Olasehinde Olalekan, Boutin-Foster Carla, Alatise Olusegun I, Adisa Adewale O, Lawal Oladejo O, Akinkuolie Akinbolaji A, Adesunkanmi Abdul-Rasheed K, Arije Olujide O, Kingham Thomas P
, , , , , , and , Obafemi Awolowo University, Ile-Ife, Nigeria; , State University of New York, Downstate Medical Center, Brooklyn; and , Memorial Sloan Kettering Cancer Center, New York, NY.
J Glob Oncol. 2017 Jan 25;3(5):490-496. doi: 10.1200/JGO.2016.007641. eCollection 2017 Oct.
In low- and middle-income countries like Nigeria, women present with advanced breast cancer at an earlier age. Given the limited resources, development of screening programs that parallel resource capabilities of low- and middle-income countries is imperative. The objective of this study was to evaluate the perceptions, practices, and barriers regarding clinical breast examination (CBE) screening in a low-income community in Nigeria.
A cross-sectional survey of women age 40 years or older in Ife, Nigeria, using multistaged sampling was performed. Information on sociodemographics, knowledge of breast cancer, screening practices, and willingness to participate in CBE screening was obtained using an interviewer-administered questionnaire.
A total of 1,169 women whose ages ranged from 40 to 86 years (mean age, 47.7 years; standard deviation, 8.79 years) were interviewed. The majority of women (94%) knew about breast cancer, whereas 27.5% knew someone who had had breast cancer, the majority of whom (64.5%) had died of the disease. Of the 36% of women who had breast screening recommended to them, only 19.7% had an actual CBE. Of these, only 6% had it in the last year. The majority of women (65.4%) were willing to have regular CBEs and did not care about the sex of the examiner in most instances. Lack of perceived need was the reason cited by women unwilling to participate.
The majority of women were aware of breast cancer and knew it as a fatal disease. With the relatively encouraging number of those willing to be examined, a carefully designed CBE program coupled with advocacy to correct uneducated beliefs seems promising.
在尼日利亚等低收入和中等收入国家，女性患晚期乳腺癌的年龄更早。鉴于资源有限，开发与低收入和中等收入国家资源能力相匹配的筛查项目势在必行。本研究的目的是评估尼日利亚一个低收入社区对临床乳房检查（CBE）筛查的认知、实践情况及障碍。
采用多阶段抽样对尼日利亚伊费40岁及以上女性进行横断面调查。通过访谈员管理的问卷获取社会人口统计学信息、乳腺癌知识、筛查实践情况以及参与CBE筛查的意愿。
共访谈了1169名年龄在40至86岁之间（平均年龄47.7岁；标准差8.79岁）的女性。大多数女性（94%）了解乳腺癌，而27.5%认识患过乳腺癌的人，其中大多数（64.5%）已死于该疾病。在被建议进行乳房筛查的36%的女性中，只有19.7%实际接受了CBE。其中，去年接受检查的仅占6%。大多数女性（65.4%）愿意定期接受CBE检查，且在大多数情况下并不在意检查者的性别。不愿参与的女性提到的原因是认为没有必要。
大多数女性了解乳腺癌且知道这是一种致命疾病。鉴于愿意接受检查的人数相对令人鼓舞，精心设计的CBE项目以及纠正无知观念的说教会大有可为。
