Knowledge and Practice of Breast Self Examination among Female Students of Tertiary Institutions in Abia State, Nigeria

Iwuoha E. C. *

Abia State University Teaching Hospital, Aba, Nigeria.

Ufot I. P.

College of Medicine, Abia State University Uturu, Nigeria.

Onuabuchi T. F.

College of Medicine, Abia State University Uturu, Nigeria.

Amogu C. C.

College of Medicine, Abia State University Uturu, Nigeria.

Onuoha I. E.

College of Medicine, Abia State University Uturu, Nigeria.

Ijoma C. E.

Abia State Specialist Hospital and Diagnostic Center, Umuahia, Nigeria.

*Author to whom correspondence should be addressed.


Abstract

Background: Early detection and diagnosis of illnesses by screening is a key public health premise. Breast self-examination is a cheap and convenient method of early detection of cancer of the breast, especially in resource poor countries; Women who frequently perform breast self-examinations (BSE) look for any lumps or abnormal changes in order to seek immediate medical assistance. There is increasing incidence of detection of breast cancer among young women, this has been attributed to a lack of knowledge and practice of breast self-examination (BSE).

Aim: To determine the knowledge, and practice of routine breast self-examination among the female students of tertiary institutions in Abia State, Nigeria.

Materials and Methods: This was a cross-sectional study conducted among 609 female students from five tertiary institutions in Abia State, Nigeria. Research instruments were structured, self-administered and pretested questionnaires. Data collected were analyzed using Statistical Package for Social Sciences (SPSS Version 25). 

Results: Majority of the participants were between the ages of 18-22 years. Majority of the respondents had heard of BSE (88.8%) mostly from social media (37.7%).  A good number knew the steps involved in BSE (72.7%); while 467(76.7%) of respondents, had practiced BSE before. However, frequency of practice was low, and majority who didn’t practice frequently cited forgetfulness (38.5%) as their major reason. Most respondents agreed that BSE was very relevant (72.4%), and that families needed to be taught BSE (98.4%). Most respondents (81.3%) had no family history of breast lump while 87.8% had no family history of breast cancer. Occupation of respondents’ father was associated with knowledge of BSE and this was statistically significant; p< 0.05.

Conclusion: This study demonstrates good knowledge, and good practice, however frequency of practice was low.

Keywords: BSE, knowledge, practice, students, tertiary institutions


How to Cite

Iwuoha E. C., I. P. , U., Onuabuchi T. F., Amogu C. C., Onuoha I. E., & Ijoma C. E. (2023). Knowledge and Practice of Breast Self Examination among Female Students of Tertiary Institutions in Abia State, Nigeria. Journal of Scientific Research and Reports, 29(10), 35–42. https://doi.org/10.9734/jsrr/2023/v29i101794


References

Jamal A, Bray F, Forman D, O’Brien M, Ferlay J, Center M, Parkin DM. Cancer burden in Africa and opportunities for prevention. Cancer. 2012;118(18):4372-84.

Harirchi S. Kolahdoozan M. karbakhsh et al., Twenty years of breast cancer in Iran: Annals of oncology. 2011;22(1):93-97.

Hyuna S, Jacques F, Rebecca LS, Mathieu L, Isabelle S, Ahmedin JF. Global cancer statistics 2020: A cancer journal for clinicians. 2021;71(3):209-249.

Parkin D, Bray F, Ferlay, Pisani P. Global cancer statistics, CA: A Cancer Journal for Clinicians. 2007;55(4):74-78.

Lombe Mumba Ramson Knowledge, attitude and practice of breast self-examination for early detection of breast cancer among women in the Roan constituency in Launshya, copperbelt province, Zambia; 2017.

Monitoring modifiable risk factors for breast cancer: an obligation for health professionals. : MA Ortega, O Fraile-martinez C, Garcia-Montero MA, Alvarez-mon. Journal of Medicine. 2021;10(15): 3239.

Azubuike SO, Muirhead C, Hayes L. et al. Rising global burden of breast cancer: the case of sub-saharan Africa (with emphasis to Nigeria) and implications for regional development: a review. World J Surge Onc. 2018;16:63.

Desantis CE, Bray F, Ferlay J, Lorfet-Tieulent J, Anderson BO, Jemal A. International variation in female breast cancer incidence and mortality rates. Cancer epidemiology biomarkers prev. 2015;24(10):1495-506.

Arndt V, Sturmer T. et al. Patient delay and stage of diagnosis among breast cancer patients in Germany. A population based study. Br J Cancer. 2002;86:1034-40.

Tavafian S, Hasani T. Aghamolaei S. et al, prediction of breast self-examination in sample of Iranian women: an application of health Belief model,” BMC Cancer. 2009;6(3).

Makanjuola OJ, Amoo PO, Ajibade BL, Makinde OY. Breast cancer: knowledge and practice of breast self-examination among women in rural community of Ondo. 2013;8(1):32–7.

Partha Basu, Li Zhang, Roopa Hariprasad et al. The Indian Journal of Medical Research, A pragmatic approach to tackle the rising burden of cancer through prevention and early detection in countries in transition; 2020.

Available:https://pubmed.ncbi.nlm.nih.gov/33380699/.

Doshi D, Reddy BS, Kulkarni S, Karunakar P. Breast self-examination: Knowledge, attitude and practice among female dental students in Hyderabad city, India. Indian J Palliat Care. 2012;18:68-73.

Sarfo LA, Awuah-Peasah D, Acheampong E, Asamoah F. Knowledge, attitude and practice of self-breast examination among female university students at Presbyterian University College, Ghana. Am J Res Commun. 2013;1(Suppl 11):395–404.

Fondjo LA, Owusu-Afriyie O, Sakyi SA, Wiafe AA, Amankwaa B, Acheampong E, Ephraim RK, Owiredu WK. Comparative assessment of knowledge, attitudes, and practice of breast self-examination among female secondary and tertiary school students in Ghana. Int J Breast Cancer; 2018.

Nde FP, Assob JC, Kwenti TE, Njunda AL, Tainenbe TR. Knowledge, attitude and practice of breast self-examination among female undergraduate students in the University of Buea. BMC Res Notes. 2015;8(1):43.

Casmir EC, Anyalewechi NE, Onyeka IS, Agwu AC, Regina NC. Knowledge and practice of breast self-examination among female undergraduates in south-eastern Nigeria. Health. 2015;7(09):1134.

Irurhe NK, Olowoyeye OA, Bassey RB. et al. Knowledge, attitude and practice of breast self examination among female students in the University of Lagos. The Internet Journal of Health. 2009;12(1).

Fidelis MC, Manalo MD. Breast self-examination among female patients in an out-patient clinic in the Philippines; 2013.

Bener A, Alwarh R, Muller C, Denic S, Dunim E. Knowledge, attitude and practice related to breast cancer screening: A survey of Arabic Women. Journal of Cancer Education. 2001;16(4): 216.

Boulous DN, Ghali RR. Awareness of breast cancer and practice of breast self examination practices among female senior secondary students in Abuja, Nigeria. J Prev Med Hyg. 2011;52(4):186-90.