institutions of Adwa town, North Ethiopia.
RESULTS
From the total study participants, only 26 (6.5%) of them had ever practice breast self-examination, and only 25 (6.25%) of them practice breast self-examination regularly. Being a government employee (AOR = 0.22, 95% CI = 0.071-0.683), having good perceived confidence to do breast self-examination (AOR = 5.32, 95% CI = 1.89-14.95) and having perceived good susceptibility to develop breast cancer (AOR = 3.79, 95% CI = 1.74-9.74) were the factors significantly associated with breast self-examination. Breast self-examination practice among the study participants was low. Therefore, informing every woman is susceptible to breast cancer, improving the confidence of women is recommended to increase breast self-examination practice.
Topics: Adult; Aged; Breast Self-Examination; Cross-Sectional Studies; Ethiopia; Female; Health Knowledge, Attitudes, Practice; Humans; Middle Aged; Public Health; Young Adult
PubMed: 30157951
DOI: 10.1186/s13104-018-3731-9 -
Nurse Education in Practice Jan 2023To investigate the effectiveness of hybrid simulation-based training and classical-based training with the Miller pyramids' ability to evaluate students' knowledge,... (Randomized Controlled Trial)
Randomized Controlled Trial
The effect of breast self-examination training on nursing students by using hybrid-based simulation on knowledge, skills, and ability to correctly evaluate pathological findings: Randomized Controlled Study.
AIM
To investigate the effectiveness of hybrid simulation-based training and classical-based training with the Miller pyramids' ability to evaluate students' knowledge, skills and pathologies in breast self-examination.
BACKGROUND
Breast cancer incidence is becoming more common among women in developed and developing countries. Nurses should be capable of evaluating breast self-examination knowledge, abilities and pathologies.
METHOD
A randomized full experimental design was used. Two groups were formed: a hybrid simulation-based training group (n = 36) and a classical-based training group (n = 36)-students in the hybrid simulation-based group trained on a standardized patient with a wearable breast attachment. The classical-based training group received training on the breast model. The laboratory performance of the students was evaluated one week after the training. Their performance on the standardized patient was evaluated against the checklist in the clinical setting one week after the laboratory. Before and after the training, each student's knowledge of basic and Application steps was evaluated. Students completed the self-description form regarding the clinical process after the clinical performance. All participants received 60 min of theoretical and 60 min of demonstration training. While the students in the hybrid simulation-based training group completed the 55-minute simulation training, the students in the Classic-based training group practised on the desktop breast model for 10 min. The hybrid simulation-based training group received 175 min of total training time, whereas the classical-based training group received 130 min.
RESULTS
Compared with classical-based training, teaching BSE with hybrid simulation-based training raised students' total knowledge score, application step score, skill score and pathological evaluation score (p < 0.05). Students who trained using hybrid simulation-based training experienced low levels of anxiety but increased levels of excitement and motivation (p < 0.05). The education and counselling scores of students who received hybrid simulation -based simulation training were higher than those who received classical-based training (p < 0.05). There was no statistically significant difference between the groups' BSE mean pre-test basic knowledge scores (p = 0.186). BSE mean application steps knowledge scores difference (pre-test-post-test) of the groups was found to be statistically significant (p < 0.001) CONCLUSION: The ability to accurately evaluate breast self-examination on knowledge, skills and pathological findings of students in the hybrid simulation-based training group was higher than in the classical-based training group. Besides, the students' perceived communication, education and counselling efficiency in the hybrid simulation-based training group were higher compared with the classical-based training group.
Topics: Humans; Female; Breast Self-Examination; Students, Nursing; Research Design; Simulation Training; Educational Measurement; Clinical Competence
PubMed: 36462274
DOI: 10.1016/j.nepr.2022.103530 -
Health Education Quarterly 1991Despite an increase in knowledge about breast cancer, a relatively low percentage of women practice breast self-examination (BSE) regularly and competently. This article... (Review)
Review
Despite an increase in knowledge about breast cancer, a relatively low percentage of women practice breast self-examination (BSE) regularly and competently. This article reviews the BSE literature with a focus on training of BSE components, discrimination training, and the effectiveness of training procedures. Methodological issues such as the absence of control groups, lack of criteria for termination of training and reliance on self-reports of BSE frequency are identified weaknesses of BSE training studies. A theoretical analysis of BSE highlights potential difficulties in maintaining regular practice of BSE. Recommendations regarding training of proficient BSE skills and promoting regular practice of BSE are offered, and suggestions for further refinement of BSE training and directions for future research are discussed. Promising avenues of research in BSE training technology include discrimination training (on real or simulated breast tissue) together with computerized assessment of skill proficiency.
Topics: Adolescent; Adult; Aged; Aged, 80 and over; Breast Self-Examination; Female; Health Education; Health Services Research; Humans; Middle Aged; Research Design
PubMed: 1757270
DOI: 10.1177/109019819101800407 -
European Review For Medical and... Dec 2021Breast cancer is the most common malignancy in Kingdom of Saudi Arabia (KSA) and an increasing burden in terms of incidence, morbidity and mortality. It accounts for...
OBJECTIVE
Breast cancer is the most common malignancy in Kingdom of Saudi Arabia (KSA) and an increasing burden in terms of incidence, morbidity and mortality. It accounts for about 28.7% of all new cancers in women. In 2015, the Saudi cancer registry shows that breast cancer was graded first among women and it accounts for 16.7% of all cancers reported among Saudi nationals. This study was designed to assess breast cancer screening knowledge and practices among women in the Asir region, Kingdom of Saudi Arabia.
MATERIALS AND METHODS
A cross-sectional study recruiting 1,021 female participants was performed. The variables included breast cancer knowledge, socio-demographic features, breast self-examination knowledge and practice. Descriptive statistics was used to compare and analyze the collected data while chi-square test was used to check the statistical significance among the selected variables. Saudi married women from Asir region were the participants of this cross-sectional study.
RESULTS
Our findings suggested that participants had a satisfactory level of knowledge about breast self-examination and mammograms at a rate of > 90% and 44.76% respectively. Over 90% of participants had good breast self-exam knowledge, however, only 6.37% was always performed breast self-examination. Similarly, nearly 40% of participants performed mammograms, while 40.5% were unaware. Leaflets and doctors were the primary sources of information for participants regarding the information of breast cancer screening.
CONCLUSIONS
Breast self-examination is a crucial approach to the timely detection of breast cancer and is subsequently critical for effective treatment. From the findings of this study we concluded that most women in the Asir region have a good awareness of breast cancer screening methods. However, either screening of self-examination or mammogram for breast cancer was not carried out thoroughly and regularly. This means that we must continue to emphasize the importance of primary health care in the earliest stages of breast cancer.
Topics: Adolescent; Adult; Breast Neoplasms; Breast Self-Examination; Cross-Sectional Studies; Early Detection of Cancer; Female; Health Knowledge, Attitudes, Practice; Humans; Mammography; Prospective Studies; Saudi Arabia; Surveys and Questionnaires; Young Adult
PubMed: 34919222
DOI: 10.26355/eurrev_202112_27416 -
BMC Public Health Nov 2019Breast cancer has become one of the most common causes of mortality among Indonesian women. Many women in Indonesia present with late-stage breast cancer, negatively...
BACKGROUND
Breast cancer has become one of the most common causes of mortality among Indonesian women. Many women in Indonesia present with late-stage breast cancer, negatively affecting prognosis and treatment outcomes. Better prognosis of breast cancer will be achieved if it is diagnosed in an earlier stage, thus efforts to detect breast cancer earlier are important. Breast Self-Examination (BSE) is considered as an important first step to encourage women to actively be responsible for their own health, especially for women in low-and middle-income countries with limited resources and access to other forms of preventive healthcare (e.g., screening programs). The present study aimed to predict BSE practice among women in Surabaya, Indonesia using the Health Belief Model (HBM).
METHODS
This investigation was a cross-sectional survey which was distributed among 1967 women aged 20-60 years. The Indonesian version of Champion's Health Belief Model Scale (I-CHBMS) was used to explain self-reported BSE practice. Logistic regression analysis was used to examine the association of HBM variables with BSE practice.
RESULTS
44.4% of the respondents indicated they had performed BSE. Further, the results indicated that the HBM variables were significantly associated with BSE practice. Specifically, higher perceived benefits and self-efficacy, lower perceived barriers and less cues to action were unique correlates of BSE practice. The result also showed that perceived severity and susceptibility were not associated with BSE practice.
CONCLUSION
This study indicated that several HBM constructs significantly associated with BSE practice among Indonesian women, suggesting that BSE health education programs should emphasize the perceived benefits of BSE, focus on increasing women's self-efficacy to address and overcome perceived barriers in performing BSE, and help them in identifying personally relevant cues to action.
Topics: Adult; Breast Self-Examination; Cross-Sectional Studies; Female; Health Knowledge, Attitudes, Practice; Humans; Indonesia; Middle Aged; Models, Psychological; Young Adult
PubMed: 31775697
DOI: 10.1186/s12889-019-7951-2 -
Indian Journal of Cancer 2022Breast cancer is the most common cancer among Indian women. Breast self-examination (BSE) remains a feasible screening method in resource-poor settings, yet diagnosis in...
BACKGROUND
Breast cancer is the most common cancer among Indian women. Breast self-examination (BSE) remains a feasible screening method in resource-poor settings, yet diagnosis in advanced stages remains common. We aimed to assess the awareness of breast cancer and the practice of BSE among women in a rural area of south India.
METHODS
A cross-sectional hospital-based study in rural Ramanagara district, Karnataka, with 416 adult women who were interviewed using the Breast Cancer Awareness Measure.
RESULTS
Less than one in ten women knew that lump in the breast is a symptom of breast cancer. Majority 338 (81.2%) were not able to state even a single symptom of breast cancer and 365 (87.7%) not able to state even one risk factor of breast cancer. Majority 354 (85.1%) of the women in the study had never heard of BSE. None of the women in the study performed monthly BSE. Only 40 (9.6%) of the women actually performed BSE within the last 6 months. Women with higher education and those who reported a history of a lump in the breast in self or family were significantly more likely to state at least one symptom of breast cancer and were more likely to practice BSE.
CONCLUSION
The rural women in this study had poor awareness regarding breast cancer and poor practice of BSE. Awareness of at least one symptom of breast cancer was associated with an 18 fold increase in the practice of BSE. This study has revealed an urgent need to focus on health awareness regarding breast cancer and BSE among rural women.
Topics: Adult; Female; Humans; Breast Self-Examination; Cross-Sectional Studies; Breast Neoplasms; Hospitals, Rural; Health Knowledge, Attitudes, Practice; Surveys and Questionnaires; India
PubMed: 33753612
DOI: 10.4103/ijc.IJC_799_19 -
Servir (Lisbon, Portugal) 2005
Topics: Breast; Breast Diseases; Breast Neoplasms; Breast Self-Examination; Humans
PubMed: 16433275
DOI: No ID Found -
Journal of Preventive Medicine and... Jul 2019In women, breast cancer is the most common cancer and the leading cause of cancer death. Screening tests are the basis for early diagnosis. In Iranian women, the...
OBJECTIVES
In women, breast cancer is the most common cancer and the leading cause of cancer death. Screening tests are the basis for early diagnosis. In Iranian women, the mortality rate of breast cancer is high due to insufficient screening examinations and delayed visits for care. Therefore, this study aimed to determine the factors affecting breast self-examinations among Iranian women employed in medical careers.
METHODS
This cross-sectional study included 501 women working in the medical professions at Hamadan University of Medical Sciences in western Iran in 2018. The subjects were selected by stratified random sampling. Data were collected using a researcher-developed, self-report questionnaire that contained demographic information and questions based on protection motivation theory and social support theory. Descriptive data analysis was conducted using SPSS version 23 and model fitting with PLS version 2.
RESULTS
The mean age of the participants was 37.1±8.3 years, and most of the women (80.4%) were married. Most women had a bachelor's degree (67.5%). The findings of this study showed that the coping appraisal construct was a predictor of protection motivation (β=0.380, p<0.05), and protection motivation (β=0.604, p<0.05) was a predictor of breast self-examination behavior. Additionally, social support theory (β=0.202, p<0.05) had a significant positive effect on breast self-examination behavior.
CONCLUSIONS
The frequency of practicing self-examinations among women employees in the medical sector was low; considering the influence of social support as a factor promoting screening, it is necessary to pay attention to influential people in women's lives when designing educational interventions.
Topics: Adult; Breast Neoplasms; Breast Self-Examination; Cross-Sectional Studies; Early Detection of Cancer; Female; Health Personnel; Humans; Iran; Male; Motivation; Social Support; Social Theory; Surveys and Questionnaires
PubMed: 31390685
DOI: 10.3961/jpmph.18.277