1
Departments of Surgery Student, Dow Medical College, Karachi, Pakistan
2
Departments of Surgery and Paediatric Medicine, Civil Hospital,
Abstract
BACKGROUND: Breast cancer is the most frequently diagnosed cancer and the leading cause of cancer death in females’ worldwide. Pakistan has higher incidence of the disease than the neighboring countries and one in every nine Pakistani women suffers from breast cancer which is one of the highest incidence rate in Asia. Numerous risk factors such as nulliparity, family history, genetic mutations, increasing age, early menarche, and late menopause are associated with the development of breast cancer. Lack of awareness and the preexisting myths regarding this disease have led to the detection of breast cancer at a later stage. OBJECTIVE: The main objective of this study is to determine the frequency of adequate breast cancer knowledge and its level among nonmedical women of Karachi coming to attend general surgery outpatient clinics. METHODS: A cross‑sectional Study was conducted in Outpatient Clinics, Department of General Surgery, Civil Hospital, Karachi. The sample of 250 females with nonmedical background was gathered from December 27, 2016 to June 26, 2017. Adequate breast cancer knowledge was divided into three criteria such as poor, fair, and good knowledge. Chi‑square test was applied. P ≤ 0.05 was considered as statistically significant. RESULTS: The mean age was 35.63 ± 9.56 years. Mean knowledge score was 5.24 ± 2.92. Overall, 42% of participants were found with adequate breast cancer knowledge whereas 58% of the participants had inadequate knowledge. Based on the study questionnaire, 38% had poor knowledge, 40.4% had fair knowledge, and 21.6% had good knowledge. Significant association was observed with age, monthly family income, education status, and occupation. CONCLUSION: The results showed lack of adequate knowledge. A high proportion (58%) of nonmedical females had inadequate knowledge about breast cancer.
Mathers C, Fat DM, Boerma J. The global Burden of Disease: 2004 Update. Geneva: World Health Organization; 2008. 2. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D, et al. Global cancer statistics. CA Cancer J Clin 2011;61:69‑90. 3. Williams N, Bulstrode C, O’Connell PR. Bailey and Love’s Short Practice of Surgery 26E. CRC Press: Taylor and Francis; 2013. 4. Bhurgri Y, Kayani N, Faridi N, Pervez S, Usman A, Bhurgri H, et al. Patho‑epidemiology of breast cancer in karachi ‘1995‑1997’. Asian Pac J Cancer Prev 2007;8:215‑20. 5. Sobani ZU, Saeed Z, Baloch HN, Majeed A, Chaudry S, Sheikh A, et al. Knowledge attitude and practices among urban women of Karachi, Pakistan, regarding breast cancer. J Pak Med Assoc 2012;62:1259‑64. 6. Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, et al. Cancer incidence and mortality worldwide: Sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer 2015;136:E359‑86. 7. Youlden DR, Cramb SM, Yip CH, Baade PD. Incidence and mortality of female breast cancer in the asia‑pacific region. Cancer Biol Med 2014;11:101‑15. 8. Gilani SI, Khurram M, Mazhar T, Mir ST, Ali S, Tariq S, et al. Knowledge, attitude and practice of a Pakistani female cohort towards breast cancer. J Pak Med Assoc 2010;60:205‑8. 9. Akhigbe AO, Omuemu VO. Knowledge, attitudes and practice of breast cancer screening among female health workers in a Nigerian urban city. BMC Cancer 2009;9:203. 10. Olatona FA, Adenihun JO, Aderibigbe SA, Adeniyi OF. Complementary feeding knowledge, practices, and dietary diversity among mothers of under‑five children in an urban community in Lagos state, Nigeria. Int J MCH AIDS 2017;6:46‑59. 11. Heidari Z, Mahmoudzadeh‑Sagheb H, Sakhavar N. Breast cancer screening knowledge and practice among women in Southeast of Iran. Acta Medica Iran 2008;46:321‑8.
12. Rashidi A, Rajaram SS. Middle Eastern Asian islamic women and breast self‑examination. Needs assessment. Cancer Nurs 2000;23:64‑70. 13. Rajaram SS, Rashidi A. Asian‑islamic women and breast cancer screening: A socio‑cultural analysis. Women Health 1999;28:45‑58. 14. Okobia MN, Bunker CH, Okonofua FE, Osime U. Knowledge, attitude and practice of nigerian women towards breast cancer: A cross‑sectional study. World J Surg Oncol 2006;4:11. 15. Ibrahim EM, al‑Idrissi HY, al‑Khadra AH, Kurashi NY, al‑Jishi FM, Saied I, et al. Women’s knowledge of and attitude toward breast cancer in a developing country: Implications for program interventions‑results based on interviewing 500 women in saudi arabia. J Cancer Educ 1991;6:73‑81. 16. Milaat WA. Knowledge of secondary‑school female students on breast cancer and breast self‑examination in Jeddah, Saudi Arabia. East Mediterr Health J 2000;6:338‑44. 17. Ho V, Yamal JM, Atkinson EN, Basen‑Engquist K, Tortolero‑Luna G, Follen M, et al. Predictors of breast and cervical screening in vietnamese women in Harris county, Houston, Texas. Cancer Nurs 2005;28:119‑29. 18. Gwarzo UM, Sabitu K, Idris SH. Knowledge and practice of breast‑self examination among female undergraduate students of ahmadu bello university Zaria, Northwestern Nigeria. Ann Afr Med 2009;8:55‑8. 19. Maqsood B, Zeeshan MM, Rehman F, Aslam F, Zafar A, Syed B, et al. Breast cancer screening practices and awareness in women admitted to a tertiary care hospital of Lahore, Pakistan. J Pak Med Assoc 2009;59:418‑21.
Sarah Arif,.. , Qamaruddin Baloch,.. , Farhan Zaheer,.. , Rehmat Agheem,.. , Madiha Ariff,.. and Mushtaq Ahmed,.. (2018). The adequate breast cancer knowledge assessment: A cross‑sectional study done among nonmedical women of Karachi. Journal of Education and Health Promotion, 8(12), 1-6.
MLA
Sarah Arif,.. , , Qamaruddin Baloch,.. , , Farhan Zaheer,.. , , Rehmat Agheem,.. , , Madiha Ariff,.. , and Mushtaq Ahmed,.. . "The adequate breast cancer knowledge assessment: A cross‑sectional study done among nonmedical women of Karachi", Journal of Education and Health Promotion, 8, 12, 2018, 1-6.
HARVARD
Sarah Arif .., Qamaruddin Baloch .., Farhan Zaheer .., Rehmat Agheem .., Madiha Ariff .., Mushtaq Ahmed .. (2018). 'The adequate breast cancer knowledge assessment: A cross‑sectional study done among nonmedical women of Karachi', Journal of Education and Health Promotion, 8(12), pp. 1-6.
CHICAGO
.. Sarah Arif, .. Qamaruddin Baloch, .. Farhan Zaheer, .. Rehmat Agheem, .. Madiha Ariff and .. Mushtaq Ahmed, "The adequate breast cancer knowledge assessment: A cross‑sectional study done among nonmedical women of Karachi," Journal of Education and Health Promotion, 8 12 (2018): 1-6,
VANCOUVER
Sarah Arif .., Qamaruddin Baloch .., Farhan Zaheer .., Rehmat Agheem .., Madiha Ariff .., Mushtaq Ahmed .. The adequate breast cancer knowledge assessment: A cross‑sectional study done among nonmedical women of Karachi. J Educ Health Promot, 2018; 8(12): 1-6.