Knowledge, attitudes and practices related to breast cancer self-examination among medical students at the University of Khartoum, Sudan

Main Article Content

L A Mohammed
B Idris
S M Bolis
H H Musa

Abstract




Background. Breast cancer (BC) is the most common invasive cancer in women, and the second leading cause of death in women worldwide. In Sudan, BC was the most predominant type of cancer among females according to the records of the Radiation Isotope Center Khartoum and Gezira Institute for Cancer Treatment and Molecular Biology.
Objective. To assess the knowledge, attitudes and practice of Sudanese medical students regarding breast self-examination (BSE). Methods. A descriptive cross-sectional study was conducted during June - August 2019 among university medical students in Sudan. Data were collected using a self-administered, semi-structured and pre-tested questionnaire. The questionnaire comprised five parts: participants’ sociodemographic characteristics; knowledge of BSE; knowledge of symptoms of BC; attitudes toward BSE; and attitudes towards BSE practice. Data were analysed using descriptive statistics.


Results. Three hundred questionnaires were distributed among female students, with 295 responses (98.3%). The findings revealed that 285 (96.6%) of the respondents had heard about BSE before, and 293 (99.3%) of them were aware of the monthly BSE test, and agreed that BSE is a good practice test for early BC detection. Two hundred and ninety-one (91.2%) were knowledgeable about BC symptoms. In addition, 191 (64.7%) of the respondents agreed that they could detect BC by themselves, while 277 (76.9%) of respondents said that BSE is not time- consuming. A total of 257 (87.1%) of the respondents agreed that BSE was important and useful in the early detection of abnormalities. For the practice score, three-quarters (n=221; 74.9%) of the respondents practise BSE because they are aware of its benefit.


Conclusion. The intensive awareness campaign of BSE practice and BC should be done on a regular basis using mass media to increase the level of awareness of BC.




Article Details

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Knowledge, attitudes and practices related to breast cancer self-examination among medical students at the University of Khartoum, Sudan. (2023). Southern African Journal of Public Health, 6(2), 45-51. https://doi.org/10.7196/SAJPH.2023.v6.i2.176
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How to Cite

Knowledge, attitudes and practices related to breast cancer self-examination among medical students at the University of Khartoum, Sudan. (2023). Southern African Journal of Public Health, 6(2), 45-51. https://doi.org/10.7196/SAJPH.2023.v6.i2.176

References

Althuis MD, Dozier JM, Anderson WF, Devesa SS, Brinton LA. Global trends in breast cancer incidence and mortality 1973 - 1997. Int J Epidemiol 2005;34(2):405-412. https://doi. org/10.1093/ije/dyh414

Shibuya K, Mathers CD, Boschi-Pinto C, Lopez AD, Murray CJ. Global and regional estimates of cancer mortality and incidence by site: II. Results for the global burden of disease 2000. BMC Cancer 2002;2(1):37. https://doi.org/10.1186/1471-2407-2-37

Hortobagyi GN, de la Garza Salazar J, Pritchard K, et al. The global breast cancer burden: Variations in epidemiology and survival. Clin Breast Cancer 2005;6(5):391-401. https://doi. org/10.3816/cbc.2005.n.043

World Health Organization. Breast cancer: Early diagnosis and screening. Geneva: WHO, 2019. https://www.who.int/cancer/prevention/diagnosis-screening/breast-cancer/en/ (accessed 18 April 2019).

Elamin A, Ibrahim ME, Abuidris D, Mohamed KEH, Mohammed SI. Part I: cancer in Sudan – burden, distribution, and trends breast, gynecological, and prostate cancers. Cancer Med 2015;4(3):447-456. https://doi.org/10.1002/cam4.378

Ageek A, Ali BM, Awadelkarim MA. Pattern and incidence of cancer in Red Sea State, Sudan. Sudan J Med Sci 2007;2(2):115-119. https://doi.org/10.4314/sjms.v2i2.38475

Coleman MP, Quaresma M, Berrino F, et al. Cancer survival in five continents: A worldwide population-based study (CONCORD). Lancet Oncol 2008;9(8):730-756. https://doi. org/10.1016/s1470-2045(08)70179-7

Al-Naggar R, Isa ZM, Shah SA, et al. Eight-year survival among breast cancer Malaysian women from University Kebangsaan Malaysia Medical Centre. Asian Pac J Cancer Prev 2009;10(6):1075-1078.

Redhwan A, Md Idris M, Zaleha M, Robert C, Fuad I, Sami R. Quality of life among women with breast cancer from Universiti Kebangsaan Malaysia medical centre, Malaysia. J Commun Health 2008;14(2):46-55.

Heena H, Durrani S, Riaz M, et al. Knowledge, attitudes, and practices related to breast cancer screening among female health care professionals: A cross-sectional study. BMC Women Health 2019;19:122. https://doi.org/10.1186/s12905-019-0819-x

Noreen M, Murad S, Furqan M, Sultan A, Bloodsworth P. Knowledge and awareness about breast cancer and its early symptoms among medical and non-medical students of Southern Punjab, Pakistan. Asian Pacific J Cancer Prev 2015;16(3):979-984. https://doi. org/10.7314/apjcp.2015.16.3.979

Idris SA, Hamza AA, Hafiz MM, Ali MEA, El Shallaly GE. Knowledge, attitudes and practice of breast self examination among final-year female medical students in Sudan. Breast Cancer 2013;116:58.

American Cancer Society. Breast Cancer Facts & Figures 2013-2014. Atlanta: American Cancer Society, Inc., 2013.

Nde FP, Assob JCN, Kwenti TE, Njunda AL, Tainenbe TRG. Knowledge, attitude and practice of breast self-examination among female undergraduate students in the University of Buea. BMC Res Notes 2015;8:43. https://doi.org/10.1186/s13104-015- 1004-4

Chioma C, Asuzu S. Knowledge, attitude and practice of self-breast examination among the female students of the University of Ibadan, Nigeria. Pakistan J Social Sci 2007;4(Suppl 3):400-402.

Karayurt Ö, Özmen D, Çetinkaya AÇ. Awareness of breast cancer risk factors and practice of breast self examination among high school students in Turkey. BMC Pub Health 2008;359:8.

Doshi D, Reddy BS, Kulkarni S, Karunakar P. Breast self-examination: Knowledge, attitude, and practice among female dental students in Hyderabad city, India. Indian J Palliative Care 2012;18(1):68-73. https://doi.org/10.4103/0973-1075.97476

Makanjuola O, Amoo P, Ajibade B, Makinde O. Breast cancer: Knowledge and practice of breast self examination among women in rural community of Ondo State, Nigeria. IOSR J Pharm Biol Sci 2013;8(1):32-37.

Akhtari-Zavare Z, Hanafiah J, Abdul M, Zarina I. Knowledge on breast cancer and practice of breast self examination among selected female university students in Malaysia. Med Health Sci J 2011;7(3):49-56.

Sreedharan J, Muttappallymyalil J, Venkatramana M, Thomas M. Breast self-examination: Knowledge and practice among nurses in United Arab Emirates. Asian Pac J Cancer Prev 2010;11(3):651-654.

Rosmawati N. Knowledge, attitudes and practice of breast self-examination among women in a suburban area in Terengganu, Malaysia. Asian Pac J Cancer Prev 2010;11(6):1503-1508.

Kayode F, Akande T, Osagbemi G. Knowledge, attitude and practice of breast self examination among female secondary school teachers in Ilorin, Nigeria. Euro J Sci Res 2005;10(3):42-47.

Agboola A, Deji-Agboola A, Oritogun K, Musa A, Oyebadejo T, Ayoade B. Knowledge, attitude and practice of breast self examination in female health workers in Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria. IIUM Med J Malaysia 2009;8(1):5-10.

Rahman SA, Al-Marzouki A, Otim M, Khayat N, Yousef R, Rahman P. Awareness about breast cancer and breast self-examination among female students at the University of Sharjah: A cross-sectional study. Asian Pacific J Cancer Prev 2019;20(6):1901-1908.

Gürsoy AA, Yiğitbaş Ç, Yılmaz F, et al. The effect of peer education on university students’ knowledge of breast self-examination and health beliefs. J Breast Health 2009;5(3):135- 140.

Sama C-B, Dzekem B, Kehbila J, et al. Awareness of breast cancer and breast self- examination among female undergraduate students in a higher teachers’ training college in Cameroon. Pan Afr Med J 2017;28:(1):164. https://doi.org./10.11604/ pamj.2017.28.91.10986

Suh MAB, Atashili J, Fuh EA, Eta VA. Breast self-examination and breast cancer awareness in women in developing countries: A survey of women in Buea, Cameroon. BMC Res Notes 2012;5:627. https://doi.org/10.1186/1756-0500-5-627

Hisham AN, Yip C-H. Overview of breast cancer in Malaysian women: A problem with late diagnosis. Asian J Surg 2004;27(2):130-133.

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