Practice of breast self examination and associated factors among women attending health services in selected public health facilities in Dire Dawa town, Ethiopia.
No Thumbnail Available
Date
2018-03
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
Background: Breast cancer is one of the most common cancer diseases among women globally, identified as causing increasing number of morbidity and mortality. Breast self-examination is one of the cheapest breast cancer screening tools, women who are 20 years old and above can practice by themselves. Identifying the women’s practice of Breast Self-Examination and the factors that influence their practice is important to improve the women’s health by designing and providing healthcare services accordingly. Objectives: To assess the practice of Breast Self-Examination and its associated factors among females attending health service in the selected public health facilities in Dire-Dawa town. Method: Institutional based cross-sectional study was conducted among women who attended health services in selected public health facilities in Dire-Dawa town. With this study 351 sample were drawn from the selected health facilities by using random sampling technique, the data was collected using interview administered questionnaire, and then entered into SPSS version 20 for analysis. Descriptive statistics; frequency, percentage, mean and standard deviations were used. Binary and multiple logistic regressions were computed to see association between dependent and independent variables. Thus, association is considered statistically significant with p-value < 0.05 at95% confidence interval. Result: In this study 340 participants were surveyed with 95.7% response rate. Among these 109(32.1%) have ever practiced BSE and 29(26.6%) practiced BSE regularly. And most of the respondents mentioned lack of skill as a reason not to practice. With multivariate analysis the statistically significant variables that showed association with practice of breast self-examination include; educational status being at high school level AOR 0.278(0.107, 0.718); having Knowledge about sign and symptom of BC with AOR 8.2 (2.82, 17.73); Attitude on perceived barrier those who agree on absence of barriers were AOR 7.19(1.65, 31.32) times more likely to practice BSE compared to those who disagree. Conclusion: The regular practice of BSE in the study area is higher to studies done in different region of Ethiopia. But it is low as compared to other African countries and high compared to other Asian and Eastern countries. Education at high school level, knowledge about sign and symptoms of breast cancer and absence of perceived barrier were the predicators of breast self-examination. Recommendation: promoting wider range of health strategies to increase women awareness of breast cancer, benefits and techniques of doing BSE.
Description
Keywords
self-examination, Dire Dawa, Perceived barriers, knowledge of sign and symptoms.