Breast and Cervical Cancer Related Practices of Female Doctors and Nurses Working at a University Hospital in Turkey

  • Kabacaoglu, Meryem (Erciyes University Medical Faculty, Department of Public Health-Kayseri) ;
  • Oral, Belgin (Erciyes University Medical Faculty, Department of Public Health-Kayseri) ;
  • Balci, Elcin (Erciyes University Medical Faculty, Department of Public Health-Kayseri) ;
  • Gunay, Osman (Erciyes University Medical Faculty, Department of Public Health-Kayseri)
  • Published : 2015.09.02


Background: Breast and cervical cancers are among the most frequent and most fatal cancers in women. Life span of patients may be increased and quality of life improved through early diagnosis and treatment. This investigation was performed in order to determine knowledge and practices of female health personnel working at a university hospital regarding breast and cervical cancers. Materials and Methods: This descriptive investigation was performed in Erciyes University Hospitals in 2014. A total of 524 female health personnel were included in the study. Data were collected through a questionnaire of 36 questions prepared by the researchers. The Chi square test and logistic regression were used for statistical analyses. Results: The mean age of the study group was $32.8{\pm}6.9$ years, 18.3% being doctors and 81.7% nurses. Of the study group, 60.5% stated that they performed self breast-examination, 4.4% underwent HPV testing, 26.3% thought about taking an HPV test, 34.7% of those who are 40 years and over had mammography regularly and 19.5% of those who were married had a Pap smear conducted regularly. Most important causes of not performing the methods for early diagnosis of breast and cervical cancers are "forget and neglect". Conclusions: It was concluded that female doctors and nurses do not pay sufficient attention to screening programs for breast and cervical cancers. The importance of early diagnosis and treatment should be emphasized during the undergraduate education and in-service training programs. Health condition of personnel and their utilization of preventive health care should be followed by occupational physicians.


  1. American Cancer Society (ACS) (2013). Breast Cancer Facts & Figures 2013-2014; American Cancer Society. 2.
  2. Al-Naggar RA, Low WY, Isa ZM (2010). Knowledge and barriers towards cervical cancer screening among young women in Malaysia. Asian Pac J Cancer Prev, 11, 867-73.
  3. Amarin ZO, Badria LF, Obeidat BR (2008). Attitudes and beliefs about cervical smear testing in ever-married Jordanian women. East Mediter Health J, 14, 389-97.
  4. Fotedar V, Seam RK, Gupta MK (2013). Knowledge of risk factors & early detection methods and practices towards breast cancer among nurses in Indira Gandhi Medical College, Shimla, Himachal Pradesh, India. Asian Pac J Cancer Prev, 14, 117-20.
  5. GLOBOCAN (2012). International Agency for Research on Cancer GLOBOCAN 2012. ( access date: 13 November 2014)
  6. Gultekin M (2014). Cancer Control in Turkey 2014. Turkish Ministry of Health. Ankara-Turkey.
  7. Humphrey LL, Helfand M, Chan BK, et al (2002). Breast cancer screening: a summary of the evidence for the U.S. preventive services task force. Ann Intern Med, 137, 347-60.
  8. Kim IM, Oh KO, Li CY, et al (2011). Breast cancer screening practice and health-promoting behavior among Chinese women. Asian Nursing Research. 5, 157-63.
  9. Nelson HD, Tyne K, Naik A, et al (2009). Screening for breast cancer: an update for the U.S. preventive services task force. Ann Intern Med, 151, 727-37.
  10. Oche MO, Ayodele SO, Umar AS (2012). Breast cancer and mammography: current knowledge, attitudes and practices of female health workers in a tertiary health institution in Northern Nigeria. J Public Health Res, 2, 114-9.
  11. Oran NT, Can HO, Senuzun F, et al (2008). Health promotion lifestyle and cancer screening behaviors: a survey among academician women. Asian Pac J Cancer Prev, 9, 515-8.
  12. Ozdemir O, Bilgili N (2010). Knowledge and practices of nurses working in an education hospital on early diagnosis of breast and cervix cancers. TAF Prev Med Bull, 9, 605-12. (in Turkish)
  13. Ozmen V, Fidaner C, Aksaz E, et al (2009). Organizing early diagnosis and screening programs for breast cancer in Turkey "the report of breast cancer early detection and screening sub-committee, national cancer advisory board, the Ministry of Health of Turkey. J Breast Health, 5, 125-34. (In Turkish).
  14. Sadler GR, Ko CM, Cohn JA, et al (2007). Breast cancer knowledge, attitudes, and screening behaviors among African American Women: The black cosmetologists promoting health program. BMC Public Health, 7, 57.
  15. Sait KH (2011). Knowledge, attitudes, and practices regarding cervical cancer screening among physicians in the western region of Saudi Arabia. Saudi Med J, 32, 1155-60.
  16. Sankaranarayanan R, Budukh AM, Rajkumar R (2001). Effective screening programmes for cervical cancer in low- and middle-income developing countries. Bull World Health Organ, 79, 954-62.
  17. Shadia AY, Samia MAA, Nicolas W, et al (2012). Do Saudi nurses in primary health care centres have breast cancer knowledge to promote breast cancer awareness? Asian Pac J Cancer Prev, 13, 4459-64.
  18. Shekhar S, Sharma C, Thakur, et al (2013). Cervical cancer screening: knowledge, attitude and practices among nursing staff in a tertiary level teaching institution of Rural India. Asian Pac J Cancer Prev, 14, 3641-5.
  19. Smith RA, Cokkinides V, Eyre HJ, et al (2006). American cancer society guidelines for the early detection of cancer. CA Cancer J Clin, 56, 11-25.
  20. Turkish Ministry of Health (2009). Cancer control in Turkey. republic of turkey ministry of health, department of cancer control. Ankara.
  21. World Health Organization (2008). World cancer report 2008. international agency for research on cancer, Lyon.

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