Breast Cancer Screening: An Assessment of Awareness, Attitude and Practice among Female Clients Utilizing Breast Imaging Services in South-Western Nigeria
Science Journal of Public Health
Volume 4, Issue 3, May 2016, Pages: 219-223
Received: Apr. 22, 2016;
Accepted: May 3, 2016;
Published: May 13, 2016
Views 3256 Downloads 102
Olufunso Simisola Aduayi, Department of Radiology, College of Medicine, Ekiti State University, Ado-Ekiti, Nigeria
Victor Adovi Aduayi, Department of Epidemiology and Community Health, College of Medicine, Ekiti State University, Ado-Ekiti, Nigeria
Caleb Adegbenro, Department of Community Health, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria
Breast cancer is a leading cause of cancer deaths among women in many parts of the world and screening practices play a vital role in its prevention and early detection. This study sought to assess the level of awareness, determine the attitude and document breast cancer screening practices among respondents. A cross-sectional descriptive survey of 150 respondents was conducted at the Department of Radiology of a tertiary health facility in Ado-Ekiti, Nigeria. The study population consisted of female patients referred for breast imaging. A structured questionnaire was used for data collection. The data was analysed using SPSS version 16, Chicago USA Inc. Respondents presented for breast imaging due to breast related complaints (75.2%) as opposed to routine medical screening for breast cancer (24.8%). A total of 43 (28.7%) respondents had breast ultrasound scan done previously, 105 (70%) had practiced breast self examination (BSE) before, while 54 (36%) had clinical breast examination (CBE) done previously. Among those aged 40 years and above (n=67, 44.7%) only 18 (26.9%) had a previous mammographic screening. Overall attitude to BSE was good (56%) but attitude to CBE was negative (69.3%). Respondents’ occupation was found to have a significant association with attitude towards BSE (p=0.001). The logistic regression analysis of predictors of awareness of mammography showed that women aged 40 years and above are more likely to be aware of mammography as a screening tool for breast cancer (OR=3.05,P= 0.012; 95%CI 1.28-7.27). There is a need for increased awareness and adoption of breast cancer screening practices in our environment in order to engender a reduction in breast cancer morbidity and mortality.
Olufunso Simisola Aduayi,
Victor Adovi Aduayi,
Breast Cancer Screening: An Assessment of Awareness, Attitude and Practice among Female Clients Utilizing Breast Imaging Services in South-Western Nigeria, Science Journal of Public Health.
Vol. 4, No. 3,
2016, pp. 219-223.
Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. International Journal of Cancer. 2010; 127(12): 2893-917.
Yeole BB, Kurkure A. An epidemiological assessment of increasing incidence and trends in breast cancer in Mumbai and other sites in India, during the last two decades. Asian Pacific Journal of Cancer Prevention. 2003; 4(1): 51-6.
Broeders M, Verbeek A. Breast cancer epidemiology and risk factors. The quarterly journal of nuclear medicine: official publication of the Italian Association of Nuclear Medicine (AIMN)[and] the International Association of Radiopharmacology (IAR). 1997; 41(3): 179-88.
Jedy-Agba E, Curado MP, Ogunbiyi O, Oga E, Fabowale T, Igbinoba F, et al. Cancer incidence in Nigeria: A report from population-based cancer registries. Cancer epidemiology. 2012.
Okobia MN, Bunker CH, Okonofua FE, Osime U. Knowledge, attitude and practice of Nigerian women towards breast cancer: a cross-sectional study. World journal of surgical oncology. 2006; 4(1): 1.
Aduayi VA, Onayade AA, Aduayi OS, Ijadunola MY. Willingness to accept preventive bilateral mastectomy among women in rural and urban communities in South-Western Nigeria. International Journal of Community Medicine and Public Health. 2015; 2(2): 86-93.
Jedy-Agba E, Curado MP, Ogunbiyi O, Oga E, Fabowale T, Igbinoba F, et al. Cancer incidence in Nigeria: a report from population-based cancer registries. Cancer epidemiology. 2012; 36(5): e271-e8.
Aduayi VA, Aduayi OS, Onayade A, Esimai OA. A Community Based Rural-Urban Comparison of Knowledge and Perception of Women towards Breast Cancer in South Western Nigeria. International Journal of Health Sciences and Research (IJHSR). 2016; 6(4): 26-32.
Oluwatosin OA, Oladepo O. Knowledge of breast cancer and its early detection measures among rural women in Akinyele local government area, Ibadan, Nigeria. BMC cancer. 2006; 6(1): 271.
Oluwatosin OA. Rural Women's Perception of Breast Cancer and its Early-detection Measures in Ibadan, Nigeria. Cancer Nursing. 2006;29(6):461.
Akinola R, Wright K, Osunfidiya O, Orogbemi O, Akinola O. Mammography and mammographic screening: are female patients at a teaching hospital in Lagos, Nigeria, aware of these procedures? Diagnostic and Interventional Radiology. 2011; 17(2): 125.
Adegbenro C, Ajala A, Ajayi O, Ajayi T, Ajayi O, Ajewole A, et al. Awareness of Breast Cancer and Practice of Breast Self-Examination among Rural Women in Ife-North Local Government Area, Osun State, South-West Nigeria. Journal of Community Medicine and Primary Health Care. 2015; 26(1): 76-87.
Montazeri A, Vahdaninia M, Harirchi I, Harirchi AM, Sajadian A, Khaleghi F, et al. Breast cancer in Iran: need for greater women awareness of warning signs and effective screening methods. Asia Pacific Family Medicine. 2008; 7(1):1.
Pinsky RW, Helvie MA. Role of Screening Mammography in Early Detection/Outcome of Breast Cancer. Ductal Carcinoma In Situ and Microinvasive/Borderline Breast Cancer: Springer; 2015. p. 13-26.
Fletcher SW, Elmore JG. Mammographic screening for breast cancer. New England Journal of Medicine. 2003; 348(17): 1672-80.
Kaniklidis C, Foundation NSBC. Beyond the mammography debate: a moderate perspective. Current Oncology. 2015; 22(3): 220.
Obajimi MO, Ajayi IO, Oluwasola AO, Adedokun BO, Adeniji-Sofoluwe AT, Mosuro OA, et al. Level of awareness of mammography among women attending outpatient clinics in a teaching hospital in Ibadan, South-West Nigeria. BMC public health. 2013; 13(1): 1.
Ojikutu R, Adetifa F. Psycho-Social Analysis of Breast Cancer Awareness in Lagos State, Nigeria. International Journal of Academic Research. 2009; 1(2).
Sensiba ME, Stewart DS, editors. Relationship of perceived barriers to breast self-examination in women of varying ages and levels of education. Oncology nursing forum; 1995.
Coleman P. The enter-educate approach for promoting social change. Journal of Development Communication. 2000; 11(1): 75-81.