Tackling breast cancer in developing countries: insights from the Knowledge, Attitudes and Practices on breast cancer and its prevention among Nigerian teenagers in secondary schools.

Ifediora, Christian; Azuike, Emmanuel Chukwunonye

doi:10.15167/2421-4248/jpmh2018.59.4.964

Cited by 7 publications

(1 citation statement)

References 29 publications

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“…A close look at the domains pre-education reveals very low scores for general knowledge (29.1%) and features of breast cancer (33.2%), and even lower scores for breast self-examination 9.8%. This is similar to breast cancer knowledge levels in other low and middle income countries (LMIC) such as Nigeria [ 16 , 23 ], India [ 24 ], Bangladesh [ 15 ] and Siri Lanka [ 18 ]. This phenomenon is however, not restricted to LMIC.…”

Section: Discussionsupporting

confidence: 77%

The impact of a breast cancer educational intervention in Ghanaian high schools

et al. 2022

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Introduction Globally breast cancer is the leading cause of cancer with an estimated 2.3 million new cases and 685,000 deaths in 2020. Late presentation is the hallmark of breast cancer in Ghana for which ignorance and fear are the major reasons fuelled largely by myths and misconceptions. Breast cancer awareness and education needs to start early to bring about a change in knowledge, attitude and practices. However, Breast cancer awareness activities in Ghana have usually targeted adult women. This study assessed the impact of breast cancer education among adolescent high school girls in Ghana. Methodology A pre- post-test quasi experimental study was conducted at two senior high schools. A self-administered pre-educational questionnaire was followed by an educational intervention consisting of a drama, PowerPoint lecture, question and answer session and distribution of breast cancer information leaflets. After 3 months the same questionnaire was administered as a post-education test to assess the impact of the educational intervention. The total score for each domain was categorised into adequate knowledge > 50% and inadequate knowledge < 50%. Results The number of participants in the pre-test and post-test were 1043 and 1274; the median ages [IQR] were 16.0 [15.0–17.0] for both the pre and post-test students. General knowledge on breast cancer at pre-education (29.1%) improved to 72.5% (p < 0.001). Knowledge on signs and symptoms improved from 33.1 to 55% (p < 0.001); knowledge on risk factors improved from 55.3 to 79.2% (p < 0.001), and knowledge on breast self-examination and screening improved from 9.8 to 22.2% (p < 0.001). The overall performance of the students improved from 17.2 to 59.4% (p < 0.001). Conclusion There is inadequate knowledge about breast cancer and self-examination among senior high school girls in Ghana. Our breast cancer educational intervention was effective in improving general knowledge of breast cancer, risk factors, signs and symptoms and breast self-examination. The overall knowledge base improved from 17.2 to 59.4% 3 months post intervention, accompanied by an increase in the reported practice of breast self-examination and a greater belief that breast cancer is curable. This study has demonstrated the need for a school breast cancer educational program and that breast cancer education in high schools is effective.

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Section: Discussionsupporting

confidence: 77%

The impact of a breast cancer educational intervention in Ghanaian high schools

et al. 2022

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Assessment of Breast Self‐Examination Knowledge, Attitude and Practice and Associated Factors Among Female Preparatory Students in Addis Ababa, Ethiopia: An Institutional Based Cross‐Sectional Study

Woldeselassie,

Jote,

Tewelde

et al. 2024

Health Science Reports

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Background and AimBreast cancer is becoming a major public health concern globally, particularly in developing countries like Ethiopia. This study aimed to assess factors related to knowledge, attitude regarding breast cancer, and breast self‐examination (BSE) practices among female preparatory students in Addis Ababa, Ethiopia.MethodsA cross‐sectional study was conducted among 844 participants using a pretested self‐administered questionnaire in 2021 in Addis Ababa, Ethiopia. Binary and multivariable logistic regression analyses were employed to identify factors associated with the outcome variables. A level of significance was declared based on the adjusted odds ratio (AOR) with its 95% confidence interval and p ≤ 0.05.ResultsOf the participants, 41.6% demonstrated good knowledge, and 47% have positive attitudes regarding breast cancer and BSE. Only, 21.9% practiced BSE regularly. Low family income (AOR = 1.791; 95% CI, 1.140–2.813) and lack of BSE awareness (AOR = 2.051; 95% CI, 1.511–2.784) were found to be associated with poor knowledge. Negative attitude was found to be significantly related to Poor knowledge (AOR = 0.713; 95% CI, 0.522–0.973) and lack of BSE awareness (AOR = 0.413; 95% CI, 0.300–0.568).ConclusionMore than half of the participants had inadequate knowledge and negative attitudes toward breast cancer and BSE, with poor BSE practice. School‐based health education programs are needed to improve the participants' knowledge and attitudes.

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