Assessment of magnitude and associated factors of breast abnormalities among women in selected health centers in Addis Ababa City, Ethiopia.
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Date
2018-04
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Addis Ababa Universty
Abstract
Background: Breast disorders may be noncancerous (benign) or cancerous (malignant). Breast cancer is by far the most frequent cancer among women with an estimated 1.67 million new cancer cases diagnosed in 2012.breast cancer is the leading reproductive cancer in Ethiopia with an estimated 12956 new cases and7089 deaths in 2012. Knowing the magnitude and associated factors of breast abnormality will help the government and other actors implementing strategies for early detection and minimization of breast abnormality occurrences in the community leading to reduced incidence of breast cancer.
Objectives: The aim of this study is to assess the magnitude and associated factors of breast abnormalities among women in selected health centers in Addis Ababa city.
Methods: The study was done in Addis Ababa, Ethiopia. The study population was all women above age of 18 attending the selected health centers at the time of the study. The study was conducted between April 1 and April 31, 2018. A facility based cross-sectional study design was employed. The total sample size of the study was 1173. Health centers were selected from sub cities proportionally based on their population size by simple random sampling technique. Data was collected using interview method and presence or absence of breast abnormality was determined by self-reporting of participants. Data was entered into Epi-info version7.1, cleaned and exported to SPSS v21 for analysis.
Result: According to this study the magnitude of breast abnormality among women above the age of 18 in Addis Ababa city is 51(4.63%). Based on this analysis age ≥45yrs has odds ratio of 5.4[AOR =5.409(1.196-24.460)]. The odds ratio for first degree relative with breast abnormality history is 9.44[AOR = 9.435(3.123 - 28.508)]. Similarly the odds ratio for previous history of breast abnormality is 10.99[AOR = 10.991(3.051 - 39.599)]. Age at menstruation also have odds ratio for both ages 12 – 13yrs and > 13yrs [AOR = 0.120(0.023 -0.622), 0.128(0.028 - 0.591)]. respectively. Odds ratio for Women who breast fed is [AOR= 0.103(0.031 - 0.343)].
Conclusion: Magnitude of breast abnormality is 51(4.63%). Breast abnormality were found to be significantly associated with age above 44yrs, first degree relative breast abnormality history, previous history of breast abnormality age at menarche and exposure to breast feeding.
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Breast disorders may be noncancerous (benign),cancerous (malignant).