Knowledge, Practice and Associated Factors of Breast Self Examination Among Female Students of the College of Public Health and Medical Science, Jimma University, Ethiopia
American Journal of Health Research
Volume 6, Issue 2, March 2018, Pages: 44-50
Received: Dec. 31, 2017;
Accepted: Jan. 18, 2018;
Published: Mar. 28, 2018
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Fitsum Desta, School of Medicine, College of Public Health and Medical Science, Jimma University, Jimma, Ethiopia
Abdulhalik Workicho, Department of Epidemiology, College of Public Health and Medical Science, Jimma University, Jimma, Ethiopia
Alemayehu Atomsa, Department of Epidemiology, College of Public Health and Medical Science, Jimma University, Jimma, Ethiopia
Desta Workneh, School of Nursing and Midwifery, College of Public Health and Medical Science, Jimma University, Jimma, Ethiopia
Bosena Tebeje, School of Nursing and Midwifery, College of Public Health and Medical Science, Jimma University, Jimma, Ethiopia
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.
Knowledge, Practice and Associated Factors of Breast Self Examination Among Female Students of the College of Public Health and Medical Science, Jimma University, Ethiopia, American Journal of Health Research.
Vol. 6, No. 2,
2018, pp. 44-50.
Maurer FA. Peer education model for teaching breast self-examination to undergraduate College women. 1997; 20.
Forbes JF. The incidence of breast cancer. The global burden, public health considerations. Journal of Oncology. 1997; 24 (1):20-35.
Ruiz-Ramos M. Viciana Fernandez F. The trends and geographical distribution of breast cancer mortality in Andalusia. Aten Primaria. 1997; 20.
Newman LA, Alfonso AE. Age related differences in breast cancer stage at diagnosis between black and white patients in an urban community hospital. Ann Surg. Oncology. 1997; 4.
Adebamawo CA, Ajayi OO. Breast Cancer in Nigeria. West Afr J Med. 2000; 10:179-191.
Edino ST, Ochicha O, Alhassan S, Mohammed AZ, Ajayi OO. Clinico-Pathological Review of Breast Cancer in Kano. Nigerian Journal of Surgery. 2000; 7:70-75.
Adebamawo CA, Adekunle OO. Case-controlled study of the epidemiological risk factors for breast cancer in Nigeria. Br J Surg. 1999; 86:665-668.
Pınar E Dündar, Dilek Özmen, Beyhan Öztürk, Gökçe Haspolat, Filiz Akyıldız, Sümeyra Çoban and Gamze Çakıroğlu. The knowledge and attitudes of breast self-examination and mammography in a group of women in a rural area in western Turkey. Available at: http://www.biomedcentral.com/1471-2407/6/43.
Baines CJ. Breast Self Examination. Cancer. 1992; 69.
Ncarubara RG. Control of Breast cancer using health education. East Afr Med J. 1999; 76:661-663.
Michielutte R, Diseker R, Hayes D. Knowledge of cancer, a cross cultural comparison among students in the U.S. and U.K. Int J Health Educ. 1979; 2:42-48.
Philip J, Harris G, Flaherty C, Joslin CAF. Clinical measures to assess the practice and efficiency of breast self-examination. Cancer. 1986; 58:973-977.
Hill D, White V, Jolley D, Mapperson K. Self examination of the breast: Is it beneficial? Meta analysis of studies investigating breast self examination and extent of disease in patients with breast cancer. BMJ. 1988; 297:271-277.
Ahmed B. A. Awareness and Practice of Breast Cancer and Breast-self Examination among University Students in Yemen. Asian Pacific Journal of Cancer Prevention, Vol. 11, 2010.
World Health Organization. The World Health Report. Conquering Suffering, Enriching Humanity, Report of the Director General. WHO, Geneva. 1997; 22.
Ethiopian cancer Association (ECA). Available at: http://www.yeeca.org/Cancer%20in%20Ethiopia.htm.
American Cancer Society, 2005. “How is breast cancer found,” Available at: http://www.cancer.org/docroot/CRI/content.
International Journal for cancer. The Knowledge and Practice of Breast Self-examination among Health Care Workers in Kayseri, Turkey. September/October 2009 - Volume32. Available at: journals.lww.com/.../The_Knowledge_and_Practice_of_Breast.15.asp.
Owoaje M. O. B. Knowledge and Practice of Breast Self-Examination among Female Traders in Ibadan, Nigeria. Annals of Ibadan Postgraduate Medicine. 3 (2), 2005.
20. Obaikol R, Galukande M, Fualal J. Knowledge and Practice of Breast Self Examination among Female Students in a Sub Saharan African University. Mulago Hospital, Kampala, Uganda. East and Central African Journal of Surgery, 15 (1), 2010:22-27.
Zavare M. A, Juni M. H, Manaf R. A, Ismail I. Z, Said S. knowledge on breast cancer and practice of breast self examination among selected female university students in Malaysia. Medical and Health science journal. Vol 7. 2011:48-56.
A. Reeler, Y. Qiao, L. Dare, J. Li, A. L. Zhang, and J. Saba, “Women's cancers in developing countries: from research to an integrated health systems approach,” Asian Pacific Journal of Cancer Prevention, 2009.10 (3).
Timothy D. Dye, Solomon Bogale, Claire Hobden, Yared Tilahun, Teshome Deressa, and Anne Reeler. Clinical Study Experience of Initial Symptoms of Breast Cancer and Triggers for Action in Ethiopia. Volume 2012. 2011. International Journal of Breast Cancer.
Rosemary B. Bassey, Nicholas K. Irurhe, Modele A. Olowoyeye, Adekunle A. Adeyomoye, Adebayo T. Onajole. Knowledge, attitude and practice of Breast self examination among nursing students in Lagos University Teaching Hospital, Nigeria. International Research Journals. 2011.
Steps of BSE. Available at: http://www.99healthplus.com/2012/five-steps-of-breast-cancer-self- examination/.
Alsaif AA. Breast self-examination among Saudi female nursing students. Saudi Arabia. Saudi medical journal. 2004; 25 (11):1574-8.
Ferlay J, Soerjomataram I, Ervik M, et al. Estimated Cancer Incidence, Mortality and Prevalence. Worldwide. 2012.
Global Burden of Disease Cancer Collaboration. The global burden of cancer 2013. JAMA Oncol 2015.
World Health Organization. Breast cancer: prevention and control. Geneva, Switzerland: WHO; 2013.
Nde FP, Assob JC, Kwenti TE, et al. Knowledge, attitude and practice of breast self- examination among female undergraduate students in the University of Buea. BMC Research Notes (2015) 8:43.
Birhane K, Alemayehu M, Belayneh Anawte B, et al. Practices of Breast Self-Examination and Associated Factors among Female Debre Berhan University Students. International Journal of Breast Cancer. 2017.