Practice Of Breast Self-examination Research Articles

HUBUNGAN TINGKAT PENGETAHUAN SADARI DENGAN PRAKTIK SADARI PADA REMAJA PUTRI DI DESA SINAR AGUNG KECAMATAN WAY TENONG KABUPATEN LAMPUNG BARAT

The prevalence of cancer in Indonesia reached 1.79 per 1000 population, up from 2013 as much as 1.4 per 1000 population. This research also shows that the highest prevalence is in Yogyakarta as much as 4.86 per 1000 population, followed by West Sumatra 2.47, and Gorontalo 2.44. In women, the highest case was breast cancer at 42.1 per 100,000 population with an average death rate of 17 per 100,000. After that, cervical cancer was 23.4 per 100,000 population. The main goal of early detection of breast cancer is to find cancer in stage I level, so that the treatment becomes better. The purpose of this study was to analyze the relationship betweenbreast self-examination (BSE) knowledge level and the practice of breast self-examination (BSE). The type of research used is a correlative research with a cross sectional approach. In this study using a sampling technique on the entire population of 20 people. The results showed that most of them had good knowledge, namely 17 (85.5%) respondents, most of them did conscious practice, namely 18 (90%) respondents. There is no significant relationship between knowledge about being aware and practicing consciously as evidenced by the p value of 0.869 (p 0.05). Suggestions are aimed especially at young women to always add insight about health, especially to be aware to avoid breast cancer

Breast Self-examination Among AKHA Women (Hill Tribe Group) in Chiang Rai, Thailand

The mortality rate of breast cancer has increased in worldwide and reported first rank of women cancer in Thailand. One an urgent concern of prevention and education on early detection is Breast Self-examination (BSE). This study aims to report the percentage of BSE and examine the associated factors with BSE among Akha women, the largest ethnic group in northern part of Thailand. A study was conducted with 296 Akha women by survey quantitative data. Descriptive statistic and Binary regression were used for analysis. The majority of the participants were 45-59years old (51.70%), and illiterate (68.90%). The percentage of good BSE founded 19.60%. The participants who received breast information showed zero-point one three time more likely to report good BSE compared to those non receiving (OR 0.13; 95% CI 0.03-0.53). Factor of susceptibility, benefit of BSE, barrier of BSE, and BSE confident were association with BSE practice. Based on findings, we recommend implementing a new practical program such as BSE media in Akha Language to promote BSE in this ethnic group.

Level of knowledge and practice of female healthcare providers about early detection methods of breast cancer at Debre Tabor Comprehensive Specialised Hospital: a cross-sectional study.

BackgroundDespite the higher mortality rate of breast cancer in low and middle-income countries, the practice of early detection methods is low and the majority of the patients presenting at an advanced stage of the disease need palliative care with low survival rates. Although healthcare providers are the key for practicing early detection methods of breast cancer for themselves and their clients, little is known about their knowledge and practice of early detection methods of breast cancer in Northcentral Ethiopia.MethodsAn institution-based cross-sectional study was conducted among female healthcare providers at Debre Tabor Comprehensive Specialised Hospital. Data were collected using a structured self-administered questionnaire. The data were analysed using SPSS version 23. Descriptive statistics were used to describe the socio-demographic information of participants. Binary and multivariable logistic regression with adjusted odds ratio (AOR) and 95% confidence interval (CI) was used to identify factors associated with the outcome variable. Statistical significance was declared at p < 0.05.ResultThe mean (±SD) age of the participants was 31.4 (±7.8) years. About 106 (79.7%) participants had good knowledge about breast cancer early detection methods and only 56 (42.1%) of them practiced breast self-examination regularly. Work experience of >2 years (AOR = 3.2; 95% CI: 1.72, 5.29), history of any breast problem (AOR = 1.4; 95% CI: 1.02, 2.37), family history of breast cancer (AOR = 4.0; 95% CI: 2.58, 15.84), having good knowledge (AOR = 2.9; 95% CI: 1.3, 6.52) and history of comorbidities (AOR = 1.09; 95% CI: 1.09, 3.59) were the factors associated with the practice of breast self-examination.ConclusionOur study found that the knowledge and practice of breast cancer early detection methods was low in the study setting. Only less than half of female healthcare providers practiced regular breast self-examination, which suggests the need to provide training for healthcare providers to fill the gap and to promote early detection of breast cancer cases.

The Effect of Breast Self-Examination (BSE) Class on Knowledge and Practice of Breast Self-Examination among Adolescent Girls

According to the World Health Organization (WHO), cancer incidence in 2008 to 2012 was increased from 12.7 million cases to 14.2 million cases. Cancer is the second leading cause of death in the world after cardiovascular disease. It is estimated that in 2030 the incidence of cancer will increase to 26 million people and 17 people die of cancer. This research aimed to determine the effect of BSE classes on knowledge and practice of BSE among female students in Senior High School 104 East Jakarta in 2020. This research was a quantitative study with an analytical survey method with the Quasi Experimental approach. The sample in this study was 30 people. The sampling technique was purposive sampling. The research instrument consisted of questionnaire data and BSE observation sheets. The results of the paired t test found that the effect of BSE Class on BSE Knowledge and Practice among female students where ρ &lt;ά = (0,000 &lt;0.05). There was an effect of BSE Classes on Student’s Knowledge and Practice. Adolescent girls are expected to increase their knowledge about breast self-examination and breast cancer which can be obtained from counseling in the nearest health services, namely about the benefits and how to practice breast self-exam.

Effect of health education on awareness and practices of breast self examination among females attending a charitable hospital at North Karachi.

To assess the effectiveness of health education as an intervention to promote breast self-examination in a low-resource setting. The quasi-experimental study was conducted from January to August 2018 in Karachi after approval by the Jinnah Sindh Medical University, and comprised women from a low resource locality and dividing them into intervention group A and control group B. Demographic data was collected using a pretested questionnaire filled through interviews. Subsequently, group A received health education regarding carcinoma of breast, importance of breast self-examination and monthly motivation through cell phone to perform self-examination. The questionnaire was again filled after 6 months of intervention. Data was analysed using SPSS 20. Group B was given the same health education sessions after the completion of the study. Of the 172 subjects, there were 86(50%) in each of the two groups. In terms of demographic data, the groups were similar (p>0.05). After the intervention, group A showed significant (p<0.001) improvement in knowledge and practice of breast self-examination. There was no change in group B (p>0.05). Being in the intervention group (p=0.001) and level of education (p=0.018) showed positive and negative associations with selfexamination practice. Upon adjusting for age, marital status, family history and education, group A (p=0.001) remained significant, while the level of education (p=0.116) became non-significant. Designed health promotion programmes with monthly reminders through cell phone improved knowledge and practice of breast self-examination.

Breast Self-Examination Practice and Associated Factors Among Women Attending Family Planning Service in Modjo Public Health Facilities Southwest Ethiopia.

PurposeBreast cancer is the leading cause of cancer death worldwide and the second common cancer overall. Breast self-examination is one of the cheapest methods used for the early detection of breast cancer in asymptomatic women. However, the practice of breast self-examination remains low in Ethiopia. Therefore, this study aimed to assess breast self-examination practice and associated factors among women attending family planning services in Modjo public health facilities in southwest Ethiopia.Patient and MethodsFacility-based cross-sectional study was conducted in Modjo public health facilities from October 01, 2020, to October 30, 2020. Data were collected from 420 women by using an interviewer-administered structured questionnaire. Variables with a P-value ≤0.2 in the bivariate analysis were included in the multivariable logistic regression model. Results of regression analysis were shown as odds ratio (OR) and confidence intervals (95% CI).ResultsOverall 86 (20.5%) of the participants had ever performed breast self-examination. The odds of breast self-examination practice among women with tertiary level of education were 2.14 [AOR: 2.14; 95% CI: (1.45, 6.74)] times higher compared to those with secondary education. Women who knew breast self-examination were 4.32 [AOR: 4.32; 95% CI: (1.81, 10.81)] times higher odds of breast self-examination practice compared to their counterparts. The odds of breast self-examination practice among women who had a positive attitude were 2.7 [AOR: 2.7; 95% CI: (1.03, 6.91)] times higher compared to women with a negative attitude towards breast self-examination.ConclusionBreast self-examination practice was low within the study area. Tertiary level of education, having Knowledge on breast self-examination and a positive attitude towards breast self-examination were found to have a significant association with breast self-examination practice. Breast self-examination should be promoted by improving awareness and providing special health education for women that had low educational level.

P15-3 Practices of breast self-examination among female residents in Tangail city, Bangladesh: A cross sectional study

P15-3 Practices of breast self-examination among female residents in Tangail city, Bangladesh: A cross sectional study

Assessment of Knowledge of Breast Cancer Risk Factors and Practice of Breast Self Examination among Paramedical Females

Objectives: The aim of the this research was therefore to explore the scale of mammary gland malignancy knowledge among students in paramedical college, looking on awareness of mammary gland malignancy warning symptoms, risk factors, detection strategy and breast self-assessment. Methods: A questionnaire based Cross sectional study was carried out in college of paramedical sciences. This study was questionnaire based on Assessment of knowledge of breast cancer risk factors and practice of BSE among paramedical females Result: Out of 250 female, 207 were available for final analysis. In this study assess the knowledge of female faculty and students about Breast cancer, risk factors and practice of Breast Self Examination and calculated the mean value of respondents who give the correct answer and concluded that the knowledge of female faculty have average 63.08%, Radiology and Imaging Techniques students had good knowledge 63.6%, Optometry students had average knowledge 61.88%,Bachelor of Medical Laboratory Techniques had insufficient knowledge 49.63% and Bachelor of Forensic Sciences were average knowledge 65.8%.The result of this study was not satisfied, knowledge of respondents were not enough for this serious and most common cancer of women Conclusion: Study concluded that there should be proper lectures and theory classes for the conduction of knowledge about Breast cancer, risk factors and BSE in paramedical college, This questionnaire based survey demonstrate that up-to-date practice of breast self examination among paramedical females were not sufficient, this should be improved by the well designed training and theoretical sessions. From this study, we suggest that all members of the health care community should attend the webinars, guest lectures and training sessions about knowledge of breast cancer, risk factor and practice of breast self-examination. Keywords: Breast cancer, BSE, Risk factors.

Examination of Breast Cancer Screening Knowledge, Attitudes, and Beliefs among Syrian Refugee Women in a Western Canadian Province.

BackgroundWomen living in the Arab world present low breast cancer screening rates, delayed diagnosis, and higher mortality rates.PurposeTo further explore the Muslim Syrian refugee women’s breast self-examination (BSE), utilization of clinical breast examination (CBE) and mammography.MethodsA cross-sectional descriptive exploratory study design was used. The sample consisted of 75 refugee women. Data were collected using Champion’s Health Belief Model Scale, the Cancer Stigma Scale, and the Arab Culture-Specific Barriers to Breast Cancer Questionnaire. Descriptive, Pearson correlation and logistic regression analyses were used to analyze the data.ResultsA minority of women had BSE (32%), CBE (12%) and mammograms (6.7%) anytime during their lifetime. Women’s breast cancer screening (BCS) knowledge ranked at a medium level (M = 10.57, SD = 0.40). Low knowledge score, BSE information, policy opposition, responsibility, barriers to BSE, and seriousness were found to be statistically significant in women’s BSE practice. BSE benefits and religious beliefs significantly predict CBE Age, education, knowledge, responsibility, susceptibility, social barriers, and religious beliefs were statistically significant in women’s mammography use (p < .01).ConclusionsParticipants’ breast cancer screening practices were low. Health beliefs, Arab culture and stigma about cancer affected women’s BCS practices. Faith-based interventions may improve knowledge and practices.

Factors associated with breast self-examination in Mexican young women with breast cancer.

10562 Background: Breast cancer (BC) is the most common cause of cancer-related death and morbidity among young women in Latin America. This group has a higher prevalence of advanced disease stages at diagnosis compared to their older counterparts. Thus, strategies aimed at detecting BC at early stages are imperative. Breast self-examination (BSE) remains a useful strategy for BC detection, especially in women who do not routinely undergo screening with imaging studies. This study aims to evaluate factors related with BSE practice in Mexican young women with BC and assess its association with earlier disease stages. Methods: Women aged ≤40 newly diagnosed with BC from 2014 to 2020 at three cancer referral centers in Mexico accrued in the Joven &amp; Fuerte cohort were included and asked to complete a socio-demographic survey. Fisher’s exact and Mann-Whitney U tests were used to evaluate associations between BSE and socio-demographic characteristics, as well as disease stages. Results: A total of 554 patients with a median age at diagnosis of 36 years (range: 19-40) were analyzed. Most patients (65%) were married or in a domestic partnership, and the majority were housewives (63%). Regarding educational background, 64% had completed at least high school, and up to 84% had a monthly income &lt; 11,600 Mexican pesos (US$ 581). Overall, 85% of patients had public insurance, 6% had private insurance, and 9% were uninsured. The distribution of clinical stages at diagnosis was: 0 (2%), I (11%), II (45%), III (32%), and IV (10%). BC detection methods were: 85% by self/partner exam, 11% by an imaging study, and 4% by a healthcare professional. A total of 443 (80%) patients practiced BSE, of which 50% did it on a monthly basis, 18% every 2-3 months, and the remaining 12% every 4-12 months. Notably, a higher educational level (≥ high school v ≤ middle school) was positively associated with BSE practice (RR: 1.28; 95%CI 1.06-1.54; p= 0.005). No significant association was found between BSE and age (≤35 v &gt; 35), marital status (in a relationship v no), occupation (housewive v other), monthly income ( &lt; 11,600 v ≥11,600) or medical coverage (public/uninsured v private). Patients that performed BSE were more likely to be diagnosed with early BC (stages 0-II) compared to those that did not (61% v 45%; p= 0.003). No association was found between BSE frequency and stage at diagnosis. Noteworthy, patients with private insurance were more likely to be diagnosed with stages 0-II compared to those with public or no insurance (80% v 56%; p= 0.007). Conclusions: The significant association between BSE and earlier stages at diagnosis found in this study highlights the need to raise awareness and promote this practice among young women with the objective of downstaging BC diagnoses. Public health interventions such as educational and social media campaigns that aim to improve the correct practice of BSE might be particularly useful in settings with inadequate screening programs.

Knowledge, Attitude and Practices of Breast Self-Examination Amongst Indian Women: A Pan-India Study

Objective: Breast Cancer is the leading cause of mortality and morbidity amongst Indian females. Breast self-examination (BSE) as an early detection modularity can have a profound effect on lowering mortality, if it is practiced regularly. The aim of this study was to assess the knowledge, attitude, and practice of Breast Self-examination amongst Indian women, aged 30 years and above. Methods: A validated questionnaire, consisting 35 questions measuring ‘Knowledge, Attitudes and Practice of Breast Self-Examination’ was widely circulated amongst 1000 females throughout India and responses were collected for a duration of 3 weeks, from 2nd, September 2020 to 23rd,September 2020. Results: Despite having knowledge about the technique of performing BSE, the respondents did not have a positive attitude towards it and were reluctant to practice BSE. A total of 54.4%, 15.1%, 21.3% and 9.2% of respondents were from the Northern, Southern, Western and Eastern regions of India, respectively. The overall median (IQR) KAP score was 70.0 (16.0) out of a maximum of 110. The knowledge, attitude and practice domain scores were 22.0 (5.0), 36.0 (7.0), and 13.0 (8.0) out of a maximum of 30, 52 and, 28, respectively. All three individual score domains were significantly correlated with each other and the total score.Conclusion: Despite having knowledge about the technique of performing BSE, the respondents did not have a positive attitude towards it and were reluctant to practice BSE.

Breast Self Examination and Cancer Awareness among Female Staff in Federal Medical Center, Yenagoa, Bayelsa State (Knowledge and Practice)

Breast self-examination (BSE) is a recommended technique in medical science for early detection of breast cancer. It is a simple technique with no specific equipment and no cost implication. It has been shown to improve breast health awareness and thus detect potential abnormalities in the breast. It should be practiced by all women (or females known to be more at risk) from the moment the breast is developed.&#x0D; The aim of this study was to assess the knowledge and practice of BSE in relation to breast cancer awareness among female staff in Federal Medical Center, Yenagoa, Bayelsa State.&#x0D; Methods: A simple random technique was used to select a total of 411 female staff from different departments of the hospital. The data were collected using structured pretested questionnaire. Descriptive statistical method and correlation method was employed to analyze the variables.&#x0D; Results: The findings of this study revealed that 369(89.8%) had knowledge of BSE. It also revealed that 210 (51.1%) about half of the total number practice BSE regularly. Majority of the respondents, 187 (45.5%) heard of BSE through awareness programme. There was a statistical significant association between knowledge of breast self- examination and its practice.&#x0D; Conclusion: The study revealed that majority of the respondents had knowledge of BSE but the practice of BSE was poor. Knowing when to perform, how to perform, position to perform and confidence of what to look for during BSE were seen as a major issue or objective determinant of successful examination, in this study.&#x0D; Therefore, there is need for intensified sensitization programmes to address knowledge and the practice of BSE among females in Yenagoa, Bayelsa State.

Breast Cancer Knowledge and Practice of Breast Self-Examination among Female University Students, Gaza.

Breast cancer is the highest public detected cancer among female population in the majority of countries worldwide. Breast self-examination (BSE) is a useful screening tool to empower women and raise awareness about their breast tissues and help detect any breast abnormalities when they occur. This study aimed to assess the level of female university students' knowledge and practice of BSE. A self-administered questionnaire was used to assess the knowledge about breast cancer and related items, and an observation checklist was used to test practicing BSE using a breast simulator. Eighty-six students participated in the study, 58.1% studying nursing and 41.9% studying clinical nutrition in the third (40.7%) or the fourth level (59.3%). Of them, 24.4% had previous family history of breast cancer. The majority of the students (80.2%) had previous information about breast cancer acquired from different sources, university studies (57%), the Internet (45%), and social media (41%). Findings showed good scores (≥70%) regarding signs and symptoms and risk factors of breast cancer; however, low knowledge scores (<70%) were detected regarding general knowledge about breast cancer disease, methods of early detection and management, and applying steps of practicing BSE. Roughly all the students (96.5%) have heard about BSE, and 69.8% knew the time to do BSE; however, only 31.4% practice it regularly. Three barriers to practice were dominant among students who do not have a breast problem (39.7%), do not know how to do it (37.9%), and being busy 31%. On the other hand, breast cancer early detection purpose and the presence of family history of breast cancer were considered facilitators to regular practice BSE. A statistically significant relationship existed between knowledge about the steps of applying the BSE and regular practicing. A training program should be implemented to increase the level of awareness about BC and practicing BSE.

Knowledge, Attitude and Practice of Breast Cancer Screening in Medical and Non-Medical Females Students of Lahore, Pakistan

Introduction: Breast cancer is the most common cancer in women all over the world and a leading cause of death in women of Pakistan. Programs promoting awareness about breast cancer, breast self-examination (BSE), clinical breast examination (CBE) and mammography are in place but still BSE is poorly practiced by females of Pakistan.&#x0D; Aims &amp; Objectives: To assess and compare the knowledge, attitude and practice about breast cancer screening among female medical and non-medical students of two institutes in Lahore, Pakistan.&#x0D; Place and duration of study: Study conducted during May-June 2017 in Shaikh Khalifa Bin Zayed Al-Nahyan Medical College and Kinnaird College University in Lahore, Pakistan.&#x0D; Material &amp; Methods: A cross sectional survey was conducted during May-June 2017 on a conveniently selected sample of 200 female students from two colleges in Lahore. A self-constructed and self-administered questionnaire was used to assess the knowledge, attitude and practice of breast cancer screening. Data was entered and analyzed using SPSS version 21.&#x0D; Results: Mean age of 21.66+1.50 and 22.58+ 2.138 was observed in medical and non-medical students respectively. In the age group 18-23 we had 85% of medical girls and 61% of non-medical while 39% of non-medical girls were in age group 24-29. Among 100 female medical students, 84% were knowledgeable about BSE as compared to 65% non-medical students. Knowledge was adequate for CBE in 74% and 53%, and for Mammography in 83% and 58% of medical and non-medical students respectively. The attitude was positive towards BSE in 92% and 75%, for CBE 89% and 74%, and for mammography 94% and 83% among medical and non-medical students respectively. The BSE practice was reported by 20% medical girls and only 13% non-medical girls, while CBE practice was in 13% medical and 5% non-medical girls.&#x0D; Conclusion: Medical students were more knowledgeable and had a better attitude about breast cancer screening as compared to non-medical girls but when it came to practice, it was found to be very low in both groups.

Knowledge and Practice on Breast Self-Examination and Associated Factors among Summer Class Social Science Undergraduate Female Students in the University of Gondar, Northwest Ethiopia.

Background Breast cancer is a global health concern and a leading cause of morbidity and mortality among women. Early detection of breast cancer contributes to timely linkage to care and reduction of complications associated with breast cancer. In this context, breast self-examination is helpful to detect breast abnormalities particularly in settings with poor access to healthcare for clinical breast examination and mammography. Thus, all women in such settings are highly encouraged to perform breast self-examination regularly, and shreds of evidences are compulsory in this perspective. In the study setting, there was a scarcity of evidence on breast self-examination. Therefore, this study is aimed at assessing knowledge and practice on breast self-examination and its associated factors among summer class female students of social science at Maraki Campus, University of Gondar, Ethiopia. Methods An institution-based cross-sectional study was conducted from July 01 to September 15/2018. A total of 398 female summer students were included in the study. A simple random sampling technique was utilized to select the study participants, and interviewer-administered structured questionnaires were employed to collect the data. The data were then entered into Epi info version 7.0, and analysis was done by SPSS version 20.0. A bivariable and multivariable logistic regression model was fitted, and the level of significance was declared based on adjusted odds ratio with its 95% CI and a p value ≤ 0.05. Result The proportion of students having a good knowledge and practice of breast self-examination was found to be 27.6% (95% CI: 22.9, 32) and 17.4% (95% CI: 13.8, 21.6), respectively. In the multivariable logistic regression analysis, urban residency (AOR = 2.50; 95% CI: 1.27, 4.94) and discussion with someone on breast self-examination (AOR = 4.57; 95% CI: 2.42, 8.65) were predictors of good knowledge, whereas family history of breast cancer (AOR = 7.14; 95% CI: 1.75, 25), discussion with someone on breast self-examination (AOR = 3.85; 95% CI: 1.82, 8.33), and good knowledge on breast self -examination (AOR = 12.02; 95% CI: 5.97, 24.20) had been significantly associated with breast self-examination practice. Conclusion In this study, the proportion of students with good knowledge and practice towards breast self-examination was lower than most of the studies done so far. The predictors of breast self-examination are related to lack of information. Thus, awareness creation on breast self-examination would be helpful in this context.

Increasing breast cancer awareness and breast examination practices among women through health education and capacity building of primary healthcare providers: a pre-post intervention study in low socioeconomic area of Mumbai, India

ObjectivesThe present study aimed to improve breast cancer (BC) awareness and practices using Information, Education and Communication (IEC) modules and health educational sessions for women and primary healthcare providers in...

EFFECTIVENESS OF AN EDUCATIONAL PROGRAM ABOUT BREAST CANCER AND BREAST CANCER SELF-EXAMINATION ON PERCEPTION AND PRACTICE AMONG WOMEN IN ALJEERAIF WEST ADMINISTRATIVE UNIT (2)

In Sudan, cancer incidence has been growing considerably in recent years and is likely to continue to grow creating a big burden on the health system resources. The aim of this study is to assess the baseline Perception and Practice about breast cancer and breast self-examination (BSE) and to nd out the effectiveness of an educational program about breast cancer and BSE on Perception and Practice among women in AlJeeraif West Administrative Unit. Community based intervention study with pre-post and control was carried out among 200 women who were recruited by means of multistage sampling. The sample size was divided equally into intervention and control groups. Baseline data was collected from both groups through direct interview, using structured close ended questionnaire. Educational program was implemented for the intervention group. Four months after the intervention, women in the study and control groups were exposed to the same questionnaire. Chi-square, paired t-test and independent t-test (difference of difference) were conducted in the course of the data analyses. There was statistically signicant difference in the intervention group pre-post program in all of the HBM components in the intervention group (p value0.000), while in the control group statistically signicant difference existed only in perceived barrier (p value.004) and perceived benet (p value.000) and over all perception (p value .016) with no signicant difference in other (HBM) components. In the intervention group practice and performance scores were highly signicant pre-post program (p value 0.000), where as in the control group only practice was signicant (p value 0.001). There were statistically signicant differences in the mean difference of performance, practice and perceptions between the intervention and control groups (p-value .000). The results of this study have conrmed the effectiveness of educational program based on the health belief model on improving perceptions and practice of breast cancer and breast self-examination.

EVALUATING THE EFFECT OF INTERVENTIONS ON BREAST SELF-EXAMINATION KNOWLEDGE AND PRACTICE AMONG ADOLESCENT FEMALE SECONDARY SCHOOL STUDENTS IN DELTA STATE, NIGERIA

Background: Adolescent females have reduced ability to self-detect breast abnormalities early. Improving their knowledge and practice of breast self-examination (BSE) will reverse this trend. Objective: This study evaluated the effect of two interventions on BSE knowledge and practice among in-school adolescent females in Delta State, Nigeria. Methods: A quasi-experimental research was conducted among ninety female secondary school students selected using a multistage sampling technique from three public secondary schools in the state. There were three groups: two experimental groups and a control. Experimental groups had BSE educational pamphlet alone (BPAM), and a combination of BSE pamphlet and BSE training (BPAME). The control group had a cervical cancer educational pamphlet. Participants were followed-up for eight weeks after the study implementation. Data analysis was done using SPSS version 23.0. Results: Mean age of respondents was 15.64 ± 1.33years. There was a significant difference in the respondents' level of BSE knowledge between baseline and 8 weeks follow-up (BPAM=5.20±2.28 to 21.56±1.85, t =29.44, 29 p&lt;.05; BPAME=7.03±1.13 to 21.73±1.26, t =31.77, p&lt;.05), and a significant difference in the level of BSE practice 29 between baseline and 8 weeks follow-up (BPAM 0.33±1.21 to 4.90± 1.56, t =13.25, p&lt;.05; BPAME= 32.76±4.66 29 to 63.83±2.80, t =18.99, p&lt;.05). Both interventions had same impact on BSE knowledge (Effect size ES=0.97, 29 p=0.000) but BPAME had a higher impact on BSE practice [(BPAM: ES=0.87, p=0.000) and (BPAME: ES=0.92, p=0.000)]. Conclusion: Both interventions had significant influence on the respondents' knowledge and practice of BSE but combined BSE pamphlet and training had more impact on BSE practice.

Breast Self-Examination: Knowledge and Practice Among Female Secondary School Students in Delta State, Nigeria

Breast self-examination (BSE) is a preventive tool for early identification of breast changes and abnormalities. This study was aimed at assessing breast self-examination knowledge and practice among female secondary students in Delta State, Nigeria. This descriptive cross-sectional study was carried out among female senior secondary school students from selected public schools in Delta State, Nigeria. This study utilized a self-administered 59-item validated questionnaire for data collection from 216 consenting female students who volunteered to take part in the study. The knowledge and practice of breast self-examination were measured on 33 and 18 points reference scales, respectively. Data were analyzed using SPSS version 23.0. Frequency, mean, standard deviation and correlation analysis were reported. All statistical tests were at 5% level of significance. The mean age of the respondents was 15.5± 1.11 years. The mean score for knowledge of BSE was 5.8±3.8 while the mean score for BSE practice was 7.3±2.1. Correlation analysis showed no significant relationship between knowledge and practice of BSE (p=0.095, R= 0.114). The overall knowledge and practice of BSE was very poor. This calls for the need to improve breast self-examination advocacy among the adolescents; training and intervention programs to improve their knowledge as well as the regular practice of BSE.

Knowledge Assessment on Breast Cancer and Breast Self-Examination Practice among Female University Students in Kedah, Malaysia

Objective: To review the knowledge on breast cancer (BC), breast self-examination (BSE) and clinical breast examination (CBE) practices among female university students in a private University, Malaysia. Methodology: This is a cross-sectional study conducted in a private university teaching medical and healthcare courses in Malaysia. Simple random sampling method was used. A structured questionnaire consisting of 4 sections was used for data collection. Data obtained were coded and SPSS Statistics (version 25) was used for analysis. Categorical data were presented as frequency and percentage whereas chi-square test was used to find the association between two different categorical variables. Results: A total of n=309 responses were collected from female students in a private university in Malaysia. The mean age of the respondents was 20.58 years (SD = 1.479, range = 19 - 30). One tenth of the respondents had family history of breast cancer [32 (10.4%)]. 304 students (98.4%) have heard of breast cancer. The study revealed media as the major source of information on breast cancer. 276 respondents (89.3%) have heard of BSE. 72.5% of respondents did not practice BSE. 291 (94.2%) respondents think that BSE is a useful tool to detect breast cancer. 85.8% of the respondents knew that BSE is performed by the individual. More than half of the students [193 (62.5%)] have not been taught on how to do BSE. Only [116 (37.5%)] of the respondents correctly stated that BSE should be performed monthly. 194 respondents (62.8%) have heard of CBE. Majority wrongly identified that CBE is done by using mammography [209 (67.6%)] and ultrasound [125 (40.5%)]. Only 13.6% of respondents identified that CBE is done by hand. There was significant association between education field and awareness of CBE. Conclusion: Most of the respondents are mindful of the existence of breast cancer and BSE but majority did not practice BSE as a routine. besides, they have lack of awareness and practice of CBE.