Breast cancer awareness, risk factors and screening practices among future health professionals in Ghana: A cross-sectional study
Like many other women in the developing world, the practice of breast cancer screening among Ghanaian women is unsatisfactory. As a result, many cases are diagnosed at advanced stages leading to poor outcomes including mortalities. An understanding of the awareness and predictors of breast examinati...
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| Veröffentlicht in: | PloS one 2021-06, Vol.16 (6), p.e0253373-e0253373 |
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| description | Like many other women in the developing world, the practice of breast cancer screening among Ghanaian women is unsatisfactory. As a result, many cases are diagnosed at advanced stages leading to poor outcomes including mortalities. An understanding of the awareness and predictors of breast examination is an important first step that may guide the design of interventions aimed at raising awareness across the general population. This study aimed to explore the awareness, risk factors, and self-reported screening practices of breast cancer among female undergraduate students at the University of Health and Allied Sciences.
This cross-sectional study was conducted among 385 female undergraduate students using a pre-tested questionnaire. Data were analysed using Stata Version 13.1 and presented using descriptive and inferential statistics comprising frequency, percentage, chi-square, and binary logistic regression. Odds ratios and 95% confidence intervals were computed to quantify the association between regular Breast-Self Examination (BSE) and socio-demographic characteristics of respondents.
Seventy-three per cent of the students were aware of breast cancer, with social media being the most important source of information (64.4%). The prevalence of breast cancer risk factors varied from 1% of having a personal history of breast cancer to 14.3% for positive family history of breast cancer. Current use of oral pills/injectable contraceptives was confirmed by 13.2% of participants; 20% were current alcohol users and10.1% were physically inactive. Regarding breast examination, 42.6% performed BSE; 10.1% had Clinical Breast Examination (CBE), while 2.3% had undergone mammography in the three years preceding the study. Women who did not believe to be susceptible to breast cancer (AOR: 0.04; 95%CI: 0.02-0.09) and those who did not know their risk status (AOR: 0.02; 95%CI: 0.005-0.57) were less likely to perform regular BSE compared to those who displayed pessimism. Further, women with no religious affiliation had 0.11 (95%CI: 0.02-0.55) odds of examining their breast regularly compared to Christians.
This study demonstrated moderate awareness of the modalities of breast cancer screening and the risk factors of breast cancer among the students. However, there exists a gap between awareness and practice of breast cancer screening, which was influenced by optimism in breast cancer risk perception and religion. Awareness campaigns and education should be intensified in |
| doi_str_mv | 10.1371/journal.pone.0253373 |
| format | Article |
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This cross-sectional study was conducted among 385 female undergraduate students using a pre-tested questionnaire. Data were analysed using Stata Version 13.1 and presented using descriptive and inferential statistics comprising frequency, percentage, chi-square, and binary logistic regression. Odds ratios and 95% confidence intervals were computed to quantify the association between regular Breast-Self Examination (BSE) and socio-demographic characteristics of respondents.
Seventy-three per cent of the students were aware of breast cancer, with social media being the most important source of information (64.4%). The prevalence of breast cancer risk factors varied from 1% of having a personal history of breast cancer to 14.3% for positive family history of breast cancer. Current use of oral pills/injectable contraceptives was confirmed by 13.2% of participants; 20% were current alcohol users and10.1% were physically inactive. Regarding breast examination, 42.6% performed BSE; 10.1% had Clinical Breast Examination (CBE), while 2.3% had undergone mammography in the three years preceding the study. Women who did not believe to be susceptible to breast cancer (AOR: 0.04; 95%CI: 0.02-0.09) and those who did not know their risk status (AOR: 0.02; 95%CI: 0.005-0.57) were less likely to perform regular BSE compared to those who displayed pessimism. Further, women with no religious affiliation had 0.11 (95%CI: 0.02-0.55) odds of examining their breast regularly compared to Christians.
This study demonstrated moderate awareness of the modalities of breast cancer screening and the risk factors of breast cancer among the students. However, there exists a gap between awareness and practice of breast cancer screening, which was influenced by optimism in breast cancer risk perception and religion. Awareness campaigns and education should be intensified in the University to bridge this gap.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0253373</identifier><identifier>PMID: 34166407</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Alcohol use ; Biology and Life Sciences ; Birth control ; Breast cancer ; Breast Neoplasms - diagnosis ; Breast Self-Examination ; Cancer ; Cancer screening ; Chi-square test ; College students ; Colleges & universities ; Confidence intervals ; Contraceptives ; Cross-Sectional Studies ; Developing countries ; Diagnosis ; Early Detection of Cancer ; Educational Status ; Exercise ; Family medical history ; Female ; Genetics ; Ghana ; Health Knowledge, Attitudes, Practice ; Health literacy ; Health Personnel - education ; Health risks ; Humans ; LDCs ; Mammography ; Medical personnel ; Medical screening ; Medical students ; Medicine and Health Sciences ; Mortality ; People and Places ; Population ; Population studies ; Psychological aspects ; Public health ; Questionnaires ; Research and Analysis Methods ; Risk analysis ; Risk Factors ; Risk perception ; Screening ; Social aspects ; Social Sciences ; Statistical analysis ; Statistical tests ; Students ; Students, Medical ; Surveys ; Surveys and Questionnaires ; Undergraduate study ; Universities ; Women college students ; Womens health</subject><ispartof>PloS one, 2021-06, Vol.16 (6), p.e0253373-e0253373</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Osei-Afriyie et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Osei-Afriyie et al 2021 Osei-Afriyie et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-c114c10822e867c7a13054985a1da077a0d8f5d699fba93060a904a55a18d3d73</citedby><cites>FETCH-LOGICAL-c692t-c114c10822e867c7a13054985a1da077a0d8f5d699fba93060a904a55a18d3d73</cites><orcidid>0000-0003-0218-3843 ; 0000-0001-6567-1591</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8224936/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8224936/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2095,2914,23846,27903,27904,53770,53772,79347,79348</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34166407$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Laganà, Antonio Simone</contributor><creatorcontrib>Osei-Afriyie, Sandra</creatorcontrib><creatorcontrib>Addae, Albert Kwesi</creatorcontrib><creatorcontrib>Oppong, Samuel</creatorcontrib><creatorcontrib>Amu, Hubert</creatorcontrib><creatorcontrib>Ampofo, Emmanuel</creatorcontrib><creatorcontrib>Osei, Eric</creatorcontrib><title>Breast cancer awareness, risk factors and screening practices among future health professionals in Ghana: A cross-sectional study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Like many other women in the developing world, the practice of breast cancer screening among Ghanaian women is unsatisfactory. As a result, many cases are diagnosed at advanced stages leading to poor outcomes including mortalities. An understanding of the awareness and predictors of breast examination is an important first step that may guide the design of interventions aimed at raising awareness across the general population. This study aimed to explore the awareness, risk factors, and self-reported screening practices of breast cancer among female undergraduate students at the University of Health and Allied Sciences.
This cross-sectional study was conducted among 385 female undergraduate students using a pre-tested questionnaire. Data were analysed using Stata Version 13.1 and presented using descriptive and inferential statistics comprising frequency, percentage, chi-square, and binary logistic regression. Odds ratios and 95% confidence intervals were computed to quantify the association between regular Breast-Self Examination (BSE) and socio-demographic characteristics of respondents.
Seventy-three per cent of the students were aware of breast cancer, with social media being the most important source of information (64.4%). The prevalence of breast cancer risk factors varied from 1% of having a personal history of breast cancer to 14.3% for positive family history of breast cancer. Current use of oral pills/injectable contraceptives was confirmed by 13.2% of participants; 20% were current alcohol users and10.1% were physically inactive. Regarding breast examination, 42.6% performed BSE; 10.1% had Clinical Breast Examination (CBE), while 2.3% had undergone mammography in the three years preceding the study. Women who did not believe to be susceptible to breast cancer (AOR: 0.04; 95%CI: 0.02-0.09) and those who did not know their risk status (AOR: 0.02; 95%CI: 0.005-0.57) were less likely to perform regular BSE compared to those who displayed pessimism. Further, women with no religious affiliation had 0.11 (95%CI: 0.02-0.55) odds of examining their breast regularly compared to Christians.
This study demonstrated moderate awareness of the modalities of breast cancer screening and the risk factors of breast cancer among the students. However, there exists a gap between awareness and practice of breast cancer screening, which was influenced by optimism in breast cancer risk perception and religion. Awareness campaigns and education should be intensified in the University to bridge this gap.</description><subject>Adult</subject><subject>Alcohol use</subject><subject>Biology and Life Sciences</subject><subject>Birth control</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - diagnosis</subject><subject>Breast Self-Examination</subject><subject>Cancer</subject><subject>Cancer screening</subject><subject>Chi-square test</subject><subject>College students</subject><subject>Colleges & universities</subject><subject>Confidence intervals</subject><subject>Contraceptives</subject><subject>Cross-Sectional Studies</subject><subject>Developing countries</subject><subject>Diagnosis</subject><subject>Early Detection of Cancer</subject><subject>Educational Status</subject><subject>Exercise</subject><subject>Family medical history</subject><subject>Female</subject><subject>Genetics</subject><subject>Ghana</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health literacy</subject><subject>Health Personnel - education</subject><subject>Health risks</subject><subject>Humans</subject><subject>LDCs</subject><subject>Mammography</subject><subject>Medical personnel</subject><subject>Medical screening</subject><subject>Medical students</subject><subject>Medicine and Health Sciences</subject><subject>Mortality</subject><subject>People and Places</subject><subject>Population</subject><subject>Population studies</subject><subject>Psychological aspects</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Research and Analysis Methods</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Risk perception</subject><subject>Screening</subject><subject>Social aspects</subject><subject>Social Sciences</subject><subject>Statistical analysis</subject><subject>Statistical tests</subject><subject>Students</subject><subject>Students, 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cancer awareness, risk factors and screening practices among future health professionals in Ghana: A cross-sectional study</title><author>Osei-Afriyie, Sandra ; Addae, Albert Kwesi ; Oppong, Samuel ; Amu, Hubert ; Ampofo, Emmanuel ; Osei, Eric</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-c114c10822e867c7a13054985a1da077a0d8f5d699fba93060a904a55a18d3d73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Alcohol use</topic><topic>Biology and Life Sciences</topic><topic>Birth control</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - diagnosis</topic><topic>Breast Self-Examination</topic><topic>Cancer</topic><topic>Cancer screening</topic><topic>Chi-square test</topic><topic>College students</topic><topic>Colleges & universities</topic><topic>Confidence intervals</topic><topic>Contraceptives</topic><topic>Cross-Sectional 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One</addtitle><date>2021-06-24</date><risdate>2021</risdate><volume>16</volume><issue>6</issue><spage>e0253373</spage><epage>e0253373</epage><pages>e0253373-e0253373</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Like many other women in the developing world, the practice of breast cancer screening among Ghanaian women is unsatisfactory. As a result, many cases are diagnosed at advanced stages leading to poor outcomes including mortalities. An understanding of the awareness and predictors of breast examination is an important first step that may guide the design of interventions aimed at raising awareness across the general population. This study aimed to explore the awareness, risk factors, and self-reported screening practices of breast cancer among female undergraduate students at the University of Health and Allied Sciences.
This cross-sectional study was conducted among 385 female undergraduate students using a pre-tested questionnaire. Data were analysed using Stata Version 13.1 and presented using descriptive and inferential statistics comprising frequency, percentage, chi-square, and binary logistic regression. Odds ratios and 95% confidence intervals were computed to quantify the association between regular Breast-Self Examination (BSE) and socio-demographic characteristics of respondents.
Seventy-three per cent of the students were aware of breast cancer, with social media being the most important source of information (64.4%). The prevalence of breast cancer risk factors varied from 1% of having a personal history of breast cancer to 14.3% for positive family history of breast cancer. Current use of oral pills/injectable contraceptives was confirmed by 13.2% of participants; 20% were current alcohol users and10.1% were physically inactive. Regarding breast examination, 42.6% performed BSE; 10.1% had Clinical Breast Examination (CBE), while 2.3% had undergone mammography in the three years preceding the study. Women who did not believe to be susceptible to breast cancer (AOR: 0.04; 95%CI: 0.02-0.09) and those who did not know their risk status (AOR: 0.02; 95%CI: 0.005-0.57) were less likely to perform regular BSE compared to those who displayed pessimism. Further, women with no religious affiliation had 0.11 (95%CI: 0.02-0.55) odds of examining their breast regularly compared to Christians.
This study demonstrated moderate awareness of the modalities of breast cancer screening and the risk factors of breast cancer among the students. However, there exists a gap between awareness and practice of breast cancer screening, which was influenced by optimism in breast cancer risk perception and religion. Awareness campaigns and education should be intensified in the University to bridge this gap.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>34166407</pmid><doi>10.1371/journal.pone.0253373</doi><tpages>e0253373</tpages><orcidid>https://orcid.org/0000-0003-0218-3843</orcidid><orcidid>https://orcid.org/0000-0001-6567-1591</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2021-06, Vol.16 (6), p.e0253373-e0253373 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2544866926 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Alcohol use Biology and Life Sciences Birth control Breast cancer Breast Neoplasms - diagnosis Breast Self-Examination Cancer Cancer screening Chi-square test College students Colleges & universities Confidence intervals Contraceptives Cross-Sectional Studies Developing countries Diagnosis Early Detection of Cancer Educational Status Exercise Family medical history Female Genetics Ghana Health Knowledge, Attitudes, Practice Health literacy Health Personnel - education Health risks Humans LDCs Mammography Medical personnel Medical screening Medical students Medicine and Health Sciences Mortality People and Places Population Population studies Psychological aspects Public health Questionnaires Research and Analysis Methods Risk analysis Risk Factors Risk perception Screening Social aspects Social Sciences Statistical analysis Statistical tests Students Students, Medical Surveys Surveys and Questionnaires Undergraduate study Universities Women college students Womens health |
| title | Breast cancer awareness, risk factors and screening practices among future health professionals in Ghana: A cross-sectional study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-21T20%3A02%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Breast%20cancer%20awareness,%20risk%20factors%20and%20screening%20practices%20among%20future%20health%20professionals%20in%20Ghana:%20A%20cross-sectional%20study&rft.jtitle=PloS%20one&rft.au=Osei-Afriyie,%20Sandra&rft.date=2021-06-24&rft.volume=16&rft.issue=6&rft.spage=e0253373&rft.epage=e0253373&rft.pages=e0253373-e0253373&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0253373&rft_dat=%3Cgale_plos_%3EA666328485%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2544866926&rft_id=info:pmid/34166407&rft_galeid=A666328485&rft_doaj_id=oai_doaj_org_article_86bcd2a1e03546d388d9ba14df43fa59&rfr_iscdi=true |