Abdou Aissami, Van Hal Guido, Dille Issimouha
Department of Epidemiology and Social Medicine, University of Antwerp, Belgium.
Surgical Oncology, Niamey National Reference Hospital, Niamey, Niger.
Heliyon. 2020 Jul 2;6(7):e04316. doi: 10.1016/j.heliyon.2020.e04316. eCollection 2020 Jul.
In Niger, breast cancer is the first cancer related morbidity and mortality within female population. While awareness can contribute to early diagnosis and disease mortality reduction, Niger women's knowledge of breast cancer is not well documented. In this study, we assessed the awareness, attitudes and practices of women in relation to breast cancer and identify the factors associated with it.
The study was conducted through a cross sectional survey in Zinder and Niamey regions. A random sampling was used to select women in households within health districts. We defined a breast cancer knowledge score and used a generalized linear model to assess factors associated with it.
Overall women's knowledge of breast cancer was found to be low, only 41.2% (37.5-45.0) were aware of breast cancer. 65.0% (61.3-68.7) of women demonstrated an awareness of symptoms. Insufficient level of knowledge was observed on knowledge of risk and protection factors with 27.4 % (24.0-31.0), breast cancer good practice with 16.9% (14.2-19.7). Age OR = 0.98 (0.96-0.99), practicing clinical breast examination OR = 2.25 (1.31-3.16), breastfeeding 3.34 (2.12-5.26), not having a history of participation in breast cancer screening and living in rural and peri-urban areas were found to be associated with awareness of breast cancer.
Niger women were found to have a relatively low level of breast cancer awareness. While not acquainted with self and clinical breast examination, Niger women knowledge of breast cancer symptoms was acceptable. Awareness programs can promote clinical breast examination as mammography is not common and promote early detection procedures.
在尼日尔，乳腺癌是女性群体中与癌症相关的首要发病和死亡原因。尽管提高认知有助于早期诊断并降低疾病死亡率，但尼日尔女性对乳腺癌的了解情况尚无充分记录。在本研究中，我们评估了女性对乳腺癌的认知、态度和行为，并确定与之相关的因素。
本研究通过在津德尔和尼亚美地区进行横断面调查开展。采用随机抽样的方法在健康区内的家庭中选取女性。我们定义了一个乳腺癌知识得分，并使用广义线性模型评估与之相关的因素。
总体而言，发现女性对乳腺癌的了解程度较低，只有41.2%（37.5 - 45.0）的女性知晓乳腺癌。65.0%（61.3 - 68.7）的女性了解症状。在风险和保护因素知识方面，只有27.4%（24.0 - 31.0）的女性了解，在乳腺癌良好行为方面，只有16.9%（14.2 - 19.）的女性了解，知识水平不足。年龄的比值比（OR）= 0.98（0.96 - 0.99），进行临床乳房检查的比值比 = 2.25（1.31 - 3.16），母乳喂养的比值比 = 3.34（2.12 - 5.26），没有参加过乳腺癌筛查的历史以及生活在农村和城市周边地区被发现与乳腺癌认知相关。
发现尼日尔女性对乳腺癌的认知水平相对较低。尽管不熟悉自我乳房检查和临床乳房检查，但尼日尔女性对乳腺癌症状的了解尚可。鉴于乳房X线摄影术并不常见，提高认知的项目可以推广临床乳房检查并促进早期检测程序。
