Evaluating the Effect of Interventions on Breast Self-Examination Knowledge and Practice Among Adolescent Female Secondary School Students in Delta State, Nigeria (original) (raw)
Related papers
IfepsychologiA, 2021
Knowledge and perceptions related to breast self-examination (BSE) and breast cancer are abysmal among adolescents. This study assessed the effect of an educational intervention on knowledge and perceptions of breast self-examination among adolescent females. Quasi-experimental research design was utilized for this study among sixty female adolescent students selected through a multi-staged sampling technique from two public secondary schools in Delta State, Nigeria. There were two groups; the experimental group had BSE educational pamphlet and a control group that had a pamphlet not related to BSE. Data was collected with a validated instrument and was analyzed using SPSS version 23.0. Level of statistical significance was set at p=0.05.The mean age of the adolescents in the intervention group and the control group were 15.90±1.58years and 15.43±1.36years respectively. There was significant increase in the level of BSE knowledge of the participants between baseline and post intervention from (5.20±2.28 to 21.56±1.85, p=0.000) and there was also an increase in the level of BSE perception from (37.46 ±4.91 to 56.73±7.34, p=0.000). Additionally, there were significant differences in the levels of BSE knowledge and perceptions of the experimental group between baseline and 8 weeks postintervention (t 29 = 29.44, p<0.01; t 29 = 19.27, p<0.01) respectively. The use of breast self-examination pamphlet is an effective tool in improving breast self-examination knowledge and perceptions among adolescent females.
Knowledge and Practice of Breast Self Examination among Female Adolescents in Osogbo, Nigeria
Background: Breast self examination (BSE) is a simple, inexpensive, non-invasive and non hazardous means of detecting breast cancer at early stage. BSE is also reported to be less effected than mammography or examination by a trained physician. However, it is a reliable approach particularly in developing countries that cannot afford sophisticated screening services for the entire population at risk. Breast cancer has become the most leading cause of cancer death among women. This can be prevented by early diagnosis of breast lump. Breast cancer is a cancer that is preventable and yet has a high morbidity and mortality rate but breast cancer need to be prevented by the practice of BSE which is a major preventive measures and appropriate treatment of precancerous lesion. This study therefore aimed to assess the knowledge and determine the level of practice of BSE toward prevention of breast cancer among female adolescence of two selected secondary school Osogbo. Materials and methods: This descriptive study was conducted among one hundred and sixty female adolescents recruited from Ata Oja Government High School and Baptist High School Osogbo Local Government Osogbo, Osun State using stratified random sampling technique. A self-structure questionnaire was used to collect data from respondents which was analyzed with SPSS version 22 and was summarized using tables and bar charts. Results: 69.8% of the respondents demonstrated knowledge of BSE with health workers (52.1%) being the major source of information, other sources were mass media (31.7%), friends (9.2%) and sources undisclosed (7%). Practice of BSE among respondents revealed that 56.3% agreed that they found it difficult to examine their breast , 61% agreed that the hospital is the only place for breast examination while 46.3% felt BSE was not necessary. However, 40.6% of the respondents consent that they are uncomfortable touching their breast, 44.4% indicated that going to school affect the practice of BSE while 41.9% of the respondents agreed that BSE should be done when they feel abnormal around their breast. The study also revealed that there was significant relationship between knowledge of female adolescents and their practices of BSE while age of respondents was not significant to the practice of BSE. Conclusion: Respondents demonstrated good knowledge about BSE which was not reflected in their practice. Based on the findings of the study, the following recommendations were made: Nurses should take outreach to schools periodically in order to teach the female students on how to perform the BSE and to be comfortable touching their bodies. Parents, teachers, community and the Government all have roles to play in encouraging the effective practice of BSE to reduce the rate of breast cancer in the world.
Journal of Cancer Education, 2019
Breast cancer is the second most common cancer in women aged 15-45 after the non-melanoma of the skin. Lack of knowledge and practice of breast self-examination (BSE) have been blamed for the high morbidity and mortality associated with breast cancer among women and adolescents in particular. The study assessed the impact of education on knowledge, attitude and practice of breast self-examination among adolescent girls. A quasi-experimental study of only one group was conducted among school-going adolescents at Fiwasaye Girls Grammar School in Akure, Ondo State, Nigeria. Data were collected using a self-developed questionnaire adapted from previous studies. Statistical Package for the Social Science (SPSS) version 20 was used for data analysis, and data were presented using descriptive statistics. A total of 280 respondents took part in the study with the mean age of 13.21 ± 5.68. Over 60% knew about breast examination before education, and this percentage increased to 91.7% after training. The pre-assessment attitude towards and practice of breast self-examination were also poor but improved after training. There was a significant difference among the students pre-and post-knowledge at t (558) = 14.49, p = 0.01 and for pre-and post-practice of BSE at t (558) = 6.38, p = 0.01. The study affirms the importance of continuous education as an effective tool in increasing awareness, knowledge, attitude and practice of BSE.
International journal of breast cancer, 2018
Breast cancer remains a serious public health problem globally. It is particularly increasing among adolescents and premenopausal women. Breast self-examination (BSE) is the most effective and feasible means of detecting breast cancer early in developing countries. This study aimed at evaluating and comparing knowledge of BSE among secondary and tertiary school students and at revealing their attitudes and practices about BSE. This cross-sectional study was conducted among 1036 female secondary and tertiary school students of Kwame Nkrumah University of Science and Technology and Technology Senior High School. Data was obtained using a pretested questionnaire to access sociodemography, knowledge, attitudes, and practice of BSE among the students. Most students were within the age of 15-24 years; 90.9% were aware of BSE. A high level of knowledge on BSE was found in 54.5% of the students. Knowledge was significantly higher in tertiary than secondary school students 24.1% of the stude...
Texila International Journal of Public Health, 2021
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.
Breast cancer is one of the most prevalent types of cancer in women, and its incidence is on the increase. Knowledge and practice of breast self-examination are important strategies for early detection of the disease. The general objective of this study was to determine the effectiveness of health education on breast self-examination amongst secondary school girls in Anambra State, Nigeria. It was a before and after interventional study with control, in which 261 school girls were selected by multi-stage sampling method. The study group (197) which received health education was assessed contemporaneously with the control (64) at the pre-and post-intervention stages. Data was collected via self-administered questionnaire. Before health education, questionnaires were administered to assess their baseline knowledge, attitude and practice of breast self-examination. The study group received information on breast self-examination, but the control group had health talk on the basics of hand washing technique. Questionnaires were administered again to both groups to assess the effectiveness of education on breast self-examination. Data was analyzed and presented in tables. Results Showed a significant increase in the percentage score for knowledge from 40.9% to 85% for the study group as opposed to the control group which percentage score remained unchanged at 47.1%. The attitudescores of respondents in both groups which were almost the same before education (93.4% and 87.5% respectively) before education, did not record significant changes following education (98% and 84.4% respectively).Overall the practice score reduced markedly from 67% to 39.6% among study group (p<0.001)but among those who continued BSE after education, significant improvements in specific practice item scores were recorded among them: (frequency-p<0.01; time-p<0.001; and place-p<0.001). The results demonstrated the effectiveness of education on the -knowledge, attitude and practice of breast self-examination among the students.
Nursing and Health Sciences Journal (NHSJ), 2021
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 <ά = (0,000 <0.05). There was an effect of BSE Classes on Student’s Know...
British Journal of Medical and Health Research , 2015
Breast cancer is one of the most prevalent types of cancer in women, and its incidence is on the increase. Knowledge and practice of breast self-examination are important strategies for early detection of the disease. The general objective of this study was to determine the effectiveness of health education on breast self-examination amongst secondary school girls in Anambra State, Nigeria. It was a before and after interventional study with control, in which 261 school girls were selected by multi-stage sampling method. The study group (197) which received health education was assessed contemporaneously with the control (64) at the pre-and post-intervention stages. Data was collected via self-administered questionnaire. Before health education, questionnaires were administered to assess their baseline knowledge, attitude and practice of breast self-examination. The study group received information on breast self-examination, but the control group had health talk on the basics of hand washing technique. Questionnaires were administered again to both groups to assess the effectiveness of education on breast self-examination. Data was analyzed and presented in tables. Results Showed a significant increase in the percentage score for knowledge from 40.9% to 85% for the study group as opposed to the control group which percentage score remained unchanged at 47.1%. The attitudescores of respondents in both groups which were almost the same before education (93.4% and 87.5% respectively) before education, did not record significant changes following education (98% and 84.4% respectively).Overall the practice score reduced markedly from 67% to 39.6% among study group (p<0.001)but among those who continued BSE after education, significant improvements in specific practice item scores were recorded among them: (frequency-p<0.01; time-p<0.001; and place-p<0.001). The results demonstrated the effectiveness of education on the-knowledge, attitude and practice of breast self-examination among the students.
Breast Self-Examination Practice Among Female Secondary School Students In Osogbo, Western Nigeria
European Journal of Medical and Health Sciences, 2020
Background: Breast cancer is the most common invasive cancer affecting women worldwide. It comprises 22.9% of invasive cancers in women and 16% of all female cancers. It affects about 12% of the women population worldwide. In Nigeria, about one breast cancer death is reported in every 25 cases identified and the practice of breast self-examination has been reported to range from 19% to 43.2%. This cross sectional study assessed the knowledge, attitude and practice of breast self-examination (BSE) among female secondary school students in Osogbo Metropolis. Methods: A total of 400 respondents were selected using multistage sampling technique. Data were collected using pre-tested self-administered semi structured questionnaire, analyzed using Statistical Package for Social Sciences and presented using appropriate tables and charts. Level of significance set at < 0.05. Results: The mean age ± SD is 14.77 ± 1.46 years. 390 (97.5%) respondents reported that they have heard of breas...
TEXILA INTERNATIONAL JOURNAL OF PUBLIC HEALTH
women to examine their breasts in order to recognize early changes that may indicate problem. However, optimal timing for 5-7 days after menses is for pre-menopausal women and once monthly for post-menopausal women (Schoemaker, Folkerd and Jones, 2014). Breast screening and clinical breast examination Breast screening refers to tests and examinations used to detect a disease such as cancer in people who do not have any symptoms. Since the degree of success in treating breast cancer is influenced primarily by the stage at which intervention is introduced, secondary prevention (early detection) is the mainstay (Morrison, 1996). Changes in the breasts can be detected early by screening methods such as breast self-examination (BSE) which is also known as breast awareness, clinical breast examination (CBE) and mammography screening. An ideal screening test would be simple, inexpensive, and effective. Breast self-examination fulfils the first two criteria, but previous results of two randomised trials conducted in Russia and China suggest that it would not be effective in reducing mortality from breast cancer (Thomas, 2010). Despite the varying controversies about the use of BSE, including its sensitivity, specificity in detecting breast cancer as highlighted by Allen et al. (2010), BSE still remains the most readily available methods of screening to rural women especially in most part of the low resource countries where sophisticated diagnostic screening methods are not easily accessible in term of affordability and availability. Therefore, it is still important for women to be breast aware and also to be able to do this simple procedure efficiently to detect any abnormality in their breasts. Poor participation in breast self-examination has also been linked to lack of confidence in performing the procedure (Ahuja and Chakrabarti, 2010). In the developed countries, the National Breast Screening Programme currently provides routine mammograms every three years for women between 50 and 64 years. For women who are too young or too old to be included in the screening programme, breast awareness has been of great importance to help in the discovery of any early changes in the breast tissues. Women age 20 and older have been advised to receive clinical breast examination every 3 years; women age 40 and older to receive clinical breast examinations every year.