Azage Muluken, Abeje Gedefaw, Mekonnen Alemtsehay
Department of Public Health, College of Medicine and Health Sciences, Bahir Dar University, P.O. Box 79, Bahir Dar, Ethiopia.
Int J Breast Cancer. 2013;2013:814395. doi: 10.1155/2013/814395. Epub 2013 Nov 5.
Background. Early detection of breast cancer using breast self-examination (BSE) plays an important role in decreasing its morbidity and mortality. Objective. To identify factors associated with BSE among health extension workers in Northwest Ethiopia. Methods. Cross-sectional study design was employed from October to November, 2012 in West Gojjam Zone of Amhara region. Simple random sampling technique was used to recruit a total of 390 health extension workers (HEWs). A structured Amharic questionnaire was used to collect the data. Data were entered and analyzed using SPSS statistical package version 16.0. Result. This study found that 37% of HEWs had ever practiced BSE and 14.4% practiced it regularly. The three main reasons for not doing regular BSE were no breast problem (53.2%), not knowing the technique of BSE (30.6%), and not knowing the importance of BSE (21.4%). Discussion with families on BSE and history of breast examination by health professionals were found significantly associated with ever practice of BSE. Conclusion. BSE practice was found low in this study. Having information on the importance of BSE was predictor of BSE practice. Therefore, it is important to give training on BSE techniques and its role on breast cancer prevention for HEWs.
背景。通过乳房自我检查(BSE)早期发现乳腺癌在降低其发病率和死亡率方面发挥着重要作用。目的。确定埃塞俄比亚西北部健康推广工作者中与乳房自我检查相关的因素。方法。2012年10月至11月在阿姆哈拉地区的西戈贾姆区采用横断面研究设计。使用简单随机抽样技术共招募了390名健康推广工作者(HEW)。使用结构化的阿姆哈拉语问卷收集数据。使用SPSS统计软件包16.0录入和分析数据。结果。本研究发现37%的健康推广工作者曾进行过乳房自我检查,14.4%的人定期进行。不定期进行乳房自我检查的三个主要原因是没有乳房问题(53.2%)、不知道乳房自我检查技术(30.6%)以及不知道乳房自我检查的重要性(21.4%)。发现与家人就乳房自我检查进行讨论以及有卫生专业人员进行乳房检查的病史与曾进行乳房自我检查显著相关。结论。本研究发现乳房自我检查的实施率较低。了解乳房自我检查的重要性是进行乳房自我检查的预测因素。因此,为健康推广工作者提供乳房自我检查技术及其在乳腺癌预防中的作用的培训很重要。