Factors associated with advanced stage diagnosis of breast cancer in North West Ethiopia. a cross-sectional study

Tesfaw, Aragaw; Tiruneh, Mulu; Tamire, Tadese; Yosef, Tewodros

doi:10.3332/ecancer.2021.1214

Cited by 16 publications

(28 citation statements)

References 39 publications

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“…This finding was in agreement with a prior study conducted among female healthcare professionals in Nigeria (28). However, knowledge of BSE and BC was significantly associated with BSE practice in studies conducted among healthcare professionals in Ethiopia (15,24,31) and Turkey (32).…”

Section: Discussionsupporting

confidence: 92%

The practice of breast self-examination and associated factors among female healthcare professionals working in selected hospitals in Kigali, Rwanda: A Cross Section Study

Wolde

Okova

Habtu

et al. 2023

Preprint

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Background Breast cancer contributed to about 2.3 million cancer cases among women globally and 685,000 women died from it in 2020. Breast self-examination is considered one of the many breast cancer-screening techniques in Low and Middle Income Countries. It is a useful tool if practiced every month by women above 20 years of age and combined with other screening methods such as mammography, Breast Clinical Examination, breast ultrasound and Magnetic Resonance Imaging. However, the practice of BSE is poor in many developing countries. Therefore, this research is intended to measure the level of BSE practice and determine the associated factors among female healthcare professionals in four district hospitals in Kigali, Rwanda. Materials and Method A cross-sectional study was conducted among 221 randomly selected female healthcare professionals in four district hospitals in Kigali, Rwanda. A self-administered structured questionnaire was used as data collection instrument. Sample statistics such as frequency, proportions and mean were used to recapitulate the findings in univariate analysis. Multiple logistic regression analysis was employed to identify statistically significant explanatory variables that predict the outcome variable, breast self-examination practice, based on an adjusted odds ratio, 95% confidence level and p-value < 0.05. Results Breast self-examination was practiced by 43.53% of female healthcare professionals. Attitude towards BSE and BC was the only predictor variable that is significantly associated with BSE practice [AOR=1.032; 95% CI (1.001, 1.065), p-value=0.042]. Knowledge on BSE and BC, age, having family history of breast cancer were not significantly associated with BSE practice in the multi-variate analysis. Conclusion The BSE practice was found to be low. Attitude towards breast cancer and BSE was positively associated with BSE practice. This suggests the need for continuous medical education on BSE and BC to increase the knowledge level of female healthcare professionals and enhance the attitude of female healthcare professionals in order to increase their BSE practice. This could in turn increase the knowledge and practice of BSE among the general public.

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Section: Discussionsupporting

confidence: 92%

The practice of breast self-examination and associated factors among female healthcare professionals working in selected hospitals in Kigali, Rwanda: A Cross Section Study

Wolde

Okova

Habtu

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…This nding was in ≥ agreement with a prior study conducted among female healthcare professionals in Nigeria (28). However, knowledge of BSE and BC was signi cantly associated with BSE practice in studies conducted among healthcare professionals in Ethiopia (15,24,31) and Turkey (32).…”

Section: Discussionmentioning

confidence: 93%

The practice of breast self-examination and associated factors among female healthcare professionals working in selected hospitals in Kigali, Rwanda: A Cross Section Study

Wolde

Okova

Habtu

et al. 2023

Preprint

View full text Add to dashboard Cite

Background Breast self-examination is considered one of the main screening methods in detecting earlier stages of breast cancer. It is a useful technique if practiced every month by women above 20 years since globally breast cancer among women contributed to 685,000 deaths in 2020. However, the practice of breast self-examination among healthcare professionals is low in many developing countries. Therefore, this research was intended to measure the level of breast self-examination practice and determine associated factors among female healthcare professionals working in selected hospitals in Kigali, Rwanda.Methods A cross-sectional study was conducted among 221 randomly selected female healthcare professionals in four district hospitals in Kigali, Rwanda. A self-administered structured questionnaire was used as data collection instrument. The predictor variables were socio-demographic and obstetrics variables, knowledge on breast cancer and breast self-examination, attitude towards breast cancer and breast self-examination. Sample statistics such as frequencies, proportions and mean were used to recapitulate the findings in univariate analysis. Multiple logistic regression analysis was employed to identify statistically significant variables that predict breast self-examination practice. Adjusted odds ratio and 95% confidence level were reported. P-value < 0.05 was used to declare statistical significance.Results Breast self-examination was practiced by 43.5% of female healthcare professionals. This prevalence is low compared to other studies. Attitude towards breast self-examination and breast cancer was the only predictor variable that was significantly associated with breast self-examination practice [AOR = 1.032; 95% CI (1.001, 1.065), p-value = 0.042]. However, number of pregnancy and number of children were not significantly associated with BSE practice in the multi-variate analysis. In addition, knowledge and attitude were linearly correlated with r = 0.186, p = 0.005.Conclusions The breast self-examination practice was found to be low. Attitude toward breast cancer and breast self-examination was positively associated with BSE practice. Moreover, attitude and knowledge were linearly associated. This suggests the need for continuous medical education on breast self-examination and breast cancer to increase the knowledge & BSE practice level of female healthcare professionals.

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“…In contrast, other three studies with much less sample sizes (one in Thailand, one in Colombia and one in Korea) concluded that older patients had higher odds of getting diagnosed at late stages compared to younger patients (36–38). Moreover, four other studies that have been conducted in three African countries (two in Nigeria, one in South Africa, and one in Ethiopia) concluded that age was not significantly associated with advanced stage diagnosis of BC (4,5,39,40).…”

Section: Methodsmentioning

confidence: 97%

The social determinants associated with decreased rate of breast cancer screening, delayed presentation, and advanced stage diagnosis of breast cancer: A systematic review

Fekry,

Yang

2023

Preprint

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Background: There are many barriers that hinder breast cancer (BC) early detection such as social, demographic, and economic factors. We examined the barriers to early detection. Methods: PubMed, Scopus, and Web of Science databases were chosen to conduct a comprehensive literature search. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) was used to select the relevant studies on decreased rate of BC screening, delayed presentation of BC, and advanced stage diagnosis of BC. Results: The literature demonstrates that several determinants had a significant impact on the delay in seeking medical help, rate of performing breast cancer screening (BCS), and stage at diagnosis of BC. Younger age, rural residence, being non-white, being single, low socioeconomic status, absence of medical insurance, having no paid job, low educational level, positive family history of BC, and having TNBC or HER2E BC subtypes were significantly associated with presenting at advanced stages, decreased rate of BCS, and delayed presentation. Meanwhile, the associations between BC and BMI, parity, religion, and menopausal status were underexamined in the literature. Conclusion: Promoting early detection of BC should be taking the sociodemographic disparities into consideration. To address these disparities, raising public awareness, implementing universal health coverage (UHC), and increasing government expenditure on health and education are needed, especially among vulnerable societies.

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Factors associated with advanced stage diagnosis of breast cancer in North West Ethiopia. a cross-sectional study

Cited by 16 publications

References 39 publications

The practice of breast self-examination and associated factors among female healthcare professionals working in selected hospitals in Kigali, Rwanda: A Cross Section Study

The practice of breast self-examination and associated factors among female healthcare professionals working in selected hospitals in Kigali, Rwanda: A Cross Section Study

The practice of breast self-examination and associated factors among female healthcare professionals working in selected hospitals in Kigali, Rwanda: A Cross Section Study

The social determinants associated with decreased rate of breast cancer screening, delayed presentation, and advanced stage diagnosis of breast cancer: A systematic review

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