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article · International Journal of Breast Cancer

Practices of Breast Self-Examination and Associated Factors among Female Debre Berhan University Students

2017130 citationsOpen accessDebre Berhan University

In plain language

Breast cancer represents the most prevalent female cancer in Ethiopia, carrying a poor prognosis when detected late. A cross-sectional survey assessed breast self-examination practices and influencing factors among 420 female students at Debre Berhan University. Most participants were between twenty and twenty-four years of age. While nearly two-thirds had heard of breast self-examination, primarily through mass media, only roughly thirty percent possessed good knowledge, and under twenty-nine percent had ever performed the examination. A lack of practical technique was identified as the primary barrier to regular practice. Key factors associated with conducting breast self-examination included knowing the correct technique, timing, and positioning, alongside believing in the examination's value for detecting cancer. Developing university-level health education programmes could improve awareness and encourage regular self-examination among students.

Key takeaways

  • Only 28.3 percent of the surveyed university students reported ever performing breast self-examination.
  • A lack of knowledge on how to carry out the examination was cited as the primary barrier to practice.
  • While 64 percent of participants had heard of breast self-examination, just over 30 percent demonstrated good knowledge.
  • Predictors of performing the examination included knowing how, when, and in what position to perform it, as well as recognising its usefulness in detecting breast cancer.

Why it matters

Breast cancer is the most common cancer among women in Ethiopia and typically has a poor prognosis if identified at advanced stages. Breast self-examination offers an accessible early detection method. Identifying knowledge deficits among university students demonstrates that public awareness campaigns need to provide clear, practical instructions on examination technique rather than simply general cancer awareness.

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Abstract

BACKGROUND: Breast cancer is the most prevalent form of cancer in Ethiopia of all female cancers. It is considered to be a progressive disease with a poor prognosis if detected late. Breast self-examination is an important prevention method of breast cancer. This study was aimed at assessing practice and associated factors of breast self-examination (BSE) among female Debre Berhan University students in Ethiopia. METHODS: A cross-sectional study was conducted in 2015 among 420 using self-administrated questionnaire. Multistage sampling technique was used to select the study participants. Bivariate and multivariate logistic regression analysis were done. RESULTS: Majority of the study participants, 338 (84.5%), were between 20 and 24 years old with the mean age of 21.1 ± 1.65. Only 14 (3.5%) had family history of breast cancer. Two hundred fifty-six (64%) of the participants had heard about BSE and 30.25% had good knowledge about BSE. Mass media were the most common source of information about breast cancer. Few of the participants (28.3%) had performed BSE. Lack of knowledge on how to perform BSE was cited as the main reason for not practicing BSE. Knowing how to perform, when to perform, and position to perform BSE and having a perception that BSE is important and useful to detect breast cancer were significant predictors of practices of BSE. CONCLUSIONS: This study revealed that most of the participants had low knowledge and practice of BSE. Therefore, it important to develop health educational programs in the university to raise awareness about BSE and breast cancer so as to practice self-breast examination.

Research topics

  • Global Cancer Incidence and Screening
  • Colorectal Cancer Screening and Detection
  • AI in cancer detection

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DOI: 10.1155/2017/8026297

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