Assessing the efficacy of a peer education model in teaching breast self-examination to university students.
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This study was conducted to evaluate the effectiveness of a peer education model in teaching breast self-examination to a late adolescence female student group attending the second class of Buca Educational Faculty of Dokuz Eylul University (DEU). A total of 15 volunteer students were given the breast self-examination training programme by a researcher and thereby became qualified as peer educators. Each then reached 10 peers and conveyed information on the Breast-Self Examination Programme. The identification forms of the students were filled out by the researcher. Evaluation forms I and II developed by Maurer (1997) for regular BSE practice and skills were used and evaluated with 100 points. The "paired t-test", "Student's t-test", "McNemar test", and "Pearson correlation test" were employed to for statistical assessment. According to the evaluation results; while the students's average point of knowledge on BSE was 43.0 +/- 11.7 before training, it became 88.9 +/- 8.15 after a week, and 86.9 +/- 9.69 after four weeks. It was obvious that there was a meaningful difference between those knowledge rates (p<0,05). Similarly while the ratio of systematic practice of BSE among students was 2.6% before training it increased to 66% (p<0.05). Additionally, the average point of the students BSE practice skills became 91.5 +/- 7.25 at four weeks after the training with a significant increase as well (r=0,70). Therefore we conclude that the peer education model is an effective method for teaching breast self examination to students. (+info)
Socioeconomic factors association with knowledge and practice of breast self-examination among Iranian women.
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BACKGROUND: Breast cancer is the leading type of cancer in women and is one of the most frequent cancers among Iranian women. Delay in diagnosis and treatment of breast cancer diminishes a women's chance of survival. Breast self- examination (BSE) may be effective in early detection. The purpose of this study was to identify the relationship between Iranian women's socioeconomic status and their knowledge and practice of BSE. METHODS: Data were from a hospital-based case-control study among women diagnosed with breast cancer. Control subjects were matched to patients on age. 303 breast cancer patients and 303 control women were interviewed. Socioeconomic status and information including knowledge and practices of breast self examination and clinical breast examination were recorded and compared. RESULTS: The mean +/- SD age of cases and controls was 48.2 +/- 9.8 and 50.2 +/- 11.1 (range 24-84 years), respectively. The study revealed that there were significant relationships between education level and knowledge and practices of breast self examination in both cases and controls, increase in usage being observed with the level of education (P<0.05). CONCLUSION: The findings suggest that the knowledge and practices of women toward breast cancer early detection are inadequate in women with a lower level of education. Mass media cancer education should promote widespread access to information about early detection behavior. (+info)
Predicting the use of individualized risk assessment for breast cancer.
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Determinants of the use of breast cancer screening among women workers in urban Mexico.
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INTRODUCTION: This case-control study aimed to determine critical factors influencing the use of clinical breast examination and mammography among women workers in Monterrey, Mexico. METHODS: We determined case and control status from survey results. Cases were defined in accordance with the guidelines of the Official Mexican Standard as lack of at least one clinical breast examination during the past year by surveyed women. For women older than 40 years, cases were further defined as lack of at least one mammogram in the previous 2 years and, for women older than 50, lack of a mammogram in the previous year. Controls were defined as adherence by surveyed women to these guidelines. Participants (N = 306 clerks aged 18-60) provided information about their practices, knowledge, and perceptions regarding breast cancer screening. Factors identified by odds ratio analysis as significantly different between cases and controls were analyzed by multivariate logistic regression. RESULTS: Survey participants' knowledge about the utility of breast self-examination (odds ratio, 6.0; 95% confidence interval, 1.0-33.9), perception that the health care system has enough equipment and personnel for clinical breast examination (odds ratio, 4.7; 95% confidence interval, 1.7-13.2), and perception that they have enough time to wait for and receive clinical breast examinations (odds ratio, 2.5; 95% confidence interval, 1.1-5.8) significantly predisposed women to use screening services independent of years of formal education, number of pregnancies, number of living children, hours worked per week, and monthly family income. CONCLUSION: Perception of organizational and structural factors played a significant role in screening use. Our findings have implications for the general population, provider practices, community interventions, and future development of strategies to increase use of screening services in similar locales. (+info)
Factors affecting the palpability of breast lesion by self-examination.
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INTRODUCTION: This study aims to assess the accuracy of detection of breast lesion by breast self-examination and to assess different factors affecting the accuracy. METHODS: All consecutive Chinese female patients, who attended our breast imaging unit in 2001, completed our questionnaire, had retrievable hard copy films, and had more than three years clinical follow-up, were recruited for this study. Different factors, such as age, menopausal status, previous experience of breastfeeding, family history of breast cancer, previous history of mastectomy or lumpectomy, hormonal therapy, oral contraceptive pills and previous history of mammography, were correlated with accuracy in self-detection of breast lesions retrospectively. The nature, size and location of the lesion, and breast size based on imaging, were also correlated with the accuracy in self-detection of breast lesions. RESULTS: A total of 163 questionnaires were analysed. 111 patients detected a breast lesion themselves and 24 of these lesions were false-positives. A total of 173 lesions (27 cancerous, 146 benign lesions) were documented by either ultrasonography and/or mammography, and confirmed by either histology or three-year clinical follow-up. The overall sensitivity in detecting both benign and malignant breast lesions was 71% when number of breast lesions was used as the denominator, and up to 78% sensitivity was achieved when number of patients was used as the denominator. History of mastectomy, and size and nature of the lesions were found to affect the accuracy of self-detection of breast lesions. CONCLUSION: Overall, breast self-examinations were effective in the detection of breast lesions and factors such as size of lesion, nature of the lesion and history of mastectomy affect the accuracy of the detections. Breast self-examination should be promoted for early detection of breast cancer. (+info)
Factors affecting the use of screening mammography among African American women.
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Our objective was to determine the influence of health consciousness in the utilization of mammography in asymptomatic African American women. The sample consisted of 670 women who participated in a household interview in two cities. Logistic regression was used to determine the independent effects of health consciousness, holding constant other factors believed to be related to mammography utilization. Health insurance, income below the poverty line, and an annual physical were not significant predictors. The single most important predictor of having a mammogram was the regular practice of breast self-examination; the group of women who practiced self-examination was almost twice as likely to have a mammogram. (+info)
Trends in breast cancer screening and diagnosis.
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Screening mammography is the single most effective method of early breast cancer detection and is recommended on an annual basis beginning at age 40 for women at average risk of breast cancer. In addition to traditional film-screen mammograms, digital mammograms now offer digital enhancement to aid interpretation, which is especially helpful in women with dense breast tissue. Useful emerging adjuncts to mammography include ultrasonography, which is particularly helpful for further assessment of known areas of interest, and magnetic resonance imaging, which shows promise for use in high-risk populations. Image-guided biopsy--directed by ultrasonograpy or stereotactic mammography views--plays a critical role in histologic confirmation of suspected breast cancer. (+info)
Factors associated with breast cancer prevention communication between mothers and daughters.
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