Developing a Research Instrument to Document Awareness, Knowledge, and Attitudes Regarding Breast Cancer and Early Detection Techniques for Pakistani Women: The Breast Cancer Inventory (BCI) (original) (raw)

A quantitative study to assess breast cancer awareness among females in Bahawalpur Pakistan

Cogent Medicine, 2016

The study was aimed to assess breast cancer awareness among females in Bahawalpur, Pakistan. We performed a quantitative cross sectional study from January to April 2015. We enrolled adult women over the age of 18. Trained researchers conducted the interviews in-person. We used SPSS (Statistical Package for the Social Sciences) version 15 to perform the data analysis. In total, 423 females participated in the study and the mean age of the respondents was 35.15 ± 12.66 year, of which, the majority were married (66.0%), and 45.4% had graduate level education. The participants had a severe lack of awareness regarding breast cancer risk factors. We found that the breast cancer awareness scores were significantly associated with old age (p = 0.012), personal history of cancer (p = 0.005), and occupation (p = 0.040) of respondents. We found no associations with marital status, level of education, residence area, and family history of breast cancer. In conclusion, we observed a severe lack awareness of in the study population of breast cancer risk. To raise breast cancer awareness in this population, there is a great need of culturally appropriate, socially-acceptable and effective breast cancer awareness educational programs.

Knowledge, attitude and practice of a Pakistani female cohort towards breast cancer

JPMA. The Journal of the Pakistan Medical Association, 2010

To note knowledge, attitude and practices of females towards breast cancer. This KAP study was carried out at Holy Family Hospital, Rawalpindi from January to May, 2009. One thousand randomly selected adult females presenting as patients (excluding those with breast complaints) and their accompanying attendants were inducted and interviewed. Pre tested, structured questionnaire, containing 34 (open and closed ended) questions, along with demographic profile was used to gather data which was analyzed using SPSS version 13. Chi square test was applied at 5% level as test of significance. Mean age of participants was 32.39 +/-10.47 years. Majority were married (88%), housewives (88%), and urban dwellers (75%) with average household income of Rupees 3000-6000 (33%). Majority (82.9%, n=829) had heard of breast cancer. Further questions were asked from these females. More than 50% participants were aware of cancer's relationship with increasing age, lack of breast feeding, painless lu...

Awareness, knowledge and attitude towards breast cancer, breast screening and early detection techniques among women in Pakistan

JPMA. The Journal of the Pakistan Medical Association, 2018

To document the knowledge and attitudes of women towards breast cancer, breast screening and early detection techniques. This cross-sectional survey was conducted from December 2015 to May 2016 in Karachi and Islamabad, Pakistan, and comprised women aged above 18 years. The survey used breast cancer inventory as a research instrument after piloting and validation. SPSS 20 was used for data analysis. Of the 1,304 respondents, 948(72.7%) were single, 1,082(83%) belonged to the 18-30 age group, 800(61.3%) had Urdu-speaking ethnicity and 794(60.9%) were educated. The prevalence of breast cancer in family was 226(17.33%). Besides, 446(34.2%) had low knowledge regarding the subject, 646(49.5%) appeared welcoming to the idea of breast screening, 1,008(77.3%) indicated their discomfort in discussing the topic, whereas 1,080(82.8%)preferred a female physician. There was a dearth of knowledge regarding breast cancer among the participants..

Knowledge attitude and practices among urban women of Karachi, Pakistan, regarding breast cancer

JPMA. The Journal of the Pakistan Medical Association, 2012

To determine the knowledge,attitudes and practices of urban women regarding breast cancer and its available screening modalities. The cross-sectional, questionnaire-based, descriptive study was conducted in the urban population of Karachi in November 2010. Female attendants (n=373) visiting a tertiary care centre and four of its urban outreach centres during the study period were administered a questionnaire. The answers were then scored with regard to their knowledge. Frequencies and percentages were computed through SPSS 17, and analysis of variance was used to confirm significance. Of the 373 participants with a mean age of 32.4+/-10.9 years, 293 (78.6%) were married, and 257 (69%) were housewives. The education level was considerably high; with 214 (57.4%) graduates. The mean score for knowledge of risk factors was 2.84 out of a total of 13; which was significantly associated with marital status and income. Age > 40 years, education level, income and employment status were al...

The knowledge regarding Breast Cancer, its risk factors, and screening practices among women from Islamabad, Pakistan

Journal of Rawalpindi Medical College (JRMC), 2021

Introduction: Breast Cancer is the rising Public health problem of the world. Pakistan is bearing a high disease burden not only in Asian countries but in the whole world. Pakistan ranks highest in Breast cancer and accounts for almost 34.6%of female cancers. The incidence of the disease in Asian countries is quite different from that in Western countries regarding age i.e. (40-50 years.) while (60-70 years) in Western countries. This study was based on assessing the knowledge regarding breast cancer, risk factors, and screening practices to determine the barriers in the path of the community to seek medical care. Materials and Methods: A cross-sectional study was done between October to December 2019 on 310 females participants of ages from 25 to 70 years, residents of Islamabad, the capital of Pakistan, and knowledge was assessed by applying a self-responding questionnaire. Results: Using SPSS version 23 and chi-square tests, the results showed that 87.7% of participants knew about the prevalence of Breast Cancer. Whereas, 90.3% of the females with the disease are not aware of their illness and show a strong association (p-value is less than 0.05) between knowledge regarding breast cancer and screening tests. Conclusion: The study concluded that 90% of socio-cultural barriers are in the path of access to medical facilities and 90% of participants believed that the non-availability of female doctors in health facilities is a big barrier to access to health. Access to medical facilities should be made easy by promoting health education and removing the fear of results, making small health facility units.

Knowledge, attitude and practices amongst the Pakistani females towards breast cancer screening programme

JPMA. The Journal of the Pakistan Medical Association, 2015

OBJECTIVE To assess the knowledge, attitude and practices amongst Pakistani females towards breast screening programmes. METHODS The descriptive cross-sectional study was conducted from June 2013 to July2014 at Mayo Hospital, Lahore, and comprised attendants and patients who visited out-patients department and/or were treated as in-patients. The questionnaire contained 25 open and close-ended questions regarding knowledge and attitude, along with 7 questions regarding practices. Data was analysed using SPSS 17. RESULTS There were 1184 women with a mean age of 32.7±8.6 years. The mean score was 12.7±4.9. Positive family history of breast cancer was reported by 156(13.2%) women; 420(35.5%) believed advancing age was a risk factor; 1041(87.9%) never had breast self-examination; 1106(93.4%) never had a clinical breast examination; and 1171(98.9%) never had screening mammogram. CONCLUSIONS The knowledge and practices regarding breast cancer screening, breast self-examination and mammogra...

Knowledge and Barriers toward Breast Self-Examination and Awareness of Breast Cancer among Women in Puncak Alam

The Malaysian journal of nursing, 2022

Background: Breast cancer is the leading cause of cancer-related death among Malaysian women. However, there is still a lack of breast cancer awareness among women. The study aims to identify knowledge gaps and barriers to breast self-examination (BSE) and breast cancer awareness. Methods: This cross-sectional study was conducted among women in Puncak Alam, Malaysia, using a convenience sampling method. 395 participants, aged between 18 and 60, answered the questionnaire about knowledge of BSE, barriers toward BSE, and breast cancer awareness. The obtained data were analyzed using SPSS version 25. Results: Most participants, 51.6% (n=204) had good knowledge of BSE and a low barrier to breast self-examination (60.8%, (240). The main barrier to BSE is scared diagnoses with breast cancer 90.1% (n=356). The overall breast cancer awareness is poor, 74.2% (n=293). There were statistically significant differences between age p< 0.001 and family income p=0.01 with knowledge of BSE. As for the association between barriers toward BSE with demographic characteristics, there was a statistically significant difference between marital status X (2) = 7.54, p =0.02 and family history of breast cancer X (1) = 5.86, p =0.02. Furthermore, there were statistically significant differences between awareness and marital status (2) = 7.10, p =0.03. Conclusion: The study reveals that women knew about BSE and had low barriers toward BSE, but lacked awareness about breast cancer. Breast cancer awareness is critical because early detection of breast cancer makes it treatable. More awareness campaigns are suggested, and nurses should proactively promote breast cancer awareness to close the BSE gap.

A national survey to assess breast cancer awareness among the female university students of Pakistan

PLOS ONE

The incidence of breast cancer is increasing in Pakistan as well as globally. Awareness of women about breast cancer plays a cornerstone role in its early detection, better management, and prevention. Keeping this in mind, a cross-sectional study was carried out to assess the awareness of female university students about breast cancer’s risk factors, signs and symptoms, and breast cancer examination. The data was collected from female university students studying in Pakistan. A total of 774 participants completed the survey and recorded their responses on an online pre-tested self-administered questionnaire. Only 29.8% of the participants have identified breast cancer history in their first-degree relatives as a risk factor. Moreover, 14.1% of the participant considered that the use of oral contraceptives for more than 5 years can increase the risk of developing breast cancer. In addition, inward pulled nipple, wounds around the nipple, and abrupt changes in the breast size were con...

Women’s Views on Handling and Managing Their Breast Cancer in Pakistan: A Qualitative Study

Diseases, 2016

In this study, we examine and analyze the experiences of women and their perceptions on handling and managing their breast cancer. Seven women from Peshawar, Pakistan who had breast cancer and have been cured, were interviewed. Qualitative content analysis of their life stories was performed using a computerized software Atlas.ti. In the coding process, 128 codes were initially developed. These codes were then grouped into 12 categories, which were then further refined into 8 theoretically grounded categories: awareness and education about breast cancer, cultural barriers, early detection, quality of care and treatment, support, side effects, courage and learned to face challenges. The early views of participant's feelings about breast cancer are mostly similar to the general population in Pakistan. Before starting treatment, all participant were unaware of the treatment process and had fear in their mind. They were hesitant in starting their treatment and were worried. However, when they were cured, their attitudes toward breast cancer and even to their whole lives were changed. Comprehensive awareness programs in a culturally acceptable language and facilities for routine breast examinations should be easily accessible to all women in Pakistan in order to promote early detection. In order to eradicate cultural barriers, female staff who are trained to perform routine breast examinations, should be available in all facilities and treatment centers.

Knowledge and attitude of adult females regarding breast cancer and its early detection in Alqunfudhah district: A cross sectional community based study

Medical Science, 2022

Background: Breast cancer (BC) is the commonest cancer among Saudi women. Awareness about its screening among females is a crucial issue for early detection of breast abnormalities and interference to reduce its complications. Methods: A cross sectional study was conducted on a sample of 421 adult females in Alqunfudhah district. Data were collected through a selfadministered questionnaire to assess their knowledge and attitude towards breast cancer screening. Results: A total of 421 females responded to survey 83.4%, 63.4 % and 44.4% of them respectively knew about breast selfexaminations, clinical examinations, and mammography. Most information was from media (67.9%). The commonest risk factor was family history (88.1%) while occurrence of a breast mass was the most identified warning sign (96.9%). Good knowledge was significantly higher among highly educated females (P 0.008) and whose high family income (P 0.000) whiles their positive attitude was significantly higher among younger females (P 0.003). Conclusion: Females' knowledge and attitude towards breast cancer screening were not up to expected and this indicated necessity to promote breast cancer screening by intensifying educational campaigns and increasing screening programs.