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  • br Trotter PB Norton LA

    2020-08-18


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    Contents lists available at ScienceDirect
    Journal of Cancer Policy
    journal homepage: www.elsevier.com/locate/jcpo
    Original Research
    Breast cancer awareness, knowledge and screening practice among women T resident in an urban local government area of Oyo State, Nigeria
    Ajibola Idowua, , Samuel Anu Olowookereb, Aderonke Olumidea, Gbenga Omotola Popoolac, Adeola Abioduna, Ayotemi Oluwagbemia, Damilola Olawuyia, Olayinka Fakoredea, Olagoke Folorunshoa, David Ibitokuna, Chiamaka Chigbu-Jonaha, Philip Adegboyea, Olaoluwa Adebayoa, Oluwafemi Akin-Adiguna, Idowu Omidoyina a Department of Community Medicine, Bowen University Teaching Hospital, Ogbomoso, Nigeria b Department of Community Health, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria c Department of Pysichiatry, Federal Teaching Hospital, Ido, Ekiti State, Nigeria
    Keywords:
    Awareness
    Knowledge
    Practice Breast cancer screening Nigerian women 
    Background: Breast cancer has emerged as the most common female malignancy globally and in Nigeria in the past few decades. Little Cytosporone B currently known at the household level about breast cancer screening practices of the Nigerian women. Study objectives: The study assessed awareness, knowledge and practice of women in Ogbomoso South Local Government Area (LGA) on breast cancer screening.
    Methodology: The study employed Community-based cross-sectional design and multi-stage sampling technique was used to recruit 332 consenting women. Interviewer-guided, self-administered, semi-structured questionnaire was used for data collection. Data collected were analysed using descriptive and inferential statistics. Results: The mean age of the respondents was 40.8 ± 13 years; 44.9% of the women had ever screened for breast cancer. Factors that were significantly associated with practice of breast cancer screening included having tertiary education (p < 0.001), ever use of family planning methods (p = 0.018), ever heard of breast cancer (p < 0.001), ever heard of breast examination (p < 0.001), having relatives who had died of breast cancer (p = 0.018) and having good knowledge of the disease (p < 0.001). Women who were aware of screening were eight times more likely to have practised breast cancer screening compared to those who had no knowledge (aOR 7.6, 95%CI 4.1–14.2). Conclusion: Knowledge and practice of breast cancer screening were low among community based women.
    There is urgent need to intensify breast cancer awareness campaigns among this population in Nigeria.
    1. Background
    Cancer is now the second leading cause of death globally; responsible for 8.8 million deaths in 2015 and accounting for about 1 in 6 deaths worldwide. Approximately 70% of cancer deaths occur in low and middle income countries including Nigeria [1]. More than 14 million people de-velop cancer every year, and this figure is projected to rise to over 21 million by 2030 [2]. Moreover, the economic impact of cancer has been hugely alarming in the recent past; the total annual economic cost of cancer in 2010 alone was estimated at approximately US$ 1.16 trillion [3].
    In the last two decades, breast cancer has emerged as the most common female malignancy globally [4]. In 1996, Solanke and Ade-bamowo revealed that breast cancer has overtaken cervical cancer as the leading female malignancy in Nigeria [5]. More recent data of the
    Corresponding author.
    E-mail address: [email protected] (A. Idowu). 
    World Health Organization (WHO) also buttress this trend; breast cancer currently accounts for 34.2% of cancer mortalities among Ni-gerian women [6]. Ekanem and Parkin also reported that both breast and cervical cancers accounted for 60.4% of all cancers among Nigeria women, with breast cancer having age-standardized rate (ASR) of 35 per 100,000 almost twice as common as cervical cancers which has 21 per 100,000 [7]. Moreover, Jedy-Agba et al. reported a higher ASR of breast cancer among Nigerian women; this ranged from 52.0 per 100,000 in Ibadan to 64.6 per 100,000 in Abuja [8].