Knowledge of Breast Cancer and Practices of Breast Self-Exam among Women attending Governmental Primary Health Care Centers in North Gaza Governorate
Date
2020-06-06
Authors
Areej Ibrahim Sobhi Hammoda
اريج ابراهيم صبحي حموده
Journal Title
Journal ISSN
Volume Title
Publisher
Al-Quds University
جامعة القدس
جامعة القدس
Abstract
يعتبر سرطان الثدي من أكثر أنواع السرطانات شيوعاً بين السيدات في العالم وفي فلسطين على وجه الخصوص. وقد أكدت الدراسات والأبحاث على أن الكشف المبكر عن سرطان الثدي يزيد من نسبة الشفاء من المرض. هدف الدراسة هو تقيم مستوى المعرفة بسرطان الثدي وممارسات الفحص الذاتي للكشف المبكر عنه لدى السيدات المترددات على مراكز الرعاية الأولية الحكومية في محافظة شمال غزة (عيادة الشيماء-عيادة أبو شباك-عيادة جباليا) وأيضا التعرف على دور الممرضين في زيادة وعي السيدات بسرطان الثدي وممارسات الفحص الذاتي للكشف المبكر عنه في الفترة ما بين يوليو حتى نوفمبر(2019). أجريت دراسة وصفية لتحقيق هدف البحث. والتي تضمنت عينة تتألف من 335 سيدة من ضمن السيدات المترددات على مراكز الرعاية الأولية الحكومية في شمال قطاع غزة, والتي تم اختيارهن بطريقة العينة المتاحة. وبعد التحليل الإحصائيأشارت نتائج الدراسة إلىأن المشاركات لديهم مستوى منخفض من المعرفة حول عوامل خطر الإصابة بسرطان الثدي حيث إن معدل المعرفة 58.2%, و أيضاً مستوى منخفض من المعرفة حول علامات وأعراض سرطان الثدي حيث شكلت 39.1%, ومن ضمن النتائج التي كشفت عنها الدراسة هي بعض العوائق التي تمنعهن من الفحص الذاتي ومن أهمها عدم القدرة على الدفع للطبيب مقابل الفحص الإكلينيكي حيث شكلت نسبة 25.4% من نسبة العوائق الأخرى.
واستناداً إلى النتائج, فان المشاركات في الدراسة كانوا على مستوى منخفض من المعرفة والممارسات فيما يتعلق بسرطان الثدي. وقد أوصت الدراسة بتفعيل دور التمريض داخل مراكز الرعاية الأولية في محافظات شمال قطاع غزة لزيادة وعي السيدات حول سرطان الثدي وكيفية الكشف المبكر عنه.
Breast cancer in women is a foremost health problem in both developed and developing countries. There is a rapid increase in breast cancer in Palestine. BC is a significant health threat for women, and is currently the second leading cause of cancer related death in women. BC screening has been shown to reduce mortality. This early detectionis crucial. BSE is an alternative method of screening for breast cancer. This study aimed to assess the knowledge about breast cancer and practices of breast self-exam among women in north Gaza governorate . A descriptive cross sectional study design was used with a convenience sample consisted of 335 women attending primary health care centersin northern Gaza governorate, (Al- Shimaa clinic — Abo Shbak clinic — Jabalia clinic)during the period from July till November 2019. Structured interviewing questionnaire was used. Every woman attending the MCH centers during the study period has a chance to be involved in this study except women with previous history of BC. A pilot study was carried out on (10%) of women's who were excluded from the sample. Data collected and analyzed by using SPSS application version 22; frequencies, percentages, mean, standard deviation, A chi-square and Exact Fisher test with statistical significance p <0.05 at 95% confidence interval were used. The results showed that 58.2% of study participants have low level of knowledge about risk factors of breast cancer; this result indicated that more than half of study participants have low knowledge about risk factors of breast cancer, 39.1% of study participants have low level of knowledge about symptoms of breast cancer, 83.7% expressed low quality in performing breast-self exam. The most frequent barrier to breast-self exam was inability to pay to the doctor 25.4%. There were no statisticallysignificant association between marital status, and level of knowledge about risk factors of breast cancer, knowledge about symptoms of breast cancer and practice of breast-self exam, The study concluded that most of the women have heard of breast cancer, but they lack adequate knowledge on its risk factors, causes, symptoms, and effects. The majority of the women do not practice BSE due to lack of knowledge. Efforts to improve women’s knowledge on breast cancer is warranted, health care worker should be trained to teach BSE for women. MoH should develop teaching manual for use, by health care worker, retraining breast awarenesssessionin place stress the importance of BSE, periodic check of that include CBE for all women. School health programs should include health education on breast cancer &BSE, should start early.
Breast cancer in women is a foremost health problem in both developed and developing countries. There is a rapid increase in breast cancer in Palestine. BC is a significant health threat for women, and is currently the second leading cause of cancer related death in women. BC screening has been shown to reduce mortality. This early detectionis crucial. BSE is an alternative method of screening for breast cancer. This study aimed to assess the knowledge about breast cancer and practices of breast self-exam among women in north Gaza governorate . A descriptive cross sectional study design was used with a convenience sample consisted of 335 women attending primary health care centersin northern Gaza governorate, (Al- Shimaa clinic — Abo Shbak clinic — Jabalia clinic)during the period from July till November 2019. Structured interviewing questionnaire was used. Every woman attending the MCH centers during the study period has a chance to be involved in this study except women with previous history of BC. A pilot study was carried out on (10%) of women's who were excluded from the sample. Data collected and analyzed by using SPSS application version 22; frequencies, percentages, mean, standard deviation, A chi-square and Exact Fisher test with statistical significance p <0.05 at 95% confidence interval were used. The results showed that 58.2% of study participants have low level of knowledge about risk factors of breast cancer; this result indicated that more than half of study participants have low knowledge about risk factors of breast cancer, 39.1% of study participants have low level of knowledge about symptoms of breast cancer, 83.7% expressed low quality in performing breast-self exam. The most frequent barrier to breast-self exam was inability to pay to the doctor 25.4%. There were no statisticallysignificant association between marital status, and level of knowledge about risk factors of breast cancer, knowledge about symptoms of breast cancer and practice of breast-self exam, The study concluded that most of the women have heard of breast cancer, but they lack adequate knowledge on its risk factors, causes, symptoms, and effects. The majority of the women do not practice BSE due to lack of knowledge. Efforts to improve women’s knowledge on breast cancer is warranted, health care worker should be trained to teach BSE for women. MoH should develop teaching manual for use, by health care worker, retraining breast awarenesssessionin place stress the importance of BSE, periodic check of that include CBE for all women. School health programs should include health education on breast cancer &BSE, should start early.