Department of Public Health, Zemen Postgraduate College, Dessie, Ethiopia.
School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
BMC Cancer. 2024 Jul 15;24(1):843. doi: 10.1186/s12885-024-12613-y.
Cancer is one of the leading causes of morbidity and mortality worldwide. Among all cancer types, breast cancer stands out as the most common and is characterized by distinct molecular characteristics. This disease poses a growing public health concern, particularly in low and middle-income countries where it is associated with high mortality rates. Despite these challenges, there is a paucity of data on breast cancer preventive practices and associated factors among reproductive-age women in Wollo, Ethiopia. Hence, this study aimed to evaluate the level of breast cancer awareness, preventive practices, and associated factors among women of reproductive age residing in Wadila district, Wollo, Ethiopia in the year 2022.
A cross-sectional community-based study involving 352 women of reproductive age in Wadila district was carried out between May and June 2022. Participants were selected using a systematic random sampling technique, and data analysis was conducted using Statistical Package for Social Science (SPSS) version 23 software. Logistic regression analysis was utilized to determine the odds ratio for variable associations, with statistical significance set at p < 0.05.
The prevalence of breast-examination among women of reproductive age was determined to be 40.1% (95% Interval [CI]: 34.94-45.18). Factors such as educational status (Adjusted Odds Ratio [AOR]: 0.28, 95% CI: 0.13-0.6), income (AOR: 0.19, 95% CI: 0.11-0.33), and family history of breast conditions in reproductive-age women (AOR: 1.90, 95% CI: 1.08-3.34) were significantly linked to the practice of breast self-examination in this population.
The study highlighted a decline in regular breast self-examination among women of reproductive age. It revealed that the reduced frequency of regular breast self-examination was a prevalent concern among women in this age group and the broader community. Educational level, monthly income, and family history of cancer among women of reproductive age were identified as significant factors linked to the practice of regular breast examination.
癌症是全球发病率和死亡率的主要原因之一。在所有癌症类型中,乳腺癌最为常见,其具有独特的分子特征。这种疾病对公共健康构成了日益严重的威胁,特别是在中低收入国家,乳腺癌死亡率较高。尽管存在这些挑战,但在埃塞俄比亚沃洛地区的育龄妇女中,关于乳腺癌预防实践和相关因素的数据仍然匮乏。因此,本研究旨在评估 2022 年居住在埃塞俄比亚沃洛地区瓦迪拉区的育龄妇女对乳腺癌的认识水平、预防实践和相关因素。
2022 年 5 月至 6 月期间,在瓦迪拉区进行了一项基于社区的横断面研究,涉及 352 名育龄妇女。采用系统随机抽样技术选择参与者,使用统计软件包(SPSS)版本 23 进行数据分析。采用逻辑回归分析确定变量关联的优势比,以 p<0.05 为统计学意义。
调查发现,育龄妇女进行乳房检查的比例为 40.1%(95%置信区间[CI]:34.94-45.18)。教育程度(调整优势比[AOR]:0.28,95%CI:0.13-0.6)、收入(AOR:0.19,95%CI:0.11-0.33)和育龄妇女的乳腺癌家族史(AOR:1.90,95%CI:1.08-3.34)等因素与该人群的乳房自我检查实践显著相关。
研究表明,育龄妇女定期进行乳房自我检查的比例有所下降。研究结果显示,定期乳房自我检查的频率降低是该年龄组和更广泛社区中普遍存在的问题。教育程度、月收入和育龄妇女的癌症家族史是与定期乳房检查实践相关的重要因素。