The Iranian Journal of Obstetrics, Gynecology and Infertility

The Iranian Journal of Obstetrics, Gynecology and Infertility

The relationship between breast self-examination (BSE) awareness and demographic factors in women health management

Authors
Mojgan Neinavaie 1
Hamid Reza Soltani 2
Nadia Soltani 3
1 Assistant Professor, Department of Midwifery, Faculty of Nursing and Midwifery, Karaj Branch, Islamic Azad University, Karaj, Iran.
2 M.Sc. in Psychology, Faculty of Management, Tarbiat Modares University, Tehran, Iran.
3 PhD student of Educational Psychology, Tabriz University, BC of Counselling Center, AJA Medical Science University, Tehran, Iran.
10.22038/ijogi.2017.8620
Abstract
Introduction: Cancer is third leading cause of death in Iran and breast cancer is the most common cause of death in Iranian women. Early diagnosis can lead to effective treatment and improves the patient's quality of life. This study was performed with aim to determine the effect of demographic factors on women's Breast Self-Examination awareness in order to focus education on specific group's population in society women health management.
Methods: This is descriptive-analytic and correlational study was performed on 200 women referring to Karaj health care centers in 2015. Data was collected by using a self-made questionnaire about demographic factors (age, economic status and literacy) and interviews to determine the proper awareness about BSE. Data was analyzed by SPSS software (version 16). PResults: Among 200 women with mean age of 35.5±9.7, 97 cases (48.5%) were aware of breast self-examination and performed it in correct way and103 (51.5%) didn't aware or performed it incorrectly. 29 cases (29.8%) of aware women and 68 (52.4%) of unaware women were illiterate and semi-literate. There was significant relationship between educational level and breast self-exam awareness (P<0.05).While no significant relationship was found between BSE awareness with family income and age (P>0.05).
Conclusion: There is a lack of breast self-examination awareness in the Iranian women. For women health management, education to families with lower educational levels may highly effective to early diagnosis and reduce mortality from this disease.
Keywords
Awareness
Breast Self-Examination
Factors
management
  1. Cancer. Word Health Organization. Available at: URL: http://www.who.int/mediacentre/factsheets/fs297/en; 2015.
  2. Hajian-Tilaki KO, Kaveh-Ahangar T. Reproductive factors associated with breast cancer risk in northern Iran. Med Oncol 2011; 28(2):441-6. (Persian).
  3. Yavari P, Mehrabi U, Pour-Hoseingholi MA. Knowledge and practice of women toward breast self-examination: a case-control study. J Ardabil Univ Med Sci 2005; 5(4):371-7. (Persian).
  4. Abolhassani F, Khayamzadeh M, Moradi LM, Jamaal A, Salmanian R, Naghavi M. Estimation of breast cancer burden in Iran in 2003 and its comparison with Eastern Mediterranean region and the World in 2002. Payesh 2007; 3(6):233-41. (Persian).
  5. Mousavi SM, Montazeri A, Mohagheghi MA, Jarrahi AM, Harirchi I, Najafi M, et al. Breast cancer in Iran: an epidemiological review. Breast J 2007; 13(4):383-91.
  6. Women with disabilities and breast cancer screening. National Center on Birth Defects and Developmental Disabilities, Division of Human Development and Disability. Available at: URL: https://www.cdc.gov/features/breastcancerscreening/; 2014.
  7. Lotfi B, Esmailnasab N, Aghaei A, Ahmadi Joibari T. Evaluation of breast cancer in Iranian women in an ecological study based on latitude, sun exposure and vitamin D intake.Iran J Obstet Gynecol Infertil 2015; 17(129):17-25. (Persian).
  8. Jatoi I. The impact of advances in treatment on the efficacy of mammography screening. Prev Med2011; 53(3):103-4.
  9. Dahlui M, Ng C, Al-Sadat N, Ismail S, Bulgiba A. Is breast self examination (BSE) still relevant? A study on BSE performance among female staff of University of Malaya. Asian Pac J Cancer Prev 2011; 12(2):369-72.
  10. Vaezzadeh N, Ësmaeli Z. A comparative study on the effect of video and individual instruction on self examination of breast on performance of referring women to health service centers of Gaemshahr Township, in 2000. J Mazandaran Univ Med Sci 2001; 11(30):22-6. (Persian).
  11. Hurdle DE. Breast cancer prevention with older women: a gender–focused intervention study. Health Care Women Int 2007; 28(10):872-87.
  12. Majewski WD, Majeska A. Views of students of extension nursing studies about cancer prophylaxis. Ann Acad Med Stetin 2007; 53(3):148-56.
  13. Sun A, Zhang J, Tsoh J, Wong–Kim E, Chow E. The effectiveness in utilizing Chinese media to promote breast health among Chinese women. J Health Commun 2007; 12(2):157-71.
  14. Ludwick R. Registered nurses, knowledge and practices of teaching and performing breast exams among elderly women. Cancer Nurse 1992; 15(1):61-7.
  15. Wong–Kim E, Sormanti M, Tang KL, Ngai S. Talking cancer, saving lives: breast cancer awareness training for health professional s in Hong Kong. Int Q Community Health Educ 2007-2008; 28(4):305-18.
  16. Consedine NS, Magai C, Nevgut AI. The contribution of emotional characteristics to breast cancer screening among women from six ethnic groups. Prev Med 2004; 38(1):64-77.
  17. Chenely LC, Koehler C, Legge Muilenburg J. A woman in Transition: can drama deliver a cancer a awareness message? J Cancer Educ 2006; 21(3):129-32.
  18. Canales M, Wilkinson L. Taking charge of self: breast health practices of older rural women. J Women Aging 2002; 14(3-4):165-88.
  19. Sanchez Ayendez M, Davila AL, Bustillo M, Nazario CM, Larrivz MC, Martinez–Paz G. Qualitative analysis on screening mammography compliance among middle–aged women in Puerto Rico. P R Health Sci J 2002; 21(3):221-31.
  20. Tanjasiri SP, Letta'uli P, Finau S, Fehoko I, Skeen NA. Tongan –American women's breast cancer knowledge, attitudes, and screening behaviors. Ethn Dis 2002; 12(2):284-90.
  21.  Finney MF, Tumiel –Berhalter LM, Fox C, Jaen CR. Breast and cervical cancer screening for Puerto Ricans African Americans, and non–Hispanic whites attending inner-city family practice centers. Ethn Dis 2006; 16(4):994-1000.
  22. Alagna SW, Morakoff PJ, Bevett JM, Reddy DM. Performance of breast self-examination by women at high Risk for breast cancer. Women Health 1987; 12(2):29-46.
  23. Sadler GR, Ko CM, Cohn JA, White M, Weldon RN, Wu P. Breast cancer knowledge, attitudes and screening behaviors among African American women; the black cosmetologists promoting health program. BMC Public Health 2007; 7:57.
  24. King ES, Resch N, Rimer B, Lerman C, Boyce A, McGovern–Gorchov P. Breast cancer screening practices among retirement community women. Prev Med 1993; 22(1):1-19.
  25. Goodwin SS, Visintainer PF, Facelle J, Falovo CE. Breast cancer screening in Rockland county, New York: a survey of attitudes and behaviors. Ethn Dis 2006; 16(2):428-34.
  26. Ahmad F, Stewart DE. Predictors of clinical breast examination among south Asian immigrant women. J Immigr Health 2004; 6(3):119-26.
  27. Jacob TC, Penn NE, Brown M. Breast self-examination: knowledge, attitudes and performance among black women. J Natl Med Assoc 1989; 81(7):769-76.
  28. Harris DM, Miller JE, Davis DM. Racial differences in breast cancer screening knowledge and compliance. J Natl Med Assoc 2003; 95(8):693-701.
  29. Mahoori K, Sadeghi Hassan Abadi A, Talei A. The knowledge and practice about breast cancer screening in women referred to health centers of Shiraz city. Hormozgan Med J 2000; 7(2):68-74. (Persian).
  30. Farshbaf-Khalili A, Shahnazi M, Vahed L, Javadi L. Status of breast self-examination performance among women referring to health centers of Tabriz, Iran. Crescent J Med Biol Sci 2014; 1(3):90-6.
  31. Godazandeh GH, Khani H, Khalilian AR, Âtarod Z, Firozjaee MA, Partovi A, et al. Knowledge and practice of above 15 years old females towards breast cancer prevention in Sari Township, 2004. J Mazandaran Univ Med Sci 2006; 16(52):64-76. (Persian).
  32. Soltanahmadi Z, Abbaszadeh A, Tirgri B. A survey on the rate and causes of women’s participation or nonparticipation in breast and cervical cancers screening programs. Iran J Obstet Gynecol Infertil 2010; 13(3):37-46. (Persian).
  33. Mahmood-Abad SS, Shahidi F, Abbasi-Shavazi M, Shahrizadeh F. Evaluating knowledge, attitude and behavior of women on reproductive health subjects in seven central cities of Iran. J Reprod Infertil 2007; 7(4):391-400. (Persian).
  34. Momenyan S, Rangraz JM, Sanei IF, Adibi GZ, Sarvi F. Prediction of breast self-examination in a sample of nursing and midwifery students Qom city using health belief model, Iran. Qom Univ Med Sci J 2014; 8(2):28-33. (Persian).
  35. Balkaya NA, Memes S, Demirkiran F. The effects of breast self–exam education on the performance of nursing and midwifery students: a 6–month follow- up study. J Cancer Educ 2007; 22(2):77-9.
  36. Islam N, Kwon SC, Sine R, Katharia N. Breast and cervical cancer screening among south Asian women in New York city. J Immigr Minor Health 2006; 8(3):211-21.
  37. Doyle MA. Breast self-examination practices in women with a known neoplasm. Prog Clin Biol Res1988; 278:171-84.
  38. Sohn L, Harada ND. Knowledge and use of preventive health practices among Korean women in Los Angeles County. Prev Med 2005; 41(1):167-78.
  39. Bener A, Alwash R, Miller CJ, Denic S, Dunn EV. Knowledge, attitudes, and practices related to breast cancer screening: a survey of Arabic women. J Cancer Educ 2001; 16(4):215-20.
  40. Tavakolian L, Boniadi F, Malekzadeh E. The investigation of factors associated with breast cancer screening among Kazeroon women aged 20-65 in 2013. Nurs J Vulnerable 2015; 1(1):17-31. (Persian).
  41. Nejad FA, Abbasian M, Delvarianzadeh M. Evaluation of the knowledge, attitude and skills among the health volunteers regarding the breast self-examination in Shahroud. J Knowledge Health 2007; 2(2):23-7. (Persian).
  42. Khani Iurigh H, Moslemizadeh N, Montazeri A, Godazandeh GA, Ghorbani A. Breast cancer prevention: knowledge, attitudes and practices among Iranian health workers in southern coastwise of the Caspian Sea in 2006: a multi-center study. Iran J Breast Dis 2008; 1(2):28-37. (Persian).
  43. Balkaya NA, Memes S, Demirkiran F. The effects of breast self–exam education on the performance of nursing and midwifery students: a 6–month follow- up study. J Cancer Educ 2007; 22(2):77-9.
  44. Sheikhizadeh S, Ahmadipour H. Self-care activities among women referred to health care centers in Kerman. Health Based Res 2016; 2(1):55-67. (Persian).
  45. Rahmati Najar F, Ebadifard Azar F, Rimaz S. Effects of training breast-cancer screening on female university students’ beliefs. Iran J Obstet Gynecol Infertil 2012; 15(23):10-7. (Persian).
The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 20, Issue 1
April 2017
Pages 15-22