Breast Self-Examination (BSE): Knowledge & Practice Among Rural and Urban Women in Selected Area in Kishoreganj
Keywords:
Breast Self-Examination, Knowledge, Practice, BangladeshAbstract
Background: Breast cancer is the most common and deadly cancer among women worldwide, with rising incidence rates in both developed and developing nations, including Bangladesh, where late diagnosis is prevalent. Breast Self-Examination (BSE) is a simple, affordable, and accessible method for early detection, especially in resource-limited settings. Global initiatives like WHO’s breast cancer framework and national strategies emphasize early detection through BSE to reduce mortality and improve survival rates. Materials & Methods: A descriptive cross-sectional study was conducted with a purposively selected sample of 189 from Mithamoiin, Kishoreganj, Bangladesh. Data was collected by the researcher using a face-to-face interview with a standard Breast Self-Examination scale of 22 items in two dimensions of BSE Knowledge and Practice. Data were analyzed using descriptive statistics (frequency, percentages, mean, SD). Results: The mean age was 27.78 years, most of them were Muslim (87.30%), 29.63% had no formal education. Majority (83.06%) of the participants were married and (74.07%) were housewife and their mean monthly family income was 22142.86 BDT. In this study, among all participants majority of the participants had poor level of knowledge (95.8%) and only 2.1% of participants had a good level of BSE practice. Conclusion: The study found that most women had poor knowledge about Breast Self-Examination (BSE), including its procedure, importance, and timing, with very few practicing it regularly. There is an urgent need to enhance knowledge and practice of BSE to promote early detection and prevention of breast cancer.
References
1. Andegiorgish AK, Kidane EA, Gebrezgi MT. Knowledge, attitude, and practice of breast Cancer among nurses in hospitals in Asmara, Eritrea. BMC Nurs. 2018;17(1):1–7.
2. Francies FZ, Hull R, Khanyile R, Dlamini Z. Breast cancer in low-middle income countries: Abnormality in splicing and lack of targeted treatment options. American Journal of Cancer Research. 2020;10(5):1568–1591. http://www.ncbi.nlm.nih. gov/pubmed/32509398
3. International Agency for Research on Cancer. GLOBOCAN 2020: New Global Cancer Data. 2021. Retrieved from: https://www.uicc.org/news/ globocan-2020-new-global-cancer-data.
4. World Health Organization. Latest global cancer data: Cancer burden rises to 18.1 million new cases and 9.6 million cancer deaths in 2018. International Agency for Research on Cancer. World Health Organization. 2018. Retrieved from: http://gco. iarc.fr/.
5. Ishtiak ASM, Ahmed N, Gaffar F, Khan MAS, Yasmeen F. Knowledge, practice and associated factors of breast self-examination among female university students of Bangladesh: Knowledge, practice and associated factors of breast self-examination. Heliyon. 2022;8(11):e11780. https://doi.org/10.1016/j.heliyon.2022.e11780
6. Hanson V, Adejumo O, Van Wyk B. Knowledge and practice of breast self-examination among rural women in South-West Nigeria: Implications for development of women empowerment programme. Afr J Nurs Midwifery. 2017;19(1):144–56.
7. Nair DCKV, Gopinath DV. Knowledge attitude and practice of breast self examination among female medical students in a medical college. Surg Updat Int J Surg Orthop. 2016;2(4):67–70.
8. Plesnicar A, Golicnik M, Fazarinc FK, Kralj B, Kovac V, Plesnicar BK. Attitudes of midwifery students towards teaching breast self-examination. Radiol Oncol. 2010; 44(1): 52-56.
9. Hawsauer AK, Keegan TH, Chang ET, Glaser SL, Howe H, Clerke CA. Recent trends in breast cancer incidence in US white women by county-level urban/rural and poverty status. Biomed Cent Med. 2009; 7:31.
10. Alatise OI, Lawal OO, Olasode OO, Adesunkanmi AR. Breast fine needle aspiration cytology in a Nigerian tertiary hospital. East Cent Arf J Surg. 2007; 12:126-132.
11. Dundar PE, Ozmen D, Ozturk B, Haspolat G, Akyildiz F, Coban S et al. The knowledge and attitudes of breast selfexamination and mammography in a group of women in a rural area in Western Turkey. BMC Cancer. 2006; 6:43.
12. Nessa A, Hussain T, Alam SM, Faruk I, Jahan I. Age distribution pattern of female breast cancer patients in Bangladesh- developing early and presenting late. IntSurg J. 2018;5(2):379-382.
13. Sarker R, Islam MS, Moonajilin S, Rahman M, Gesesew HA, Ward PR. Knowledge of breast cancer and breast self-examination practices and its barriers among university female students in Bangladesh: Findings from a cross-sectional study. PLoS One. 2022;17(66):1–12. http://dx.doi.org/10.1371/journal.pone
14. Hussain SA, Sullivan R. Cancer control in Bangladesh. Japanese journal of clinical oncology. 2013; 43 (12):1159–69. https://doi.org/10.1093/jjco/hyt140 PMID: 24163419
15. Yip CH, Anderson BO. The Breast Health Global Initiative: clinical practice guidelines for management of breast cancer in low-and middle-income countries. Expert review of anticancer therapy. 2007; 7 (8):1095–104. https://doi.org/10.1586/14737140.7.8.1095 PMID: 18028018
16. Begum BM, Khatun F, Mallick DR. Knowledge, Attitude, and Practice of Breast Self-Examination among Women in Bangladesh. IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-ISSN: 2320–1959.p- ISSN: 2320–1940 Volume 8, Issue 5 Ser. V. (Sep-Oct .2019), PP 69-79 www.iosrjournals.org
17. K MB, Kaphle HP. Breast self-examination: Knowledge, practice and associated factors among 20 to 49 years aged women in Butwal sub-metropolitan, Rupandehi, Nepal. PLoS ONE. 2023 Jun 2;18(6): e0286676. Available from: https://doi.org/10.1371/journal.pone.0286676
18. Veena K. S., Rupavani K, Rekha R. The knowledge and attitude of breast self examination and mammography among rural women. International Journal of Reproduction Contraception Obstetrics and Gynecology. 2015 Jan 1;1511–6. Available from: https://doi.org/10.18203/2320-1770.ijrcog20150738
19. Hussain SA, Sullivan R. Cancer control in Bangladesh. Japanese journal of clinical oncology. 2013 Oct 25;43(12):1159-69.
20. Batool T, Sarwar H, Afzal M, Gilani SA. Knowledge, Attitude and Practices of Women towards Breast Self-Examination in Rural Area of Lahore, Pakistan. Annals of Punjab Medical College. 2018 Jun 12;12(2):158-61.
21. Rosmawati NH. Knowledge, attitudes and practice of breast self-examination among women in a suburban area in Terengganu, Malaysia. Asian Pac J Cancer Prev. 2010 Jan 1;11(6):1503-8.
22. Yerpude PN, Jogdand KS. Knowledge and practice of breast self-examination (BSE) among females in a rural area of South India. Natl J Community Med. 2013 Jun;4(2):329-.
23. Choudhary M, Mohanasundari SK, Ara M. Breast self-examination: knowledge, awareness, and practices among females of reproductive age group. International Journal of Research in Medical Sciences. 2024 31;12(6):1999–2003.
24. Bansode A. A cross sectional study on awareness of breast self-Examination and its practice in women of rural area in South India. MedPulse International Journal of Community Medicine. 2020 Jan 1;17(2):04–7. Available from: https://doi.org/10.26611/10111721
25. Doshi D, Reddy BS, Kulkarni S, Karunakar P. Breast self-examination: Knowledge, attitude, and practice among female dental students in Hyderabad city, India. Indian journal of palliative care. 2012 Jan;18(1):68.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Abul Bashar, Muhammad Saiful Hasan, Mostofa Zahid Kamal (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
