Increasing Breast Examinations Among Arab Women Using a Tailored Culture-Based Intervention

Cohen, Miri; Azaiza, Faisal

doi:10.1080/08964280903521313

Cited by 48 publications

(51 citation statements)

References 29 publications

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“…Cultural competence, which includes sensitivity as well as knowledge, is essential [149][150][151]. Culturally tailored interventions have been demonstrated to significantly improve adherence to screening guidelines [152,153]. As mentioned, women with a foreign birthplace/recent immigrants appear to be particularly vulnerable for non-attendance in these screening programs [35,36,59,60].…”

Section: Controversies Questions and Future Perspectivesmentioning

confidence: 98%

Screening of high-risk groups for breast and ovarian cancer in Europe: a focus on the Jewish population

et al. 2010

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Low breast cancer screening rates are often found among ethnic minority groups and those born outside the host country. This is of particular concern for high-risk groups, who should benefit from ongoing trials aimed at optimizing screening strategies for breast, as well as ovarian cancer. Both of these issues are germane for Jewish women in Europe. We systematically review the literature concerning breast cancer early detection practices (BCEDP) among Jewish women, and examine European surveillance studies of high-risk for breast and/or ovarian cancer that had imaging in the surveillance protocol, in order to assess the likelihood of adequately including women from minority ethnic groups. No studies were found about BCEDP among Jewish women in Europe. Twenty-one research groups from Israel or the US addressed BCEDP among Jewish women. Some Jewish women in the US and Israel, including recent immigrants, are under-screened. Twenty-four research groups reported imaging surveillance of women at increased risk for breast and/or ovarian cancer in Europe. There was a clear benefit to magnetic resonance imaging and/or more intensive screening for women with increased breast cancer risk. Some of these surveillance studies considered ethnic minority groups at high risk, including Jewish women, but none provided adequate outreach to ensure that these groups were included in their programs. The specific screening needs of Jewish and other high-risk ethnic minority groups in Europe have not been met regarding breast and ovarian cancer. A European-wide, population-based approach is suggested, with cultural sensitivity being vital for these efforts.

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Section: Controversies Questions and Future Perspectivesmentioning

confidence: 98%

Screening of high-risk groups for breast and ovarian cancer in Europe: a focus on the Jewish population

et al. 2010

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“…As a consequence, a number of attempts have been made in various LMICs for determining a BC screening solution. Numerous evaluations of such pilot studies or national programs exist in countries such as India [50] , Egypt [51] , Colombia [52] , Lebanon [53] , Palestine [54] , Philippines [55] , Taiwan [56] , Mexico [57] , Brazil [58] , Pakistan [59] and Nepal [60] . The results of the above pilots have been varied due to the different combinations of screening modalities and varying compliance rates, with the most effective results being observed in studies where some degree of community penetration was possible, such as in Egypt with home visits by social workers [61] or via mobile units in Brazil [62] .…”

Section: Status Of Cbe and Bse In Lmicsmentioning

confidence: 99%

Preventing breast cancer in LMICs via screening and/or early detection: The real and the surreal

Dey¹

2014

WJCO

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To review the present status of breast cancer (BC) screening/early detection in low-and middle-income countries (LMICs) and identify the way forward, an open focused search for articles was undertaken in PubMed, Google Scholar and Google, and using a snowball technique, further articles were obtained from the reference list of initial search results. In addition, a query was put up on ResearchGate to obtain more references and find out the general opinion of experts on the topic. Experts were also personally contacted for their opinion. Breast cancer (BC) is the most common cancer in women in the world. The rise in incidence is highest in LMICs where the incidence has often been much lower than high-income countries. In spite of more women dying of cancer than pregnancy or childbirth related causes in LMICs, most of the focus and resources are devoted to maternal health. Also, the majority of women in LMICs present at late stages to a hospital to initiate treatment. A number of trials have been conducted in various LMICs regarding the use of clinical breast examination and mammography in various combinations to understand the best ways of implementing a population level screening/early detection of BC; nevertheless, more research in this area is badly needed for different LMIC specific contexts. Notably, very few LMICs have national level programs for BC prevention via screening/early detection and even stage reduction is not on the public health agenda. This is in addition to other barriers such as lack of awareness among women regarding BC and the presence of stigma, inappropriate attitudes and lack of following proper screening behavior, such as conducting breast self-examinations. The above is mixed with the apathy and lack of awareness of policy makers regarding the fact that BC prevention is much more cost-effective and humane than BC treatment. Implementation of population level programs for screening/early detection of BC, along with use of ways to improve awareness of women regarding BC, can prove critical in stemming the increasing burden of BC in LMICs. Use of newer modalities such as ultrasonography which is more suited to LMIC populations and use of mHealth for awareness creation and increasing screening compliance are much needed extra additions to the overall agenda of LMICs in preventing BC.© 2014 Baishideng Publishing Group Inc. All rights reserved.Key words: Breast cancer; Screening; Early detection; Mammography; Clinical breast examination; Breast self examination; Ultrasonography; Awareness; Developing countries; Low-and middle-income countries Core tip: Implementation of population level breast cancer (BC) screening/early detection programs will prove to be most cost-effective for low-and middleincome countries (LMICs). Accompanying awareness creation regarding BC among women, more research and change in policy are also necessary to reduce the burden of BC in LMICs.Dey S. Preventing breast cancer in LMICs via screening and/or early detection: The real and the surreal.

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“…Breast cancer incidence rates in Arab women have increased during the last 24 years, and women are now being diagnosed with breast cancer at more advanced stages of the disease (Azaiza and Cohen, 2006;Tarabeia et al, 2007;Al-Saad et al, 2009;Miller, 2010). Morbidity and mortality have been shown to be effectively reduced by early detection of breast cancer through screening activities (Baron-Epel, 2009c;Bener et al, 2009;Cohen and Azaiza, 2010). Despite this finding, low participation rates in breast cancer screening activities have been reported among Arab women (Petro-Nustas and Mikhail, 2002;Bener et al, 2009;Najib Kawar, 2009;.…”

Section: Introductionmentioning

confidence: 99%

Arab Women's Breast Cancer Screening Practices: A Literature Review

Donnelly¹,

Khater²,

Al-Bader³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Materials and MethodsElectronic databases were queried for full text, English language, peer reviewed literature published between 2000 and 2011. These were: Medline (OVID), PubMed, Cochrane Database of Systematic Reviews, CINAHL Plus, Google Scholar, and Index Medicus for WHO Eastern Mediterranean. The Asian Pac J Cancer Prev was searched separately. Keywords that were used singularly and in combination were: Arab, Middle East, Gulf, women, breast cancer, screening, culture, mammography, beliefs, knowledge, attitude, barriers, facilitators. CINAHL Plus, Medline OVID, and PubMed were searched for breast cancer screening and each Arab country separately. Reference lists from relevant articles were studied to identify additional articles to include in the review. A total of 444 articles were found.

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Increasing Breast Examinations Among Arab Women Using a Tailored Culture-Based Intervention

Cited by 48 publications

References 29 publications

Screening of high-risk groups for breast and ovarian cancer in Europe: a focus on the Jewish population

Screening of high-risk groups for breast and ovarian cancer in Europe: a focus on the Jewish population

Preventing breast cancer in LMICs via screening and/or early detection: The real and the surreal

Arab Women's Breast Cancer Screening Practices: A Literature Review

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