Breast cancer screening awareness, practice, and perceived barriers: A community‐based cross‐sectional study among women in south‐eastern Bangladesh

Hoq, Mohammad Injamul; Jahan, Shamima; Mahmud, Md. Hasan; Hasan, Md. Mayin Uddin; Jakaria, Md.

doi:10.1002/hsr2.1799

Cited by 3 publications

References 26 publications

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Understanding Delays in Breast Cancer Diagnosis: Insights from Bangladesh

Hossain,

Trisha,

Hasan

et al. 2024

Preprint

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Background This study investigates factors contributing to delays in breast cancer diagnosis in Bangladesh and their impact on cancer staging. Early detection is crucial for effective treatment, yet many women in low- and middle-income countries (LMICs) are diagnosed at advanced stages, resulting in poorer outcomes. Methods A cross-sectional study was conducted at two major cancer care facilities in Dhaka. Women aged 18 and older with suspected or confirmed breast cancer were included. Data were collected using a structured questionnaire on sociodemographic and clinical variables. Total delay, defined as the time from symptom recognition to treatment initiation, was categorized into patient delay (symptom recognition to first medical consultation) and provider delay (first consultation to treatment start). Logistic regression analyses identified factors associated with these delays. Results Among 355 participants, 55.7% experienced total delays of over four months, with the highest delays in stage III cases (51.5%). Key factors contributing to patient delay included low education (Adjusted Odds Ratio [AOR]: 1.96, 95% CI: 1.04–3.74), low monthly income (AOR: 1.45, 95% CI: 1.22–1.90), and absence of breast pain (AOR: 0.55, 95% CI: 0.32–0.94). Provider delays were significantly associated with rural residence (AOR: 3.07, 95% CI: 1.49–6.98), and presence of nipple discharge (AOR: 2.92, 95% CI: 1.04–8.06). Total delays were most prevalent among patients from the Rangpur division (AOR: 6.07, 95% CI: 1.76–8.02), rural areas (AOR: 2.04, 95% CI: 1.17–3.61), and those with lower education. Additionally, nearly 80% of patients delayed seeking medical attention due to the belief that symptoms would resolve spontaneously, while 75% cited negligence and 65.5% reported financial barriers. Conclusions Significant delays in breast cancer diagnosis in Bangladesh are driven by socio-economic factors and inadequate healthcare access. Increasing public awareness, especially in rural areas, and improving healthcare accessibility are essential to facilitate early detection. Expanding screening programs and training healthcare providers in early cancer detection are critical to improving patient outcomes.

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Understanding Delays in Breast Cancer Diagnosis: Insights from Bangladesh

Hossain,

Trisha,

Hasan

et al. 2024

Preprint

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Impact of breast cancer awareness program on breast screening utilization among women in the United Arab Emirates: A cross-sectional study

Abdulla,

Kareem,

Assadi

et al. 2024

Preprint

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Background Breast cancer is the most common type of cancer and the leading cause of cancer death among women worldwide. In 2020, approximately 2.3 million women were newly diagnosed with breast cancer, resulting in around 685,000 deaths globally. The high incidence and prevalence of breast cancer have made it a major public health problem in both developed and developing nations, leading to overburdened health systems and increased direct medical expenditure. This research was conducted to assess the impact of breast cancer awareness programs on breast screening utilization among women in the United Arab Emirates. Methods A cross-sectional study using a content-validated interviewer-administered questionnaire was conducted among 959 women aged ≥ 20 years in the United Arab Emirates. Data on sociodemographics, awareness program participation, screening utilization, and barriers were analyzed using descriptive statistics and chi-square tests. Results Among the study participants,304 (31.7%) had attended awareness programs. Attendance was associated with younger age, higher education, and being single (p < 0.001). Among those who have ever attended any breast cancer awareness programs who had utilized the screening were 38.5% compared to 13.3% non-attendees (p < 0.001). The study concluded that age, education level, and marital status were significantly associated with participation in breast cancer awareness programs (p-value < 0.05). Key barriers included a lack of physician recommendations (24.3%), knowledge gaps (23%), and cost concerns (22.6%). Conclusions The study shows that participation in the awareness programs varied based on age, education and marital status, additionally, those with lower educational levels had a higher attendance at the awareness programs, emphasizing the significance of educational initiatives. The study showed a link between attending breast cancer awareness programs and the use of screening services, furthermore, notable gap in screening utilization such as emotional and perceived barriers were noted. Thus, its necessary to overcome these challenges for enchaning early detection and treatment outcomes. Interventions such as targeted educational campaigns, improved screening facility and better communication between physicians and patients can aid in addressing these challenges.

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Evaluating the Use of Breast Self-Examination (BSE) for Recognizing Breast Cancer Awareness Among Jordanian Students and Workers in Medical Fields

Oglat,

AbuKhalil,

Hasan

et al. 2024

IJWH

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Background Globally, breast cancer (BC) is the most commonly detected neoplasm in women. Breast self-examination (BSE) is an effective screening technique that enables women to learn about the composition of their breasts and assist in the early identification of any potential breast abnormalities. Objective This study aimed to assess the degree of BSE knowledge and attention among Jordanian females who are students or professionals in medical disciplines. Methods Participants’ knowledge about BSE and related issues was assessed using a self-administered questionnaire. The study invites participation from all females aged 18 and above, through both an online and in-person survey. The study extended invitations to female university students in Jordan across academic levels I, II, III, IV, V, and VI. A scoring system was employed, and the statistical analyses were performed using IBM SPSS Statistics (Version 20.0). Results The study had 946 female participants, with 98.41% of them being single. Low BSE practice was reported among 90.49% of the participants (n = 856) and this demonstrated a weak understanding of BC disease, including its possible risks, methods of detection, diagnosis, treatment, signs and symptoms, as well as knowledge about mammography and other related information. Only 27.27% (n = 258) of participants practice BSE once a month and on a regular basis. Conclusion BC is considered the most prevalent malignant condition and the second largest cause of cancer-related deaths for women in Jordan. Screening strategies are essential for promptly identifying breast cancer and reducing the associated illness and death rates. It is recommended that women commence performing BSE starting at the age of 18. Furthermore, it is essential to incorporate a learning outcome in the cancer chapters that are directly relevant to the subject of BC and emphasize the significance of BSE for students pursuing a career in the medical area.

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Breast cancer screening awareness, practice, and perceived barriers: A community‐based cross‐sectional study among women in south‐eastern Bangladesh

Cited by 3 publications

References 26 publications

Understanding Delays in Breast Cancer Diagnosis: Insights from Bangladesh

Understanding Delays in Breast Cancer Diagnosis: Insights from Bangladesh

Impact of breast cancer awareness program on breast screening utilization among women in the United Arab Emirates: A cross-sectional study

Evaluating the Use of Breast Self-Examination (BSE) for Recognizing Breast Cancer Awareness Among Jordanian Students and Workers in Medical Fields

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