Assessment of Breast Self Examination Practice and Associated Factors among Women Between 20 Up To 70 Years Attending on the Selected Public Health Centers in Addis Ababa, Ethiopia, 2015

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Addis Abeba Universty


Back ground: Breast cancer is the leading cause of cancer death in women age between 40 and 55 year worldwide. The Study estimated that 70% of all breast cancer cases worldwide will be in low and middle resource countries by 2020. In Ethiopia breast cancer is the second most often occurring cancer types having a lion's share for higher maternal deaths in the country. Breast self-examination is one of the methods used for early detection of breast cancer. In resource scarce countries like Ethiopia, Breast self-examination is promoted for early detection of breast cancer to prevent related morbidities and mortalities. OBJECTIVE: To assess the magnitude of Breast Self-Examination practice and associated factors among women between 20 up to 70 years attending the selected public health centers in Addis Ababa, Ethiopia, 2015. METHODS: A health facility based cross-sectional study was conducted from March-April/2015 among women between 20 up to 70 years attended in selected public health centers in Addis Ababa, Ethiopia, 2015. Health centers were selected by simple random sampling technique and the study participants were selected using Systematic Random Sampling Technique. Data were collected by using a structured and pretested questionnaire. Data transferred from the Epi info database to SPSS database using stat transfer for analysis. Logistic regression analysis was fitted and odds ratios with 95% Confidence intervals and p-values were computed to identify factors associated with the practice of Breast self-examination. Result: There were 406 respondents, which gives a 96% response rate from the expected 422. From the 14 question designed to assess BSE knowledge of the respondents 88(21.7%) scores the median seven and above. Below one fourth 46(11.3%) of the respondents were ever practiced BSE, from that only 24(6%) regularly practiced. The most common reason for not practicing BSE, they didn’t know how doing it 224 (55.2%). Women who have knowledge of BSE two times more likely practice BSE (Knowledgeable for BSE AOR 2.227 [1.135 – 4.3]) and also women who have confidence to do BSE six times more likely practice BSE (Have perceived confidence AOR 5.645[2.493 – 12.7]). Therefore, the two variables were that statically significant association with the practice of BSE. Conclusion: This study revealed a low level of ever practice BSE and from that few of them regularly practice Breast self-examine. Thus warrant to the concerned bodies for creation of breast cancer awareness campaigns and screening programs at all levels of the health sector to promote early detection and diagnosis in the prevention of breast cancer in women in Ethiopia.



Assessment of Breast Self Examination Practice