Knowledge regarding breast cancer among Congolese women in Kinshasa, Democratic Republic of the Congo

Sulu, Stanislas Maseb’a Mwang; Mukuku, Olivier; Sulu, Arnold Maseb Sul; Massamba, Bienvenu Lebwaze; Mashinda, Désiré Kulimba; Tshimpi, Antoine Wola

doi:10.1002/cnr2.1758

Cited by 3 publications

(2 citation statements)

References 26 publications

(62 reference statements)

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“…A minimum sample size of 317 was determined by random sampling using the formula: n = z 2 pq / d 2 , with a 95% confidence interval (95% CI) standard deviation (1.96), a prevalence of good BC knowledge in Congolese women in Kinshasa of 22.09%, 14 a precision error of 5%, and a non‐response rate of 20%. The study randomly selected 10 health zones (HZs) from a list of 35 HZs in Kinshasa in the first stage.…”

Section: Methodsmentioning

confidence: 99%

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Knowledge of risk factors and early detection methods toward breast cancer among healthcare workers in Kinshasa, Democratic Republic of the Congo

Sulu,

Mukuku,

Sulu

et al. 2024

Cancer Reports

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BackgroundBreast cancer (BC) is the most prevalent cancer among women, and it typically presents late in developing countries like the Democratic Republic of the Congo (DRC), leading to higher mortality rates. Late detection at advanced stages of breast cancer can be attributed to the absence of appropriate screening programs and low levels of awareness.AimsTo evaluate the level of BC knowledge among healthcare workers (HCWs) and identify determinants of good BC knowledge.Methods and resultsAn analytical cross‐sectional survey was conducted from March 1 to 31, 2022 involving HCWs practicing in Kinshasa, DRC. Data were collected using a questionnaire administered through direct interviews. Bivariate and multivariate regression techniques were applied. The study interviewed 543 HCWs, with a median age of 35 years (interquartile range: 29–43). Of these, 61% had good BC knowledge, while 39% had poor BC knowledge. Multivariate analysis revealed that HCWs aged 50 years and over (adjusted odds ratio [aOR] = 2.3 [1.2–4.5]), female HCWs (aOR = 1.8 [1.1–2.4]), HCWs working in public healthcare facilities (aOR = 1.5 [1.1–2.5]), and HCWs who had received training on BC (aOR = 1.9; 95% CI: 1.5–3.3) were determinants of good BC knowledge.ConclusionThis study found that 61% of the surveyed HCWs had good BC knowledge. However, there is still room for improvement in terms of knowledge dissemination. Therefore, it is important to implement continuing medical education programs that focus on raising awareness and improving BC knowledge among HCWs.

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Section: Methodsmentioning

confidence: 99%

“…Breast cancer (BC) is the most prevalent cancer in women worldwide, 1 including the Democratic Republic of the Congo (DRC). 2 Despite significant advances in the treatment of BC, the outcome is still desperate in low‐income countries, including the DRC. 3 , 4 Late diagnosis is a primary reason for the poor prognosis.…”

Section: Introductionmentioning

confidence: 99%

Knowledge of risk factors and early detection methods toward breast cancer among healthcare workers in Kinshasa, Democratic Republic of the Congo

Sulu,

Mukuku,

Sulu

et al. 2024

Cancer Reports

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Knowledge regarding breast cancer among Congolese women in Kinshasa, Democratic Republic of the Congo

Sulu

Mukuku²,

Sulu

et al. 2022

Cancer Reports

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Introduction: Breast cancer is the most frequent type of cancer in women and is characterized by late clinical signs in developing countries, including the Democratic Republic of the Congo. One of the main reasons of death from breast cancer is lack of awareness and screening, which has led to late diagnosis (at an advanced stage).This study aims to measure women's knowledge regarding breast cancer in Kinshasa, in the Democratic Republic of the Congo. Materials and Methods:A cross-sectional study of 489 women aged 20-65 years was conducted. Data was collected using a predesigned, tested, self-administered questionnaire. The questionnaire included specific sections to test the participants' knowledge related to breast cancer and its screening, and practices related to breast self-examination (BSE). Bivariate and multivariate analyzes were used.Results: Our results indicated that 22.09% of the participants had good breast cancer knowledge and 77.91% had poor breast cancer knowledge. Overall, 322 (65.85%) participants recognized that BSE is a valuable method for early screening of BSE. In total, 136 (27.81%) respondents had learned to do the BSE and 216 (44.17%) had reported doing it. Two hundred and ninety-two (59.71%) respondents mentioned that any woman was at risk for breast cancer and 357 (71.78%) mentioned that it was possible to prevent breast cancer. Determinants of an adequate level of knowledge were higher/university educational level (adjusted odds ratio = 2.70; 95% confidence interval: 1.27-5.73; p = .010) and having previously been screened for breast cancer (adjusted odds ratio = 2.31; 95% confidence interval: 1.40-3.83; p = .001). Conclusion:The majority (77.91%) of women have demonstrated poor knowledge of signs/symptoms, risk factors, and screening methods of breast cancer. Additional efforts should be made through women's healthcare workers to raise knowledge of breast cancer screening.

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The Social Reality of Meaning Making: The Dichotomy in the Illness Narratives of Women With Breast Cancer and Biomedical Practitioners in Nigeria

Adaranijo,

Amzat,

Abdulrahman

et al. 2024

Psycho-Oncology

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BackgroundDespite the increasing burden of breast cancer in the developing world, there is a misunderstanding of the complex and multifaceted relationship between culture and cancer, particularly breast cancer. Hence, a dichotomy of illness narratives exists due to differential meaning making concerning breast cancer. While clinicians always recommend biomedical treatment, women with breast cancer often seek alternative treatment pathways.AimsTo explore the experiences of women with breast cancer and clinicians in Nigeria on the dichotomy in the illness narratives.MethodsThis qualitative study used in‐depth interviews and focus group discussion to explore the experiences of 22 women with breast cancer and 7 clinicians in Nigeria on the dichotomy in the illness narratives using grounded theory method analysis.ResultsThis study revealed that many women living with breast cancer (WLBC) hold health beliefs that are contradictory to the biomedical norm. They mostly sought treatment based on the perceived aetiology of breast cancer. The treatment pathway follows faith and traditional healing as alternatives or sometimes in combination with biomedicine. WLBC reported a constant fear of biomedical treatment, perceived to be harmful to women's sexuality, fertility and body image. Hence, after perceived treatment failure from alternative care, biomedical care becomes the last resort, usually at an advanced stage of breast cancer, often responsible for poor prognosis.ConclusionThere is a dichotomy of illness construction between sufferers and health practitioners. To guide women with breast cancer on the path of care, modern care practitioners should consider some cultural norms and practices without compromising professional ethos.

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Knowledge regarding breast cancer among Congolese women in Kinshasa, Democratic Republic of the Congo

Cited by 3 publications

References 26 publications

Knowledge of risk factors and early detection methods toward breast cancer among healthcare workers in Kinshasa, Democratic Republic of the Congo

Knowledge of risk factors and early detection methods toward breast cancer among healthcare workers in Kinshasa, Democratic Republic of the Congo

Knowledge regarding breast cancer among Congolese women in Kinshasa, Democratic Republic of the Congo

The Social Reality of Meaning Making: The Dichotomy in the Illness Narratives of Women With Breast Cancer and Biomedical Practitioners in Nigeria

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