- Volume 16 Issue 18
DOI QR Code
Epidemiological Study on Breast Cancer Associated Risk Factors and Screening Practices among Women in the Holy City of Varanasi, Uttar Pradesh, India
- Paul, Shatabdi (Department of Chemistry, Faculty of Science, Banaras Hindu University) ;
- Solanki, Prem Prakash (Department of Chemistry, Faculty of Science, Banaras Hindu University) ;
- Shahi, Uday Pratap (Department of Radiotheraphy & Radiation Medicine, Institute of Medical Sciences, Banaras Hindu University) ;
- Srikrishna, Saripella (Department of Biochemistry, Faculty of Science, Banaras Hindu University)
- Published : 2016.01.11
Background: Breast cancer is the second most cause of death (1.38 million, 10.9% of all cancer) worldwide after lung cancer. In present study, we assess the knowledge, level of awareness of risk factors and screening practices especially breast self examination (BSE) among women, considering the non-feasibility of diagnostic tools such as mammography for breast screening techniques of breast cancer in the holy city Varanasi, Uttar Pradesh, India. Materials and Methods: A cross-sectional population based survey was conducted. The investigation tool adopted was self administrated questionnaire format. Data were analysed using SPSS 20 version and Chi square test to determine significant association between various education groups with awareness and knowledge, analysis of variance was applied in order to establish significance. Results: The attitude of participants in this study, among 560 women 500 (89%) responded (age group 18-65 years), 53.8% were married. The knowledge about BSE was very low (16%) and out of them 15.6% were practised BSE only once in life time. study shown that prominent age at which women achieve their parity was 20 yrs, among 500 participants 224 women have achieved their parity from age 18 to 30 yrs. Very well known awareness about risk factors of breast cancer were alcohol (64.6%), smoking (64%) and least known awareness risk factors were early menarche (17.2%) and use of red meat (23%). The recovery factors of breast cancer cases were doctors support (95%) and family support (94.5%) as most familiar responses of the holy city Varanasi. Conclusions: The study revealed that the awareness about risk factors and practised of BSE among women in Varanasi is extremely low in comparison with other cities and countries as well (Delhi, Mumbai, Himachal Pradesh, Turkey and Nigeria). However, doctors and health workers may promote the early diagnosis of breast cancer.
Awareness;breast cancer;breast self examination;knowledge;parity;risk factor;screening practise
- Ahuja S, Chakrabarti N (2009). To determine the level of knowledge regarding breast cancer and to increase awareness about breast cancer screening practises among a group of women in a tertiary care hospital in Mumbai, India. Int J Public Health, 1, 1.
- Alharbi NA, Alshammari MS, Almutairi BM, et al (2012). Knowledge, awareness, and practices concerning breast cancer among Kuwaiti female school teachers. Alexandria J Med, 48, 75-82. https://doi.org/10.1016/j.ajme.2011.10.003
- Alwan, NAS, Al-Attar WM, Eliessa RA, et al (2012). Knowledge, attitude and practise regarding breast cancer and breast self examination among a sample of the educated population in Iraq. East Mediterr Health J, 18, 337- 45. https://doi.org/10.26719/2012.18.4.337
- Austoker J (2003). Breast Self Examination (Does not prevent deaths due to breast cancer, but breast awareness is still important). BMJ, 326, 1-2.
- Ferlay J, Shin HR, Bray F, et al (2010). Estimates of worldwide burden of cancer in 2008: GLOBOCON 2008. Int J Cancer, 127, 2893-917. https://doi.org/10.1002/ijc.25516
- Fotedar V, Seam RK, Gupta MK, et al (2013). Knowledge of risk factors & early detection methods and practices towards breast cancer among nurses in Indira Gandhi Medical, Shimla, Himachal Pradesh, India. Asian Pac J Cancer Prev, 14, 117-20. https://doi.org/10.7314/APJCP.2013.14.1.117
- Fung SY (1998). Factor associated with breast self-examination behaviour among Chinese women in Hong Kong. Patient Educ Couns, 33, 233-43. https://doi.org/10.1016/S0738-3991(98)00023-8
- Gajalakshmi V, Mathew A, Brennan P, et al (2009). Breast feeding and breast cancer risk in India: A multicenter casecontrol study. Int J Cancer, 125, 662-5. https://doi.org/10.1002/ijc.24429
- Ganjewala D (2009). Prevalence of cancers in some parts of Madhya Pradesh and Uttar Pradesh in India. Academic J Cancer Res, 2, 12-8.
- Greenlee RT, Murray T, Bolden S, et al (2000). Cancer Statistics, 2000. Ca Cancer J Clin, 50, 7-33. https://doi.org/10.3322/canjclin.50.1.7
- Gupta S, Rao YN, Agarwal SP (2002). Emerging strategies for cancer control in women of India (50 years of Cancer Control in India), Editor: Agarwal SP, Directorate General of Health services, Ministry of Health and Family Welfare, Govt. of India. 184-95.
- Gupta SK, Pal DK, Garag R, et al (2009). Impact of a health education intervention program regarding breast self examination by women in a semi - urban area of Madhya Pradesh, India. Asian Pac J Cancer Prev, 10, 1113-7.
- Harrison PA, Srinivasan K, Binu VS, et al (2010). Risk factors for breast cancer among women attending a tertiary care hospital in southern India. Int. J. Collab. Res. Internal Med. Public Health, 2, 109-16.
- Jennifer LK, Marilie DG, Esther MJ (1993). Reproductive factor and breast cancer. Epidemiol Rev, 15, 36-47. https://doi.org/10.1093/oxfordjournals.epirev.a036115
- Khokhar A (2009). Level of awareness regarding breast cancer and its screening amongst Indian teachers. Asian Pac J Cancer Prev, 10, 247-50.
- Khokhar A (2012). Breast Cancer in India: Where do we stand and where do we go? Asian Pac J Cancer Prev, 13, 4861-6. https://doi.org/10.7314/APJCP.2012.13.10.4861
- Leong SPL, Shen ZZ, Liu TJ, et al (2010). Is breast cancer the same disease in Asian and Western countries? World J Surg, 34, 2308-24. https://doi.org/10.1007/s00268-010-0683-1
- Meshram II, Hiwarkar PA, Kulkarni PN (2009). Reproductive risk factors for breast cancer: A case control study. Online J Hlth Allied Scs, 8, 1-4.
- Olowokere AE, Onibokun AC, Oluwatosin AO (2012). Breast cancer knowledge and screening practices among women in selected rural communities of Nigeria. J Public Health Epidemiol, 4, 238-45. https://doi.org/10.5897/JPHE12.058
- Pherson KMc, Steel CM, Dixon JM (2000). ABC of Breast diseases: Breast cancer- epidemiology, risk factors and genetics. BMJ, 321, 624-8. https://doi.org/10.1136/bmj.321.7261.624
- Rao DN, Ganesh B, Desai PB (1994). Role of reproductive factors in breast cancer in a low-risk area: A case-control study. Br J Cancer, 70, 129-32. https://doi.org/10.1038/bjc.1994.261
- Rasu RS, Rianon NJ, Shahidullah SM, et al (2011). Effect of educational level on knowledge and use of breast cancer screening practices in Bangladeshi women. Health Care Women Int, 32, 177-89. https://doi.org/10.1080/07399332.2010.529213
- Russo J, Tay LK, Russo IH (1982). Differentiation of the mammary gland and susceptibility to carcinogenesis. Breast Cancer Res Treat, 2, 5-73. https://doi.org/10.1007/BF01805718
- Saxena S, Rekhi B, Bansal A, et al (2005). Clinico-morphological patterns of breast cancer including family history in a New Delhi hospital, India - A cross-sectional study. World J Surg Oncol, 3, 67-74. https://doi.org/10.1186/1477-7819-3-67
- Secginli S, Nahcivan NO (2006). Factors associated with breast cancer screening behaviours in a sample of Turkish women: A questionnaire survey. Int J Nurs Stud, 43, 161-71. https://doi.org/10.1016/j.ijnurstu.2005.02.004
- Shrivastava SRB, Shrivastava PS, Ramasamy J (2013). Self Breast Examination: A tool for early diagnosis of breast cancer. Am J of Public Health Res, 1, 135-9. https://doi.org/10.12691/ajphr-1-6-2
- Singh M, Meena R, Saini GL, et al (2014). Knowledge, attitude and practices towards cancer among urban dwellers of Jodhpur, Rajasthan. Int J Res Health Sci, 2, 254-62.
- Thun MJ, Jemal A, Ward E (2011) Global cancer incidence and mortality. In: DeVita VT, Lawrence TS and Rosenberg SA, Editors, Cancer Principles & Practice of Oncology, 9th Ed. USA. 241-66.
- Epidemiology of breast cancer in Indian women vol.13, pp.4, 2017, https://doi.org/10.1111/ajco.12661
- Women’s knowledge about risk factors of breast cancer in a Brazilian community pp.1541-0331, 2018, https://doi.org/10.1080/03630242.2018.1516266
- Prediction of glandularity and breast radiation dose from mammography results in Japanese women pp.1741-0444, 2018, https://doi.org/10.1007/s11517-018-1882-4