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Assessment of Breast Cancer Knowledge among Health Workers in Bangui, Central African Republic: a Cross-sectional study

  • Balekouzou, Augustin (Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College of Huazhong University of Sciences and Technology) ;
  • Yin, Ping (Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College of Huazhong University of Sciences and Technology) ;
  • Pamatika, Christian Maucler (Hospital Laboratory Friendship, University of Bangui) ;
  • Nambei, Sylvain Wilfrid (Faculty of Health Sciences, University of Bangui) ;
  • Djeintote, Marceline (National Laboratory of Clinical Biology and Public Health, University of Bangui) ;
  • Doromandji, Eric (Faculty of Humanities,University of Bangui) ;
  • Gouaye, Andre Richard (Faculty of Humanities,University of Bangui) ;
  • Yamba, Pascal Gastien (National Laboratory of Clinical Biology and Public Health, University of Bangui) ;
  • Guessy, Elysee Ephraim (National Laboratory of Clinical Biology and Public Health, University of Bangui) ;
  • Ba-Mpoutou, Bertrand (National Laboratory of Clinical Biology and Public Health, University of Bangui) ;
  • Mandjiza, Dieubeni Rawago (National Laboratory of Clinical Biology and Public Health, University of Bangui) ;
  • Shu, Chang (Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College of Huazhong University of Sciences and Technology) ;
  • Yin, Minghui (Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College of Huazhong University of Sciences and Technology) ;
  • Fu, Zhen (Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College of Huazhong University of Sciences and Technology) ;
  • Qing, Tingting (Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College of Huazhong University of Sciences and Technology) ;
  • Yan, Mingming (Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College of Huazhong University of Sciences and Technology) ;
  • Mella, Grace (Department of Medical Imaging and Nuclear, Union Hospital, Tongji Medical College of Huazhong University of Sciences and Technology) ;
  • Koffi, Boniface (Hospital Laboratory Friendship, University of Bangui)
  • Published : 2016.08.01

Abstract

Background: Breast cancer is the leading cause of cancer deaths among women worldwide. High breast cancer mortality has been attributed to lack of public awareness of the disease. Little is known about the level of knowledge of breast cancer in Central African Republic. This study aimed to investigate the knowledge of health professionals on breast cancer. Materials and Methods: This cross-sectional study was conducted among 158 health professionals (27 medical; 131 paramedical) in 17 hospitals in Bangui using a self-administered questionnaire. Descriptive statistical analysis, Person's ${\chi}^2$ test and ANOVA were applied to examine associations between variables with p < 0.05 being considered significant. Results: Data analyzed using SPSS version 20 indicates that average knowledge about breast cancer perception of the entire population was 47.6%, diagnosis method 45.5%, treatment 34.3% and risk factors 23.8%. Most respondents (65.8%) agreed that breast cancer is important in Central African Republic and that family history is a risk factor (44.3%). Clinical assessments and mammography were considered most suitable diagnostic methods, and surgery as the best treatment. The knowledge level was significantly higher among medical than paramedical staff with regard to risk factors, diagnosis and treatment. However the trainee group had very high significant differences of knowledge compared with all other groups. Conclusions: There is a very urgent need to update the various training programs for these professionals, with recommendations of retraining. Health authorities must create suitable structures for the overall management of cancer observed as a serious public health problem.

Keywords

Breast cancer;knowledge;health workers;Central African Republic

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