IJCM_128A: Understanding the Breast Cancer Knowledge, Screening practises and Needs among the women in rural South India: A Community-based mixed method study.

Abstract

Background: Breast cancer (BC) is the leading cancer in India among women accounting for 13.5% of all cancer cases. One of the leading causes of high breast cancer deaths is poor awareness about risk factors, symptoms and screening leading to the late presentation at an advanced stage. Objectives: 1. To understand the knowledge of breast cancer symptoms and risk factors, perceptions and practises of breast cancer screening. 2. To do a need assessment of the people in the community regarding screening of breast cancer. Methodology: A community-based mixed method study was conducted at Chengalpattu, Tamil Nadu and primary data was collected from 401 women aged 18-60 years. Structured questionnaire was used to collect quantitative data to assess the knowledge of breast cancer. The need assessment on screening was done by Focus group discussions (FGD). Mean, median, proportions and chi-square test were used to analyse quantitative data and thematic content analysis for qualitative data. Results: The study found that 71.3% of the women were aware of breast cancer. The women who were aware of breast cancer considered lump in breast (78.3%), pain in one breast (66%) as the common symptoms. Women who were aware of breast cancer reported early menarche (16.8%), late menopause (15.4%), nulliparity (20%) and family history of cancer (49%) as the risk factors of breast cancer. 65% of the women were aware of at least one of the methods of breast cancer screening. More awareness programs, organising screening camps in the village, reducing the cost of screening tests were some of the needs addressed during the FGD. Conclusion: Knowledge of symptoms, risk factors and screening practises of breast cancer were low which necessitates the enhancement of knowledge on breast cancer to reduce the burden in the community.