Background: Breast
cancer (BC) is one of the malignant diseases taking the lion’s share role in
the devastating effects caused by cancer. BC related awareness and practice of
females are known to have crucial contribution in the prevention and control
efforts. The worst aspects of the disease in Ethiopia include absence of research
and thus very limited information on any aspect.The study
assessed knowledge and practice on BC among
women household heads.Methods: A cross-sectional study was conducted on a sample
of 845 women. The sample size was divided among five randomly selected kebeles (smallest government administrative units)
proportional to the number of households. Samples were selected by systematic sampling technique.
Data were collected by trained data collectors through a face-to-face interview
using pre-tested, semi-structured questionnaire from female household heads. Pearson chi-square and logistic regression
tests were used to assess the determinants of BC knowledge and breast cancer
self examination (BSE) practice. Results: The respondents’ age ranged from 20 to 75
years with a mean age of 33.66 ± 10.8. Onefifth (19.8%) of the respondents
were illiterate, while 257(31.8%) had primary education. Majority of the
References
[1]
Parkin, D.M., Bray, F., Ferlay, J. and Pisani, P. (2005) Global cancer statistics, 2002. CA: A Cancer Journal for Clinicians, 55, 74-108. http://dx.doi.org/10.3322/canjclin.55.2.74
[2]
Smith, R.A., Caleffi, M., Albert, U., Chen, T.H.H., Duffy, S.W., Franceschi, D. and Nyström, L. (2006) Breast cancer in limited resource countries: Early detection and access to care. Breast Journal, 12, S16-S26. http://dx.doi.org/10.1111/j.1075-122X.2006.00200.x
[3]
Boyle, P. and Howell, A. (2010) The globalisation of breast cancer. Breast Cancer Research, 12, S7. http://dx.doi.org/10.1186/bcr2736
[4]
Akarolo-Anthony, S.N., Ogundiran, T.O. and Adebamowo, C.A. (2010) Emerging breast cancer epidemic: Evidence from Africa. Breast Cancer Research, 12, S8. http://dx.doi.org/10.1186/bcr2737
[5]
Shallwani, K., Ramji, R., Ali, T.S. and Khuwaja, A.K. (2010) Self-examination for breast and testicular cancers: a community-based intervention study. Asian Pacific Journal of Cancer Prevention, 11, 145-148.
[6]
Ali, T.S., Baig, S. (2006) Evaluation of a cancer awareness campaign: experience with a selected population in Karachi. Asian Pacific Journal of Cancer Prevention, 7, 391-395.
[7]
Gwarzo, U.M.D., Sabitu, K. and Idris, S.H. (2009) Knowledge and practice of BSE among female undergraduate students of Ahmadu Bello University Zaria, Northwestern Nigeria. Annals of African Medicine, 8, 55-58. http://dx.doi.org/10.4103/1596-3519.55766
[8]
Mon, M.M., Mon, M. and Than, K.K. (2009) Women’s awareness, knowledge and perceived magnitude regarding common female cancers in Yangon, Myanmar. Asian Pacific Journal of Cancer Prevention, 10, 1047-1050.
[9]
Meijer-van Gelder, M.E., Look, M.P., Vries, J.B., Peters, H.A., Klijn, J.G. and Foekens, J.A. (2001) Clinical relevance of biologic factors in male breast cancer. Breast Cancer Research and Treatment, 68, 249-260. http://dx.doi.org/10.1023/A:1012221921416
[10]
Jones, S.C., Gregory, P., Nehill, C., Barrie, L., Luxford, K., Nelson, A., Zorbas, H. and Iverson, D. (2010) Australian women’s awareness of breast cancer symptoms and responses to potential symptoms. Cancer Causes Control, 21, 945-958. http://dx.doi.org/10.1007/s10552-010-9522-9
[11]
Assefa, M. (2011) Assessment of types and treatment pattern of cancer in TASH Radiotherapy Center: Retrospective study. A Thesis Submitted to the School of Graduate Studies of AAU in partial fulfillment of the requirements for the Degree of Master of Science in Pharmacoepidemiology and Social Pharmacy, Addis Ababa.
[12]
Central Statistical Agency of Ethiopia: Statistical tables for the 2007 Population and Housing Census of Ethiopia. (2008) http://www.csa.gov.et/index.php?option=com_rubberdoc&view=category&id=72&Itemid=521&limitstart=20
[13]
TRHB (2010) The Tigrai Health Bureau Profile of 2010. www.trhb.gov.et
[14]
WHO (2001) Sampling methods and sample size. In: Omi S. Health research methodology: A guide for training in research methods. 2nd Edition, Manila, 71-84.
[15]
Okobia, M.N., Bunker, C.H., Okonofua, F.E., Osime, U. (2006) Knowledge, attitude and practice of Nigerian women towards breast cancer: A cross-sectional study. World Journal of Surgical Oncology, 4, 11. http://dx.doi.org/10.1007/s10552-010-9522-9
[16]
Montazeri, A., Vahdaninia, M., Harirchi, I., Harirchi, A.M., Sajadian, A., Khaleghi, F., Ebrahimi, M., Haghighat, S. and Jarvandi, S. (2008) Breast cancer in Iran: Need for greater women awareness of warning signs and effective screening methods. Asia Pacific Family Medicine, 7, 6. http://dx.doi.org/10.1186/1447-056X-7-6
[17]
Teresa, D.H., Harry, J.K., Jerzy, E.T. and Hans, J.B. (2005) Comparison of male and female breast cancer incidence trends, tumor characteristics, and survival. Annals of Epidemiology, 15, 773-780. http://dx.doi.org/10.1016/j.annepidem.2005.01.001
[18]
William, F.A., Ismail, J., Julia, T. and Philip, S.R. (2010) Male breast cancer: A population-based comparison with female breast cancer. Journal of Clinical Oncology, 28, 232-239. http://dx.doi.org/10.1200/JCO.2009.23.8162
[19]
Baines, C.J. (1992) Breast Self Examination. Cancer, 69, 1942-1946. http://dx.doi.org/10.1002/1097-0142(19920401)69:7+<1942::AID-CNCR2820691712>3.0.CO;2-K
[20]
Oluwatosin, O.A. and Oladepo, O. (2006) Knowledge of breast cancer and its early detection measures among rural women in Akinyele Local Government Area, Ibadan Nigeria. BMC Cancer, 6, 271. http://dx.doi.org/10.1186/1471-2407-6-271
[21]
Gilani, S.I., Khurram, M., Mazhar, T., Mir, S.T., Ali, S., Tariq, S. and Malik, A.Z. (2010) Knowledge, attitude and practice of a Pakistani female cohort towards breast cancer. Journal Pakistan Medical Association, 62, 205-208.
[22]
Petro-Nustus, W. and Mikhail, B.I. (2002) Factors associated with BSE among Jordanian women. Public Health Nursing, 19, 263-271. http://dx.doi.org/10.1046/j.1525-1446.2002.19406.x
[23]
Dündar, P.E., Özmen, D., Öztürk, B., Haspolat, G., Akyildiz, F., Çoban, S. and Çakiroglu, G. (2006) The knowledge and attitude of BSE and mammography in a group of women in a rural area in western Turkey. BMC Cancer, 6, 43-52. http://dx.doi.org/10.1186/1471-2407-6-43
[24]
Al-Qattan, M.M., Al Saleh, K.A., Al-Musallam, S.S. and Masoud, G.M. (2008) Knowledge and factors affecting breast self-examination among Kuwaiti women. Kuwait Medical Journal, 40, 103-110.
[25]
Parisa, P. and Kandiah, M. (2005) Breast cancer knowledge, perception and BSE practices among Iranian women. The International Medical Journal, 4, 17-24.
[26]
Coleman, E.A. (1991) Practice and effectiveness of BSE: A selective review of the literature (1977-1989). Journal of Cancer Education, 6, 83-92. http://dx.doi.org/10.1080/08858199109528096