School of Public Health, Wolaita Sodo University, Wolaita, Ethiopia.
South Ethiopia Nations Development Association, Wolaita Sodo, Wolaita, Ethiopia.
BMC Womens Health. 2020 Aug 8;20(1):167. doi: 10.1186/s12905-020-01042-1.
The early detection of breast cancer plays an important role in decreasing morbidity and mortality of breast cancer. Breast self-examination (BSE) is one screening method used for the early detection of breast cancer. BSE involves the woman looking at and feeling each breast for possible lumps, distortions, or swellings. BSE is a simple exercise that can potentially save women's lives, but BSE receives relatively little attention and no study has yet addressed BSE at the community level. Here we assessed BSE and associated factors among women aged 20-65 years in Wolaita Sodo city, Ethiopia.
This was a community-based, cross-sectional study. Systematic random sampling was used to select 626 women aged 20-65 years old. Data were collected using a pre-tested and structured questionnaire. Data were recorded using EpiData version 3.5.1 and exported to SPSS version 21 for cleaning and statistical analysis. Bivariable analysis was performed, and variables with a p-value < 0.25 were used in multiple logistic regression analysis. Multiple logistic regression was employed, and variables with p-values < 0.05 were considered statically significant.
A total of 629 women aged between 20 and 65 years were included in the study. Over half (60.9%) of participants were aged between 20 and 29 years, and 8.2% were < 50 years old. Women who mentioned BSE as a method for the early detection of breast problems were 6.36-times (95% CI: 3.72, 10.71) more likely to perform BSE than those who reported that they did not know of any method. Those who had breast fed for 13-24 months were 2.43 times (95% CI: 1.28, 4.59) more likely to examine their breasts than those who breast fed for different durations or used other methods. Employed study participants were 3.13-times (95% CI: 1.14, 8.58) more likely to practice BSE than those who were not employed. Likewise, students were 3.73-times (95% CI: 1.19, 11.73) more likely to perform BSE.
In our sample, women's practice of BSE was relatively low. Knowledge of BSE, breastfeeding up to 24 months, being employed, and being a student were factors affecting performing BSE. Educating girls and increasing awareness, including through electronic media, are important to encourage BSE and improve breast cancer outcomes.
乳腺癌的早期检测在降低乳腺癌发病率和死亡率方面发挥着重要作用。乳房自我检查（BSE）是用于早期发现乳腺癌的一种筛查方法。BSE 包括女性观察和感受每个乳房是否有肿块、变形或肿胀。BSE 是一种简单的运动，可以潜在地拯救女性的生命，但 BSE 受到的关注相对较少，而且还没有研究在社区层面上探讨 BSE。在这里，我们评估了埃塞俄比亚沃尔塔索多市 20-65 岁女性的 BSE 和相关因素。
这是一项基于社区的横断面研究。采用系统随机抽样方法选取了 626 名年龄在 20-65 岁的女性。使用经过预测试和结构化问卷收集数据。数据使用 EpiData 版本 3.5.1 记录，并导出到 SPSS 版本 21 进行清理和统计分析。进行了单变量分析，p 值<0.25 的变量用于多变量逻辑回归分析。采用多变量逻辑回归分析，p 值<0.05 的变量被认为具有统计学意义。
共有 629 名年龄在 20-65 岁之间的女性参加了这项研究。超过一半（60.9%）的参与者年龄在 20-29 岁之间，8.2%的参与者年龄<50 岁。提到 BSE 是早期发现乳房问题的方法的女性进行 BSE 的可能性是不知道任何方法的女性的 6.36 倍（95%CI：3.72，10.71）。母乳喂养 13-24 个月的女性比母乳喂养不同时间或使用其他方法的女性更有可能检查自己的乳房，可能性是其 2.43 倍（95%CI：1.28，4.59）。就业的研究参与者比未就业的参与者更有可能进行 BSE，可能性是其 3.13 倍（95%CI：1.14，8.58）。同样，学生进行 BSE 的可能性是其 3.73 倍（95%CI：1.19，11.73）。
在我们的样本中，女性进行 BSE 的情况相对较低。对 BSE 的了解、母乳喂养至 24 个月、就业和学生身份是影响进行 BSE 的因素。通过电子媒体等方式对女孩进行教育和提高认识，对于鼓励 BSE 和改善乳腺癌结局非常重要。
