Perceptions and practice of breast self-examination among adult women residing in rural South Karnataka
Keywords:Breast Cancer, Adult women, Awareness, Breast self-examination, Rural
Background: Breast cancer is the most common cancer in women and is the leading cause of death among women with 40-45 years old. The only way to manage this disease is early diagnosis through screening which helps in detecting breast cancer in 90% of women that it can be treated in about 90% of women. The best accessible and affordable way to screening is breast self-examination (BSE). The main objective of the study is to assess the awareness (knowledge, attitude and practice) regarding breast self-examination among women aged 30 years and above residing in a rural area.
Methods: This cross-sectional study was conducted from June 2016 to January 2017 in villages under Ittamadu Primary Health Centre area, Ramnagara District. A total of 600 women aged 30 years or above who gave written informed consent participated in the study. A semi structured questionnaire was administered by interview method. Descriptive statistics was used for analysis.
Results: This study revealed that the awareness regarding breast cancer among adult women aged 30 years and above was 4%. Majority of the study participants had poor knowledge regarding BSE, however they had favourable attitude towards BSE. With regard to practice of BSE, only 4% of the study participants practiced BSE.
Conclusions: Breast self-examination is one of the most appropriate, convenient and cost-effective method that can be done by every woman for early detection of breast cancer and all women after the age of 18 years should be trained to do BSE correctly and regularly by healthcare workers and doctors.
Pakseresht S, Ingle GK, Garg S, Sarafraz N. Stage at Diagnosis and Delay in Seeking Medical Care Among Women with Breast Cancer, Delhi, India. Iran Red Crescent Med J. 2014;16(12):e14490.
Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer Clin. 2021;71:209-49.
Reddy N, Ninan T, Tabar L, Bevers T. The Results of a Breast Screening Camp at a District Level in Rural India. Asian Pacific J Cancer Prev. 2012;13(12):6067-72.
Ahmed A, Zahid I, Ladiwala ZR, Sheikh R, Memon AS. Breast self-examination awareness and practices in young women in developing countries: A survey of female students in Karachi, Pakistan. J Edu Health Promot. 2018;7:90.
Sankaranarayanan, R. Early Detection of Cancer In Primary Care In Less-Developed Countries. Cancer Control; 2013. Available from: http://cancercontrol. info/wp-content/uploads/2014/08/cc2013_66-72-Sankaranarayanan-incl-T-page_2012.pdf. Accessed on 05 October 2022.
Yadav P, Jaroli DP. Breast Cancer: Awareness and Risk Factors in College- going Younger Age Group Women in Rajasthan. Asian Pacific J Cancer Prev. 2010;11:319-22.
World Health Organisation [Homepage on Internet]; 2014. Available from:http://www.who.int/cancer/ detection/breastcancer/en/index2.html. Accessed on 28 January 2023.
Karayurt O, Ozmen D, Cetinkaya AC. Awareness of breast cancer risk factors and practice of breast self-examination among high school students in Turkey. BMC Public Health. 2008;8:359.
Gore HD, Gawade SS, Agawane SU. Awareness of breast cancer and breast self-examination among rural women in western India – a cross sectional study. J Evid Based Med Health. 2021;8(25):2192-6.
Ertem G, Kocer A. Breast self-examination among nurses and midwives in Odemis health district in Turkey. Indian J of Cancer. 2009;46(3):208-3.
Kommula ALSD, Borra, Kommula VM. Awareness and practice of breast self-examination among women in south India. Int J Curr Microbiol App Sci. 2014;3(1):391-4.
Yerpuda PN, Jogdand KS. Knowledge and Practice of Breast Self-Examination (BSE) among Females in a Rural Area of South India. Natl J Community Med. 2013;4(2):329-32.
Rao RSP, Suma N, Nair NS, Kamath VG. Acceptability and Effectiveness of a Breast Health Awareness Programme For Rural Women In India. Indian J Med Sci. 2005;59(9):396-402.
Joyce C, Ssenyongaa LVN, Iramiotb JS. Breast self-examination among female clients in a tertiary hospital in Eastern Uganda. International Journal of Africa Nursing Sciences. 2020;2.
Choumessi TA. Breast cancer and breast self-examination awareness among undergraduate students of the University of Bamenda, Cameroon. Int J Community Med Public Health. 2021;8(2):581-8.
Gogolla BR, Kumari SM, Priyanka S. Impact of health education on preventive practices of breast cancer among women from the rural field practice area of a medical college in Hyderabad, Telangana State. MRIMS J Health Sci. 2023;11:29–33.
Dadzi R, Adam A. Assessment of knowledge and practice of breast self-examination among reproductive age women in Akatsi South district of Volta region of Ghana. 2019;14(12):e0226925.
Danesh A, Amiri M, Ramezani A, Tazhibi M, Ganji F. Knowledge, attitude, practice among female workers in Shahrekord education organization about breast self examination. J Shahrekord Univ Med Sci. 2002;4:47-52.
Amoran OE, Toyobo OO. Predictors of breast self-examination as cancer prevention practice among women of reproductive age-group in a rural town in Nigeria. Niger Med J. 2015;56:185-9.
Reisi M, Javadzade SH, Sharifirad G. Knowledge, attitudes, and practice of breast self-examination among female health workers in Isfahan, Iran. J Edu Health Promot. 2013;2:46–50.