Department of Public and Community Health, Novena University, Ogume, Delta State, Nigeria.
Department of Public Health, Achievers University, Owo, Ondo State, Nigeria.
BMC Cancer. 2024 Mar 19;24(1):355. doi: 10.1186/s12885-024-12116-w.
In Nigeria, breast cancer (BC), a disorder marked by the unchecked growth of breast cells, has been the commonest cancer among women in Nigeria. Breast self-examination (BSE) is one of the suggested methods for screening for the early diagnosis of breast cancer. However, studies have reported inadequate knowledge, negative attitudes and poor practices of BSE among undergraduate female students. The study was designed as an interventional study to examine the effect of educational intervention on knowledge, attitude and practice of breast self-examination among female students in a private university in southern Nigeria.
This pretest posttest design study was carried out on 103 students of Novena University at baseline in 2022, which were chosen through the use of simple random sampling. A validated questionnaire with components on demographics, knowledge, attitude, and BSE practice was used to gather the data. After that, the students participated in three hourly sessions of an educational intervention for two weeks. A month later, the students' data were once again collected, and SPSS 20 software was used to evaluate the results using the mean, paired t test, and logistic regression at the P < 0.05 level of significance.
The mean age of the respondents was 22.37 ± 1.92 years. Only 53 (51.3%) were aware of BSE. The mean knowledge, attitude and practice of BSE at pretest significantly increased at posttest after the educational intervention (1.58 ± 1.48 vs. 4.31 ± 1.15, 2.37 ± 1.27 vs. 4.80 ± 0.49 and 1.97 ± 0.09 vs. 5.81 ± 3.26, respectively). Furthermore, age and family history of BC were predictors of knowledge (OR = 4.00 95% CI = 0.29-41.99, OR = 141, 95% CI = 0.15-13.18), attitude (OR = 2.39, 95% CI = 0.28-12.32, OR = 1.15, 95% CI = 0.24-8.34) and practice of BSE (OR = 2.66, 95% CI = 0.38-18.41, OR = 1.44, 95% CI = 0.24-8.34) respectively.
The findings showed that using an educational intervention strategy will improve the knowledge, attitude and practice of BSE among undergraduate students.
在尼日利亚，乳腺癌（BC）是一种以乳腺细胞不受控制的生长为特征的疾病，是尼日利亚女性中最常见的癌症。乳房自我检查（BSE）是筛查早期诊断乳腺癌的建议方法之一。然而，研究报告称，女大学生对 BSE 的知识、态度和做法不足。本研究设计为干预研究，旨在检查教育干预对尼日利亚南部一所私立大学女学生乳房自我检查知识、态度和实践的影响。
本研究采用预试验后测设计，于 2022 年在诺瓦纳大学对 103 名学生进行基线调查，采用简单随机抽样选择研究对象。使用包含人口统计学、知识、态度和 BSE 实践的经过验证的问卷收集数据。之后，学生们参加了为期两周的三次每小时的教育干预。一个月后，再次收集学生的数据，使用 SPSS 20 软件，采用均数、配对 t 检验和逻辑回归，在 P < 0.05 的显著性水平上进行评估。
应答者的平均年龄为 22.37 ± 1.92 岁。仅有 53 人（51.3%）了解 BSE。经过教育干预，BSE 的知识、态度和实践在预试验后的后测中显著增加（1.58 ± 1.48 比 4.31 ± 1.15、2.37 ± 1.27 比 4.80 ± 0.49 和 1.97 ± 0.09 比 5.81 ± 3.26）。此外，年龄和乳腺癌家族史是知识（OR=4.00，95%CI=0.29-41.99，OR=141，95%CI=0.15-13.18）、态度（OR=2.39，95%CI=0.28-12.32，OR=1.15，95%CI=0.24-8.34）和 BSE 实践（OR=2.66，95%CI=0.38-18.41，OR=1.44，95%CI=0.24-8.34）的预测因素。
研究结果表明，使用教育干预策略将提高大学生对 BSE 的知识、态度和实践。
