Ibrahim Nasiru A, Odusanya Olumuyiwa O
Department of Surgery, Lagos State University College of Medicine and Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.
BMC Cancer. 2009 Mar 4;9:76. doi: 10.1186/1471-2407-9-76.
Breast cancer is the leading female malignancy in Nigeria. Screening for early detection has led to reduction in mortality from the disease. It is known that attitudes of physicians and motivation by community nurses influence uptake of screening methods by women. This study aims to investigate knowledge of breast cancer risk factors, beliefs about treatment and practice of screening methods among a cohort of female healthcare professionals in Lagos, Nigeria.
A cross-sectional study was conducted using a self-administered questionnaire to assess the knowledge of breast cancer risk factors, beliefs about treatment and practice of screening methods among 207 female doctors, nurses and other healthcare professionals working in a university teaching hospital in Lagos, Nigeria. Stratified random sampling method was employed. Chi square test, analysis of variance and Mantel-Haenszel test were performed in data analysis using SPSS v10.0 and Epi Info version 6 statistical packages.
Female doctors obtained a mean knowledge score of 74% and were the only professional group that had satisfactory knowledge of risk factors. Majority (86%) believed that early breast cancer is curable while half of participants believed that prayer can make breast cancer disappear from the affected breast. Eighty three percent practice breast self-examination (BSE) once a month and only 8% have ever had a mammogram. Age, knowledge of risk factors, profession and beliefs were not significantly associated with rate of BSE in this study.
Results from this study suggest the need for continuing medical education programmes aimed at improving knowledge of breast cancer among female healthcare providers other than doctors.
乳腺癌是尼日利亚女性中最主要的恶性肿瘤。进行早期检测筛查可降低该疾病的死亡率。众所周知,医生的态度和社区护士的激励会影响女性对筛查方法的接受程度。本研究旨在调查尼日利亚拉各斯一群女性医疗保健专业人员对乳腺癌风险因素的了解、对治疗的看法以及筛查方法的实践情况。
采用横断面研究,通过自填式问卷评估在尼日利亚拉各斯一家大学教学医院工作的207名女医生、护士和其他医疗保健专业人员对乳腺癌风险因素的了解、对治疗的看法以及筛查方法的实践情况。采用分层随机抽样方法。使用SPSS v10.0和Epi Info 6统计软件包进行数据分析,采用卡方检验、方差分析和Mantel-Haenszel检验。
女医生的平均知识得分是74%,是唯一对风险因素有满意了解的专业群体。大多数人(86%)认为早期乳腺癌是可治愈的,而一半的参与者认为祈祷能使乳腺癌从患侧乳房消失。83%的人每月进行一次乳房自我检查(BSE),只有8%的人曾经做过乳房X光检查。在本研究中,年龄、对风险因素的了解、职业和看法与BSE的发生率没有显著关联。
本研究结果表明,需要开展继续医学教育项目,以提高除医生之外的女性医疗保健提供者对乳腺癌的认识。