Knowledge attitude practice on breast self-examination in a rural area in North Kerala

Authors

  • Sherin Ishaaque Department of Community Medicine, MES Medical College, Perinthalmanna, Kerala, India
  • Nandini Gopalamenon Department of Community Medicine, MES Medical College, Perinthalmanna, Kerala, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20191820

Keywords:

BSE, Kerala, Knowledge, Practice, Women

Abstract

Background: Breast cancer is the most common cancer in women. It is estimated that 5,08,000 women died due to breast cancer in 2011 globally. Late detection of breast cancer decreased the survival rate to 56% and the 5-year survival rate reached 85% with early detection of breast cancer. Breast self-examination (BSE) is an inexpensive tool which helps women to detect any early changes in their breasts and thus helps to reduce the breast cancer mortality and morbidity. The present study was designed to determine the knowledge, attitude and practice regarding BSE among women aged 25 years and above.

Methods: A community-based, cross-sectional study was conducted in rural North Kerala, among 206 women aged ≥25 years selected by cluster sampling. Data was collected using a semi-structured questionnaire.

Results: The participants were aged between 25-94 years (mean age 40.15±13.17). 62.6% have heard about BSE. Among the 206 participants, 12% had good knowledge while 10.6% knew the correct technique of doing BSE and only 0.06% knew that BSE must be performed once a month. Though 80.5% have good attitude regarding BSE, only 36% practised BSE and only 0.04% performed it every month. Educational status (high school and below vs higher secondary and above) was found to be significantly associated with knowledge (p<0.001) and practice (p=0.003). Knowledge regarding BSE was significantly associated with practice (p<0.001) while family history of breast cancer was not (p=0.072).

Conclusions: The respondents had good attitude regarding BSE but knowledge and practice on BSE were very poor. Educational status has an influence on the knowledge and practice while family history did not have any influence.

References

World Health Organisation. Breast cancer: prevention and control. Geneva, Switzerland: WHO; 2013. Available at: http://www.who.int/cancer/ detection/breastcancer/en/. Accessed on 2 February 2019.

Gabriel OE, Ajetunmobi OA, Shabi OM, Elegbede OT, Okere RA, Busari OA, et al. Awareness and practice of self breast examination among female nurses at the Federal Teaching Hospital Ido-Ekiti, Nigeria. J Public Health Afr. 2016;7(1):528.

Doshi D, Reddy BS, Kulkarni S, Karunakar P. Breast self-examination: Knowledge, attitude, and practice among female dental students in Hyderabad city, India. Indian J Palliative Care. 2012;18(1):68.

Kumarasamy H, Veerakumar AM, Subhathra S, Suga Y, Murugaraj R. Determinants of awareness and practice of breast self examination among rural women in Trichy, Tamil Nadu. J Mid-Life Health. 2017;8(2):84.

Shalini DV, Nayak M. Awareness and impact of education on breast self examination among college going girls. Indian journal of palliative care. 2011;17(2):150.

Ertem G, Kocer A. Breast self-examination among nurses and midwives in Odemis health district in Turkey. Indian J Cancer. 2009;46(3):208.

Taşçı A, Usta YY. Comparison of knowledge and practices of breast self examination (BSE): a pilot study in Turkey. APJCP. 2010;11(5):1417-20.

Hallal JC. The relationship of health beliefs, health locus of control, and self concept to the practice of breast self-examination in adult women. Nurs Res. 1982;31:137–42.

Humphrey LL, Helfand M, Chan BK, Woolf SH. Breast cancer screening: a summary of the evidence for the US Preventive Services Task Force. Ann Internal Med. 2002;137(1):347-60.

Okobia MN, Bunker CH, Okonofua FE, Osime U. Knowledge, attitude and practice of Nigerian women towards breast cancer: a cross-sectional study. World J Surgical Oncol. 2006;4(1):11.

Karayurt Ö, Özmen D, Çetinkaya AÇ. Awareness of breast cancer risk factors and practice of breast self examination among high school students in Turkey. BMC Public Health. 2008;8(1):359.

Oluwatosin O. Primary health care nurses’ knowledge practice and client teaching of early detection measures of breast cancer in Ibadan. BMC nursing. 2012;11(1):22.

Iruhe NK, Olowoyeye OA, Arogundade RA, et al. Knowledge, attitude and practice of breast self examination among female medical students of the University of Lagos. 2009. Available at: http://ispub.com/IJH/12/1/ 8251. Accessed on 20 January 2019.

Nde FP, Assob JC, Kwenti TE, Njunda AL, Tainenbe TR. Knowledge, attitude and practice of breast self-examination among female undergraduate students in the University of Buea. BMC Res Notes. 2015;8(1):43.

Sreedevi A, Quereshi MA, Kurian B, Kamalamma L. Screening for breast cancer in a low middle income country: predictors in a rural area of Kerala, India. Asian Pac J Cancer Prev. 2014;15(5):1919-24.

Karunakaran U, Thekkandathil N, Joseph M, Kannankai S, Kumaran JA. Clinical breast cancer screening-a camp-based study among rural women in North Kerala. Religion. 2017;36(18.1):3-5.

Obaji NC, Elom HA, Agwu UM, Nwigwe CG, Ezeonu PO, Umeora OU. Awareness and Practice of Breast Self. Examination among Market Women in Abakaliki, South East Nigeria. Ann Med Health Sci Res. 2013;3(1):7-12.

Segni MT, Tadesse DM, Amdemichael R, Demissie HF. Breast Self-examination: Knowledge, Attitude, and Practice among Female Health Science Students at Adama Science and Technology University, Ethiopia. Gynecol Obstet (Sunnyvale). 2016;6(368):1-6.

Atanga Bi, Suh M, Atashili J, Asoh Fuh E, Ayamba Eta V. Breast Self-Examination and breast cancer awareness in women in developing countries: a survey of women in Buea, Cameroon. BMC Research Notes. 2012;5(1):627.

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Published

2019-04-27

How to Cite

Ishaaque, S., & Gopalamenon, N. (2019). Knowledge attitude practice on breast self-examination in a rural area in North Kerala. International Journal Of Community Medicine And Public Health, 6(5), 2069–2073. https://doi.org/10.18203/2394-6040.ijcmph20191820

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Original Research Articles