Practice of Breast Self-Examination and Associated Factors Among Female Nurses of Hawassa University Comprehensive Specialized Hospital, South Ethiopia, 2018 (original) (raw)
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International Journal of Caring Sciences, 2019
BackgrOund: Breast cancer is the most commonly diagnosed cancer in women and it is the leading cause of cancer related death worldwide. Despite the fact that most of the cases found at developed countries, the majority of death occur in low income countries including Ethiopia. Routine breast self-examination is important for early detection to augment prevention of breast cancer by 50% and reduce premature death of women. In active role in creating breast cancer awareness through education, nurses need to have a sound knowledge base and adequate practical skills in the field of breast cancer prevention. The aim of this study was to assess practice of breast self-examination (BSE) and associated factors among nurses. Methods: A hospital based descriptive cross-sectional study was conducted from March to April 2018 on a sample Of 180 female nurses. Pretested and structured questionnaire was used to collect the data. Data entry was done using EPI Info 3.5.4 and exported to SPSS version 20.0 software package for analysis. Bivariate and multivariate analyses were performed with logistic regression to measure the association between dependent and independent variables. Results: Total of 180 nurses were interviewed with a response rate of 91.8%. This study revealed that (71.2%) of nurses ever practiced BSE. From those nurses practiced BSE, only (28.1%) regularly; (16.4%) monthly (right response) and (32.0%) of a week after menses. Seven of them detected a breast mass/lump and only (16.4%) of nurses have taught BSE technique to their clients. Educational status of the nurses (AOR and 95% CI: 2.91; 1.74, 4.85) and family history of breast cancer (AOR and 95% CI: 5.2; 2.34, 8.15 were significantly associated with BSE practice. Conclusion: This study discovered severe gap about the correct practice of BSE among female nurses. The hospital and ministry of health of Ethiopia have to give regular education and training On BSE especially how to practice BSE correctly.
2020
Background: Breast cancer is the leading cause of cancer related deaths over world. Screening and early detection of disease is the cornerstone for disease prevention. Breast Self-Examination is a screening technique that involves examining ones breasts for lumps distortions or swelling. The practice when regularly done enables one to get familiar with their normal breast structure which in turn helps women to detect abnormal lumps in order to seek prompt medical assistance. Objective: To assess attitudes, practices associated factor of BSE among female health worker at Gambella public health facility Gambella Town, South West Ethiopia. Methods: Institution based cross sectional study was conducted from JANUARY to JUNE, 2019. One hundred sixteen seven health professional was recruited for the study by using total population sampling technique. A structured self-administered questionnaire was used for data collection. In addition to descriptive statistics and logistic regression analysis was applied to assess the association between dependent and independent variables of the study. Result: A total of 161 female health worker participated in the study yielding 95.83% response rate. Out of all, 61.5% of them had BSE practice, and only 42.9% had good BSE practice. Compared to female health workers who the last time performed breast self-examination one week ago, those who performed 3-6 months ago and less than a year ago had lower odds of good BSE practice, (AOR = 0.01, 95% CI: 0.00-0.07) and (AOR = 0.10, 95% CI: 0.01-0.96) respectively. Conclusion: The proportion of female health workers practicing BSE is low, so concerned bodies especially the health bureau should routinely offer training for female health workers to increase their knowledge about Breast cancer correct technique of BSE.
International Journal of Medicine and Medical Sciences
Breast cancer is the leading cause of cancer mortality worldwide. Breast cancer incidence is increasing both in developed and developing regions. Regular breast self-examination (BSE) is one of the most cost effective methods for early detection of breast cancer in asymptomatic women. The aim of this study is to assess the magnitude of BSE practice and its associated factors among female health professionals working in public health facilities in Western Ethiopia. The study applied is health facility based cross-sectional study design. Simple random sampling technique was used to recruit a total of 390 female health professionals. The study was conducted from January to March, 2015. Bivariate and multivariable logistic regression model was used, odds ratios with 95% confidence intervals were computed and significance of all tests was decided at p-value of 0.05. From the total respondents, 77% had ever practiced BSE and only one third (33.7%) of them practiced regularly. Not experiencing breast problem (12.7%) was the main reason for not practicing regular BSE. After adjusting for possible confounders; personal history of breast cancer (AOR=4.7, 95%CI: 1.32-17.07), having knowledge of BSE (AOR=4.1, 95%CI: 1.36-5.65), positive attitude (AOR, 3.8, 95%CI: 2.10-9.17) and ever taught BSE to a client (AOR=5.2, 95%CI: 2.35-8.14) were found to be statistically significant predictors of BSE. Even though the life time BSE practice in this study was high, the regular BSE practice was low. Thus, trainings on BSE practice will be important to improve the practice level of health professionals and their counseling skill for the clients.
American Journal of Health Research
Back ground: Breast cancer is the most common cancer among women in many parts of the world. Facilities for screening and early detection are extremely limited in resource limited countries like Ethiopia, yet early diagnosis improves survival. Breast self-examination can help to detect it at an early stage. Our study examined the knowledge, practice and associated factors of Breast Self examination (BSE). Methods and materials: cross sectional study design was conducted among 200 female Medical, Health officer, Nursing and Midwifery students in Jimma University College of public health and medical science. Samples were selected using a systematic sampling technique. Pre-tested, structured, and self administered survey questionnaire abstracted and adapted from relevant literatures used to collect the required information. Analysis was done using chi-square test to assess the association between the dependent and independent variables and logistic regression to determine the effect of exposure variables on the outcome variables, using SPSS version 16:0 software. Result: The majority (89%; 95% CI= 84.7-93.3%) of participant students had good knowledge about Breast self examination but, only 42 (21%) practice it correctly. After adjusting for potential socio-demographic confounders, multivariate logistic regression analysis showed: compared to rural residents, urban residents were more than 4 times (AOR=4.19; 95% CI=1.63, 10.77; P=0.003); clinical year students compared to their pre-clinical counterparts were more than 5 times (AOR=5.34; 95% CI=1.70, 16.75; P=0.004) more likely to have good knowledge about SBE. Similarly clinical year students were more than 7 times (AOR= 7.24, 95% CI=3.85, 13.59, P <0.001) more likely to practice SBE than pre-clinical students. Conclusion:: The majority of students had good knowledge about Breast Self Examination but only few practice it correctly, while more than 50% never practiced it at all. Awareness creation campaign on BSE among young female students should be done at Reproductive Health Service clinics of the university.
Research Article, 2021
Background: Breast cancer is the top cancer among women both in the developed and the developing world. Many deaths can be avoided if breast cancer can be detected and treated early. The practice of breast self-examination (BSE) is a convenient, no-cost tool that can be used regularly for detecting breast cancer at an early stage. Therefore, this study sought to assess the knowledge and practice of breast self-examination among young females in Addis Ababa, Ethiopia. Methods: Institutional-based cross-sectional study was conducted among 358 females using a pre-tested and self-administered questionnaire. The data were cleaned and analyzed using SPSS version 23, and the descriptive statistics, linear and logistic regression were used for analysis. The possible predictors were identified using the odds ratio with a 95% confidence interval and a P-value of 0.05. Results: Almost half of 188 (52.5%) respondents had heard about breast cancer self-examination, while the media were the main source of information. The study revealed that only as little as 47 (13.1%) respondents did appropriate BSE. While confounding factors were controlled for, the linear multivariate regression analysis indicated that the healthcare providers as information sources about BSE (β = 1.9; CI= 0.62, 2.9; p < 0.01) makes the greatest unique contribution to explaining the BSE knowledge level. Moreover, the study indicated that the more age (β = 1.4; CI=1.1, 1.8; p < 0.01) and knowledge (β = 1.34; CI=1.1, 1.64; p < 0.01) the females have, the more likely it is that they will report practicing BSE. Conclusion: This study showed that a few females implemented regular BSE. Further implementations are needed in addressing young females, making awareness and advocacy campaigns about BSE to increase early diagnosis of breast cancer that raises the chances for successful treatment in Ethiopia.
International Journal of Healthcare and Medical Sciences, 2023
Background: Breast cancer is the most frequently diagnosed and common cause of cancer death globally. Currently it is highly prevalent among women in Ethiopia. Breast cancer is fatal due to late presentation, limited resources, and lack of awareness of breast cancer early detection methods. Objective: This study is aimed to assess knowledge and practice of breast self-examination as an early detection method of breast malignancy and associated factors among female students at Wolkite University, southern Ethiopia. Methods: An institution-based survey was conducted among 382 randomly selected female students in Wolkite University, Southern Ethiopia. The collected data were summarized and presented in a table and figure. Binary logistic regression (backward stepwise regression) model was fitted with Breast selfexamination knowledge and practice and factor variables. Result: In this study the response rate was 100%. About 116(40.3%) female students had good Knowledge on Breast self-examination. While, 50(26.6%) had practiced breast self-examination. Respondents in the age range of 22-25 years (AOR=2.7; 95% CI; 1.21, 5.94), who grew up in rural areas (AOR=.47; 95% CI; .22, .99) and respondents who have got information from school (AOR=.22;95% CI;.10, .48) were predictors of breast self-examination knowledge, while respondents in the age range of 22-25 years (AOR=.02; 95% CI; .01, .22) and ≥ 26 years (AOR=.04; 95% CI; .002, .74), who are protestant in religion (AOR=5.9; 95% CI; 1.52, 23.28), who grew up in the urban area (AOR=3.26; 95% CI; 1.17, 9.05) and who have good knowledge on BSE (AOR=26.33% CI; 8.58, 80.80,) were predictors of breast self-examination practice. Conclusion: Breast self-examination knowledge and practice are vital to detect breast cancer early and take the necessary measure. age, years of study, source of information, and place of grew up are major predictors of BSE knowledge and age, religion, place of grew up and knowledge of breast self-examination were major BSE predictors.
Frontiers in Oncology
Breast cancer is the most frequent malignancy among women in both developed and developing countries. Early detection of breast cancer using breast self-examination plays a substantial role in reducing its morbidity and mortality. Despite improved availability of health information the morbidity and mortality caused by breast cancer among females were increasing from time to time and there is no information regarding the practice of breast self-examination in our study area.ObjectiveThis study was aimed at assessing breast self-examination practice and associated factors among female health professionals who were working in public hospitals of Harari Regional State in 2022.MethodsInstitutional-based quantitative cross-sectional study design was used to assess the practice of breast self-examination and associated factors among female health professionals who have been working in a public hospital in Harari regional state from March 25 to April 05, 2022. The study subjects were selec...
2019
Background: Breast cancer is the top cancer in women both in the developed and the developing world. The Addis Ababa Cancer registry reported that breast cancer accounts for 34% of all female cancer cases. Many deaths can be avoided if the cancer can be detected and treated early. Practice of breast self-examination is a convenient, no-cost tool that can be used on a regular basis for detecting breast illness at an early stage. Therefore, this study sought to assess the knowledge and practice of BSE among young females at Addis Ababa, Ethiopia. Methods: Institutional based cross sectional study was conducted on the total sample size of 381 females using self-administered questionnaire adapted from other studies. The data were entered using Epi-data software version 4.1.1 and then exported to SPSS version 24 for further statistical analysis. The study analysis was done by descriptive and inferential statistics: namely frequency, mean, student t-test, ANOVA, linear & logistic regressi...
Gynecology & Obstetrics, 2015
Background: Breast cancer is the leading cause of cancer related deaths among women worldwide. Diagnosis of breast cancer at an earlier stage allows women more treatment choices and greater chance of long term survival. Breast self-examination (BSE) once a month contributes to a woman's heightened awareness of what is normal for her. It is recommended that women over the age of 20 years perform monthly breast self-examination to detect new lumps and other changes in their breast. In view of the fact that mammography is not readily available in resource limited countries like Ethiopia, this study was designed to assess Knowledge, Attitude and Practice of regular Breast self-examination amongst female health science students of Adama science and Technology University in 2014. Methodology: A cross-sectional study design was used to select 368 study subjects randomly. Self-administered questionnaires were used to collect information. The collected data were entered into Epi-info version 3.5.1. After cleaning the data it was exported to SPSS version 21 for further analysis. Bivariate and multivariate analyses were also performed with logistic regression to measure the association between dependent and independent variables. Result: A total of 368 respondents participated in the study, of these, only 8.7% of them had good knowledge and 59.2% had positive attitude towards BSE. About two fifth (39.4%) of the respondents had done breast selfexaminations, from these only 9.7% of them practiced monthly. Statistically significant association was obtained only with, level of education of the participant, father's educational level and program of enrolment. Conclusion and recommendation: Knowledge and practice of BSE was low, even though majority of them have positive attitude. Being health was the major mentioned reasons for not doing BSE. The ministry of health is recommended to promote awareness about BSE through emergence of groups in the University, celebrating days like breast cancer day. G y n e c o lo gy & O b s te tr ic s
Introduction: Breast cancer is the most common type of cancer among women, particularly in low and middleincome countries. Breast self-examination is one of the non-invasive methods of screening in which a woman looks at her breast for any abnormal findings like lumps, distortions, or swellings. Despite, realized effects of breast self-examination in detecting breast cancer earlier, the vast majority of the cases still present with an advanced stage. Objective: This study aimed to assess knowledge, attitude, and practices toward breast self-examination and associated factors among women in Gondar Town, Northwest Ethiopia, 2021. Methods: A community-based cross-sectional study was conducted on women living in Gondar town. A simple random sampling method was used to select 571 participants. Interviewer administered questionnaires were used for data collection. Data was entered into Epi-data version 4.6 and exported to Statistical Package for Social Science (SPSS) version 25 for analysis. Multivariate logistic regression was used where a p-value < 0.05 was used to identify variables significantly associated with the outcome variable. Result: From the total of 571 women, about 541 participants were involved in the study with a response rate of 94.7%. Of these, 56%, 46% and 45.8% of women had adequate knowledge, favourable attitudes, and performed breast self-examination (BSE) respectively. Women College and above AOR: 3.8 (95% CI: 1.43-10.14) and spouses College and above AOR: 3.03 (95% CI: 1.04-8.84), Women College and above AOR: 4.18 (95% CI: 1.59-10.92) and history of breast cancer AOR: 6.06 (95% CI: 2.19-16.74) and knowledge level AOR: 2.67 (95% CI: 1.18-6.04) were significantly associated with knowledge, attitudes, and practices towards breast self-examination respectively. Conclusion: The findings of this study were considerable for inadequate knowledge, unfavourable attitude and poor practice towards BSE among women. Emphasis should be made on boosting the knowledge, attitude, and practice of the women toward breast self-examination and strengthening the implementation of comprehensive, systematic, and continuous BSE educational programs that were recommended along with a breast cancer awareness campaign.