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Knowledge, Attitudes and Behaviour of Women Working in Government Hospitals Regarding Breast Self Examination

  • Yurdakos, Kursat (Samsun Maternity and Children Diseases, Turkish Ministry of Health) ;
  • Gulhan, Yildirim Beyazit (Department of Health Administration, Faculty of Economics and Administrative Sciences, Okan University) ;
  • Unalan, Demet (Halil Bayraktar Health Services Vocational College) ;
  • Ozturk, Ahmet (Department of Biostatistics, Faculty of Medicine, Erciyes University)
  • Published : 2013.08.30

Abstract

Background: Breast self examination (BSE), performed regularly every month, is one of the most important methods in the early diagnosis of breast cancer. This study was performed with the aim of establishing the knowledge, attitudes, and behavior of women working in government hospitals within the province of Samsun regarding BSE. Materials and Methods: This cross-sectional study was conducted between January-March 2012, on a total of 550 women (500 health personnel, and 50 general administration services (GAS) workers) from 7 government hospitals and the Cancer Early Diagnosis, Screening, and Education Centre (CEDSEC). Percentages were used for the descriptive statistics, and the chi-square test for the evaluation of statistical importance. Values of p<0.05 were accepted as significant. Results: The mean age of the participants was $36.2{\pm}15.3$, and 42.5% were in the 30-39 year old age group, 78.0% being married. Seventy-eight point four percent (78.4%) of the health personnel and 76.0% of the GAS workers performed BSE. However, the rates of performing BSE regularly every month were only 25.6% and 5.0%. Within the health personnel, 1.4% stated that they did not perform BSE because they found it unnecessary as they had no history of breast cancer in their family, 3.6% did not do so due to fear and stress, 13.2% because they forgot, and 14.6% because they had no complaints. Some 22.2% of the health personnel and 52.0% of the GAS workers had undergone mammographic evaluation, the difference being significant (p<0.05), 84.1% of the health personnel and 61.9% of the GAS workers knowing symptoms of breast cancer. Conclusions: Women in society should be brought to a certain level of awareness and knowledge regarding BSE. It is of the utmost importance that health personnel, who carry the responsibility for counseling and enlightening society, should interiorize the necessary knowledge, attitudes and behavior.

Keywords

References

  1. Abu Salem O, Hassan MA (2007). Breast self- examination among female nurses. Rawal Med J, 32, 30-2.
  2. Ahmad F, Stewart DE (2004). Predictors of clinical breast examination among South Asian immigrant women. J Immigr Health, 6, 119-6. https://doi.org/10.1023/B:JOIH.0000030227.41379.13
  3. Akpınar YY, Baykan Z, Nacar M, et al (2011). Knowledge, attitude about breast cancer and practice of breast cancer screening among female health care professionals: a study from Turkey. Asian Pac J Cancer Prev, 12, 3063-8.
  4. Akyolcu N, Ugras GA (2011). Breast self-examination: how important is it in early diagnosis? J Breast Health, 7, 10-4.
  5. Alam AA (2006). Knowledge of breast cancer and its risk and protective factors among women in Riyadh. Ann Saudi Med, 26, 272-7.
  6. Alpteker H, Avci A (2010). Determine the knowledge of the women about breast cancer and their practice about breast self examination. J Breast Health, 6, 74.
  7. American Cancer Society (2011). Breast Cancer Facts & Figures, Atlanta, Georgia.
  8. American Cancer Society (2012). Breast Cancer Facts & Figures, Atlanta, Georgia.
  9. Aslan A, Temiz M, Yigit Y, et al (2007). The Knowledge, Attitude and Behaviors of Nursery Students about Breast Cancer. TAF Prev Med Bull, 6, 193-8.
  10. Chong PN, Krishnon M, Hong CY, et al (2002). Knowledge and Practice of Breast Cancer Screening Amongst Public Health Nurses in Singapore. SMJ, 43, 509-6.
  11. Davis C, Emerson JS, Husaini BA (2005). Breast cancer screening among African American women: adherence to current recommendations. J Health Care Poor Underserved, 16, 308-4. https://doi.org/10.1353/hpu.2005.0024
  12. Discigil G, Sensoy N, Tekin N, et al (2007). Breast health: knowledge, behavior and performance in a group of women living in the Aegean region. MMJ, 20, 29-6.
  13. Dogan R, Sogutlu G, Kutlu R, et al (2007). Follow-up protocol of patients with negative findings or non-palpable benign breast lesions: mammographic and ultrasonographic bi-rads assessment and ultrasonography guided fine needle aspiration biopsy. J Breast Health, 3, 58-2.
  14. Dundar PE, Ozmen D, Ozturk B, et al (2006). The knowledge and attitudes of breast self examination and mammography in a group of women in a Rural Area in Western Turkey. BMC Cancer, 24, 43.
  15. Ekici E, Utkualp N (2007). Women instructors' behaviors towards breast cancer. J Breast Health, 3, 136-9.
  16. Franek GA, Nowak-Kaputsa ZE, Cabaj M (2004). Breast cancer prophylaxis among nurses. Wiad Lek, 57, 82-4.
  17. Foxall MJ, Baron CR, Houfek J (1998). Ethnic differences in breast self- examination practice and health beliefs. JAN, 27, 419-8. https://doi.org/10.1046/j.1365-2648.1998.00540.x
  18. Fung SY (1998). Factors associated with breast self examination behavior among Chinese women in Hong Kong. Patient Education and Counseling, 33, 233-3. https://doi.org/10.1016/S0738-3991(98)00023-8
  19. Jemal A, Siegel R, Ward E, et al (2009). Cancer statistics. CA Cancer J Clin, 59, 225-9. https://doi.org/10.3322/caac.20006
  20. Juan HS, Kim M, Shankar S (2004). Predictors of adherence to screening mammography among Korean American women. Prev Med, 39, 474-1. https://doi.org/10.1016/j.ypmed.2004.05.006
  21. Kabalcıoglu M, Kurcer A, Simsek Z, et al (2005). Breast self examination behaviors of the midwives and nurses working in central sanlıurfa and the factors involved. Nursing Form, 1, 31-6.
  22. Kilic S, Ucar M, Seymen E, et al (2006). Determination of the knowledge and practice level of breast self-examination among the nurses of the GATA hospital, the students of the GATA nursing school and some female patients. Gulhane Med J, 48, 200-4.
  23. Kum S, Goksu Alp U, Kelkitli E, et al (2004). The prevalence and the factors affecting the breast self examination in the middle Black Sea region. Turkish J Oncol, 19, 24-7.
  24. Mahmoodi M, Montazeri A, Jarvandi S, et al (2002). Breast self-examination: knowledge, attitudes, and practices among female health care workers in Tahran, Iran. Breast J, 8, 222-5. https://doi.org/10.1046/j.1524-4741.2002.08406.x
  25. Odusanya OO, Tayo OO (2001). Breast cancer knowledge, attitudes and practice among nurses in Lagos, Nigeria. Acta Oncologica, 40, 844-8. https://doi.org/10.1080/02841860152703472
  26. Ozmen V (2008). Breast cancer in the world and Turkey. J Breast Health, 4, 7-9.
  27. Ozmen V, Fidaner C, Erol Aksaz E, et al (2009). 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, 125-4.
  28. Pasket ED, Tatum C, Rushing J, et al (2004). Racial differences in knowledge, attitudes, and cancer screening practices among a triracial rural population. Cancer, 101, 2650-9. https://doi.org/10.1002/cncr.20671
  29. Secginli S, Nahcivan NO (2006). Factors associated with breast cancer screening behaviors in a sample of Turkish women: a questionnaire survey. Int J Nurs Stud, 43, 519-20. https://doi.org/10.1016/j.ijnurstu.2005.12.001
  30. Seckinli S (2011). Breast Cancer Screening: What are the Last Changes? TAF Prev Med Bull, 10,193-200.
  31. Sirin A, Atan SU, Tasci E (2006). Protection from cancer and early diagnosis applications in Izmir, Turkey: a pilot study. Cancer Nurs, 29, 207-3. https://doi.org/10.1097/00002820-200605000-00007
  32. Turkish Association for Cancer Research and Control. Cancer Statistics in the world and Turkey. Available at: http://www.turkcancer.org/news.php?id=20.
  33. TR Ministry of Health (2004). The National Standards for Breast Cancer Screening in women. http://www.istanbulsaglik.gov.tr/w/sb/kanser/pdf/meme_kanser_tarama_gen.pdf
  34. Tuncer M (2007). The significance of cancer in Turkey and in the world, the disease burden and cancer control policies. In 'Cancer Control in Turkey', ed Tuncer M. Onur Press, Ankara. Ministry Publication Number, 707, 5-9.
  35. Tuncer M (2010). The national cancer control program: short, medium and long term action plan from the global perspective. In 'Cancer Control in Turkey', ed Tuncer M. Onur Press, Ankara, Ministry Publication number, 777, p 11.
  36. Uncu F, Bilgin N (2011). Knowledge, attitude and behavior of midwives and nurses working in primary health services on breast cancer early diagnosis practices. J Breast Health, 7, 167-5.

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