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Factors associated with breast self-examination among Malaysian women teachers.

Child and Maternal Health Research Centre and Health Science Research Centre, Department of Maternal and Child Health, Hamedan University of Medicine and Health Sciences, Hamedan, Islamic Republic of Iran.
Eastern Mediterranean health journal = La revue de santé de la Méditerranée orientale = al-Majallah al-ṣiḥḥīyah li-sharq al-mutawassiṭ 06/2011; 17(6):509-16.
Source: PubMed

ABSTRACT The purpose of this study was to examine factors related to breast self-examination (BSE) among teachers in Selangor, Malaysia. A cross-sectional study was conducted among 425 female teachers in 20 randomly selected secondary schools. A self-administered questionnaire based on the health belief model was randomly selected secondary schools. A self-administered questionnaire based on the health belief model was used, including sociodemographic background and knowledge, beliefs and practices about breast cancer and BSE. Only 19% of the women performed BSE on a regular basis. Higher knowledge about breast cancer, greater confidence in performing BSE and regular visits to a physician were significant predictors for practising BSE. To promote BSE practice among Malaysian women, tailored health education and health promotion programmes should be developed based on a specific understanding of women's health beliefs.

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    ABSTRACT: Breast cancer is the commonest life-threatening cancer in women worldwide. Regular self breast examination is a novel method for early detection of this cancer which in tern may improve the prospects for long-term survival. We conducted a study to assess the knowledge, attitudes and practice regarding Breast Self-Examination (BSE) in female medical students of the College of Health and Medical Sciences at Haramaya University. A cross sectional study was carried out in 126 female medical students from first year to internship of their medical study. Data were collected using a pre-tested structured self-administered quantitative questionnaire. All the participants had good knowledge about breast cancer and 95% of the participants believed that BSE can be an important tool for early detection of this cancer. About 85% participants agreed that early breast cancer detection improves survival. And 65% of students knew all three breast cancer screening methods viz. BSE, Clinical Breast Examination (CBE) and mammography. When it came to practice it was observed that 77% of the study participants have never done BSE, the main reasons behind this were, I don't have any problem (28.8%), forgetfulness (17.5%), and due to fear of detecting abnormality (16.4%). We conclude that despite of the adequate knowledge of BSE and breast cancer, the actual practice of BSE was very low (23%) among the medical students. We recommended that public awareness on the importance of BSE be intensified using the mass media and other means. Further studies are needed to explore what intervention could be best used to improve the uptake and practice of BSE and other methods for early breast cancer detection.
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    ABSTRACT: Background: In Iran, breast cancer is the most prevalent cancer in women and a major public health problem. Methods: A cross sectional study was carried out to determine knowledge on breast cancer and breast self-examination (BSE) practices of 384 females living in the city of Hamadan, Iran. A purposive sampling method was adopted and data were collected via face-to-face interviews based on a validated questionnaire developed for this study. Results: Among respondents 268 (69.8%) were married and 144 (37.5%) of the respondents reported having a family history of breast cancer. One hundred respondents (26.0%) claimed they practiced BSE. Level of breast cancer knowledge was significantly associated with BSE practice (p=0.000). There was no association with demographic details (p<0.05). Conclusion: The findings showed that Iranian women's knowledge regarding breast cancer and the practice of BSE is inadequate. Targeted education should be implemented to improve early detection of breast cancer.
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    ABSTRACT: The prevalence of breast cancer augments together with the technical global development and modernization. Breast carcinoma is one of the leading causes of death in women. A literature search was conducted in July-October 2012 to explore the published articles regarding awareness of breast cancer and breast self-examination (BSE) in Asian settings. This review included studies which measured knowledge regarding breast cancer and studies on attitude, practice and barriers to breast self-examination by using qualitative (one-to-one interview, concept mapping) or quantitative methods (cross-sectional survey) or both. The search was initiated through several keywords: breast cancer, breast cancer awareness, statistics of breast cancer, breast self-examination, etc. Other included electronic databases were Science Direct, Sage, Life Science, Springer Link, BioMed Central, Proquest and EBSCOhost. The search was limited to full paper articles published in English between 2000- 2012 and only seventeen full text articles were included in review. The studies included in review are from Hong Kong, Australia, UK, Iran, Qatar, Nigeria, and Malaysia. This review highlights the awareness of breast cancer by means of BSE and attitude towards BSE. Proactive educational measures by healthcare professionals and mass media campaigns are therefore suggested to enhance BSE screening and breast cancer awareness among women.

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May 27, 2014