Assessment of breast self- examination practice and associated factors among female workers in Debre Tabor Town public health facilities, North West Ethiopia, 2018: Cross- sectional study

Dagne, Asrat Hailu; Ayele, Alemu Degu; Assefa, Ephrem Mengesha

doi:10.1371/journal.pone.0221356

Cited by 46 publications

(58 citation statements)

References 24 publications

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“…In the current systematic review and meta-analysis, two administrative towns and six regions in the country were represented. Most studies were conducted in Addis Ababa (n = 11) [ 33 – 43 ] and Oromia region (n = 9) [ 31 , 44 – 51 ]; followed by South Nation Nationality of People (SNNP) (n = 8) [ 52 – 59 ], Amhara region (n = 6) [ 30 , 60 – 64 ], Tigray region (n = 3) [ 65 – 67 ] and one study from Gambella region [ 68 ], one from Dire Dawa city administration [ 69 ] and one from Harari region [ 70 ]. The studies were conducted from 2011 to 2020.…”

Section: Resultsmentioning

confidence: 99%

Breast self-examination practice and its determinants among women in Ethiopia: A systematic review and meta-analysis

et al. 2021

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Background The survival rate from breast cancer is lowest in African countries and the distribution of breast self-examination practice of and its determinants are not well investigated in Ethiopia. Therefore, this systematic review and meta-analysis was designed to determine the pooled prevalence of breast self-examination and its associated factors among women in Ethiopia. Methods Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed for this systematic review and meta-analysis. The databases used were; PUBMED, Cochrane Library, Google Scholar, CINAHL, African Journals Online, Dimensions and Summon per country online databases. Search terms used were; breast self-examination, breast cancer screening, early detection of breast cancer and Ethiopia. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) was used for critical appraisal of studies. The meta-analysis was conducted using STATA 15 software. The pooled meta-analysis was computed to present the pooled prevalence and relative risks (RRs) of the determinate factors with 95% confidence intervals (CIs). Results We identified 2,637 studies, of which, 40 articles (with 17,820 participants) were eligible for inclusion in the final meta-analysis. The pooled estimate of breast self-examination in Ethiopia was 36.72% (95% CI: 29.90, 43.53). The regional distribution breast self-examination ranged from 21.2% (95% CI: 4.49, 37.91) in Tigray to 61.5% (95% CI: 53.98, 69.02) in Gambela region. The lowest prevalence of breast self-examination was observed among the general population (20.43% (95% CI: 14.13, 26.72)). Women who had non-formal educational status (OR = 0.4 (95% CI: 0.21, 0.77)), family history of breast cancer (OR = 2.04 (95% CI: 1.23, 3.39)), good knowledge of breast self-examination (OR = 4.8 (95% CI: 3.03, 7.6)) and favorable attitude toward breast self-examination (OR = 2.75, (95% CI: 1.66, 4.55)) were significantly associated with practice of breast self-examination. Conclusions Only a third of women in Ethiopia practiced breast examination despite WHO guidelines advocating for this practice among all women of reproductive age. Intervention programs should address the factors that are associated with breast self-examination. Population specific programs are needed to promote breast self-examination.

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Section: Resultsmentioning

confidence: 99%

Breast self-examination practice and its determinants among women in Ethiopia: A systematic review and meta-analysis

et al. 2021

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“…The response rate of the primary studies ranges from 89.2% to 100%. The highest prevalence of breast self-examination practice among HCWs (80.7%) was reported in western Ethiopia [ 49 ] while the lowest practice (32.5%) was reported from a study done in Debre tabor town [ 50 ]. Majority (n = 7) of the studies used self-administered questionnaires adapted from previous studies to assess breast self-examination practice and associated factors, and two studies do not explain where they adapt the questionnaires.…”

Section: Resultsmentioning

confidence: 99%

Breast self-examination practice and associated factors among female healthcare workers in Ethiopia: A systematic review and meta-analysis

Mekonnen¹

2020

PLoS ONE

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Background Breast cancer is common global public health problem. It is the principal cause of cancer related death. In Ethiopia, study findings regarding prevalence and associated factors of BSE among female healthcare workers have been inconsistently reported and highly variable. Thus, this systematic review and meta-analysis aimed to determine the pooled prevalence of breast self-examination practice and determinants in Ethiopia. Methods A systematic search of PubMed, Medline, EMBASE, Global Health, Google Scholar, CINAHL and Scopus from April 2, 2020 to April 24, 2020. Data were extracted from articles included in the review using a data extraction tool which was adapted from the Joanna Briggs Institute. the quality of each included article was evaluated using the Newcastle-Ottawa scale. Data analysis was done using STATA 11. The Cochrane Q and I2 test were used to assess heterogeneity between the studies; and publication bias was assessed using funnel plots and Egger’s test. A random effects meta-analysis was computed to determine the pooled prevalence of breast self-examination. The determinants for breast self-examination were examined. Forest plots were used to present the prevalence and odds ratio with 95% confidence interval. Results After reviewing 9605 studies, 12 studies involving 4129 female healthcare workers were included for this review and meta-analysis. The pooled prevalence of breast self-examination practice among healthcare workers in Ethiopia was 56.31% (95% CI: 44.37, 68.25). The subgroup analysis further revealed that the higher breast self-examination practice was observed among other healthcare workers, 58.60% (95% CI: 43.31, 73.90). Good knowledge (AOR = 3.02; 95% CI: 1.24, 7.35), positive attitude (AOR = 2.73; 95% CI: 1.95, 4.13) and family history of breast cancer (AOR = 3.21; 95% CI: 1.22, 6.52) were significantly associated with breast self-examination practice among healthcare workers. Conclusion This meta-analysis found that nearly half of the female healthcare workers were not performed breast self-examination. The finding of this study suggests the need of strengthening early diagnosis of breast cancer and control strategies with a collaborative effort of policymakers and other concerned stakeholders.

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“…The overall breast cancer screening practice is very low in the country (9%) [ 25 ] only few breast cancer patients sought medical advice within the first year (average time to presentation to health care facility of 1.5 years from their initial symptom recognition) [ 26 ]. Knowledge about breast cancer early detection methods (breast self-examination and clinical breast examination) is low in the country [ 27 ] only less than half (32.5%) of women practiced breast self-examination [ 28 ]. In addition women’s knowledge about risk factors for breast cancer is low [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Why women with breast cancer presented late to health care facility in North-west Ethiopia? A qualitative study

2020

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Background Although early diagnosis is a key determinant factor for breast cancer survival, delay in presentation and advanced stage diagnosis are common challenges in low and middle income countries including Ethiopia. Long patient delays in presentation to health facility and advanced stage diagnosis are common features in breast cancer care in Ethiopia but the reasons for patient delays are not well explored in the country. Therefore we aimed to explore the reasons for patient delay in seeking early medical care for breast cancer in North-west Ethiopia. Methods A qualitative study was conducted from November to December 2019 using in-depth interviews from newly diagnosed breast cancer patients in the two comprehensive specialized hospitals in North West Ethiopia. Verbal informed consent was taken from each participant before interviews. A thematic content analysis was performed using Open Code software version 4.02. Results Lack of knowledge and awareness about breast cancer, cultural and religious beliefs, economic hardships, lack of health care and transportation access, fear of surgical procedures and lack of trusts on medical care were the major reasons for late presentation of breast cancer identified from the patient’s narratives. Conclusions The reasons for late presentation of patients to seek early medical care for breast cancer had multidimensional nature in Northwest Ethiopia. Health education and promotion programs about breast cancer should be designed to increase public awareness to facilitate early detection of cases before advancement on the existing health care delivery system.

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Assessment of breast self- examination practice and associated factors among female workers in Debre Tabor Town public health facilities, North West Ethiopia, 2018: Cross- sectional study

Cited by 46 publications

References 24 publications

Breast self-examination practice and its determinants among women in Ethiopia: A systematic review and meta-analysis

Breast self-examination practice and its determinants among women in Ethiopia: A systematic review and meta-analysis

Breast self-examination practice and associated factors among female healthcare workers in Ethiopia: A systematic review and meta-analysis

Why women with breast cancer presented late to health care facility in North-west Ethiopia? A qualitative study

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