Breast cancer awareness and breast screening practice among women in Yogyakarta

Susi Ari Kristina, Nada Nisrina Salsabila

Abstract

Background: Low public knowledge and understanding, contributing to late diagnosis, has identified cancer morbidity and mortality from breast cancer. This study was designed to describe breast cancer knowledge and awareness and evaluate breast screening practice among Yogyakarta women.
Methods: A cross-sectional study of 350 low socioeconomic women in rural and urban Yogyakarta areas was conducted using a validated self-designed structured questionnaire. Analyzing data using descriptive statistics.
Results: A vast majority of respondents knew that breast cancer is a severe disease (85.14%) and can be detected as early as possible (60.00%). Genetic and family cancer history was the best accepted risk factor for breast cancer (61.43%), followed by oral contraception (44.57%), radiation (31.43%), smoking (28.86%) and alcohol intake (21.71%). Over half of respondents (65.14%) correctly identified niple and color discharge as one of the symptoms of breast cancer, followed by breast lump (60.00%), breast swelling (56.29%) and breast fluid (44.57%). While 56.57 percent of respondents had heard of breast self-examination ( BSE) and mammography, only 26.86 percent of respondents had regularly performed BSE, and only 28.00 percent of respondents reported daily mammography. A large proportion of respondents (72.86%) never diagnosed breast cancer.
Conclusion: In Yogyakarta, the study reported inadequate breast cancer awareness and poor breast screening practice among women with low socioeconomic status aged 20-50 years. Health care professionals are fairly required to educate women about breast cancer and promote early detection and breast cancer screening programs to prevent and reduce breast cancer incidence and mortality.

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References

American Cancer Society. Breast Cancer Facts & Figures 2019-2020. Atlanta: American Cancer Society, Inc. 2019.

Global Cancer Observatory. Indonesia [Internet]. 2018 [Cited 16 Apr. 2020]. Available from: https://gco.iarc.fr/today/data/factsheets/populations/360-indonesia-fact-sheets.pdf

Rosmawati NH. Knowledge, attitudes and practice of breast self-examination among women in a suburban area in Terengganu, Malaysia. Asian Pac J Cancer Prev. 2010;11(6):1503-8.

Tsu V, Jeronimo J, Anderson B. Why the time is right to tackle breast and cervical cancer in low-resource settings. Bull World Health Organ. 2013;91:683-90.

Kristina S, Lienaningrum AS, Wulandari GP. Beliefs and acceptance of Human papillomavirus (HPV) vaccine among parents in urban community in Yogyakarta. Int J Pharm Res. 2020;12(3):662-7.

Darmawan K, Satibi, Kristina S. Willingness to pay for social health insurance and related factors among population in Yogyakarta Province, Indonesia. Int Med J (1994). 2020;25(4):1653-60.

Özkan A, Malak AT, Gürkan A, Turgay AS. Do Turkish nursing and midwifery students teach breast self-examination to their relatives? Asian Pac J Cancer Prev. 2010;11(6):1569-73.

Lee M-S, ‘Azmiyaty Amar Ma’ ruf C, Nadhirah Izhar DP, Nafisah Ishak S, Wan Jamaluddin WS, Ya’acob SNM, et al. Awareness on breast cancer screening in Malaysia: a cross sectional study. BioMedicine. 2019;9(3):18.

Liu L-Y, Wang F, Yu L-X, Ma Z-B, Zhang Q, Gao D-Z, et al. Breast cancer awareness among women in Eastern China: a cross-sectional study. BMC Public Health. 2014;14(1):1004.

Suh MAB, Atashili J, Fuh EA, Eta VA. Breast Self-Examination and breast cancer awareness in women in developing countries: a survey of women in Buea, Cameroon. BMC Res Notes. 2012;5(1):627.

Tazhibi M, Feizi A. Awareness Levels about Breast Cancer Risk Factors, Early Warning Signs, and Screening and Therapeutic Approaches among Iranian Adult Women: A large Population Based Study Using Latent Class Analysis. BioMed Res Int. 2014;2014:306352.

Elobaid YE, Aw TC, Grivna M, Nagelkerke N. Breast cancer screening awareness, knowledge, and practice among arab women in the United Arab Emirates: a cross-sectional survey. PLoS One. 2014;9(9):e105783-e.

Garg P, Bansal M, Garg M, Arora B. Creating Awareness About the Painless Nature of Early Breast Cancer Lump is Important in Low-Income Countries. Breast J. 2009;16:101-2.

Iskandarsyah A, de Klerk C, Suardi D, Soemitro M, Sadarjoen S, Passchier J. Psychosocial and Cultural Reasons for Delay in Seeking Help and Nonadherence to Treatment in Indonesian Women With Breast Cancer: A Qualitative Study. Health Psychol. 2013;33.

Mardela AP, Maneewat K, Sangchan H. Breast cancer awareness among Indonesian women at moderate-to-high risk. Nurs Health Sci. 2017;19(3):301-6.

Solikhah S, Promthet S, Hurst C. Awareness Level about Breast Cancer Risk Factors, Barriers, Attitude and Breast Cancer Screening among Indonesian Women. Asian Pac J Cancer Prev. 2019;20(3):877-84.

Joosten A, Bochud F, Moeckli R. A critical evaluation of secondary cancer risk models applied to Monte Carlo dose distributions of 2-dimensional, 3-dimensional conformal and hybrid intensity-modulated radiation therapy for breast cancer. Phys Med Biol. 2014;59(16):4697-722.

Ng J, Shuryak I. Minimizing second cancer risk following radiotherapy: current perspectives. Cancer Manag Res. 2014;7:1-11.

Gaudet MM, Gapstur SM, Sun J, Diver WR, Hannan LM, Thun MJ. Active Smoking and Breast Cancer Risk: Original Cohort Data and Meta-Analysis. J Natl Cancer Inst. 2013;105(8):515-25.

Gram IT, Park SY, Maskarinec G, Wilkens LR, Haiman CA, Le Marchand L. Smoking and breast cancer risk by race/ethnicity and oestrogen and progesterone receptor status: the Multiethnic Cohort (MEC) study. Int J Epidemiol. 2019;48(2):501-11.

Macacu A, Autier P, Boniol M, Boyle P. Active and passive smoking and risk of breast cancer: a meta-analysis. Breast Cancer Res Treat. 2015;154(2):213-24.

White AJ, D'Aloisio AA, Nichols HB, DeRoo LA, Sandler DP. Breast cancer and exposure to tobacco smoke during potential windows of susceptibility. Cancer Causes Control. 2017;28(7):667-75.

Assi N, Rinaldi S, Viallon V, Dashti SG, Dossus L, Fournier A, et al. Mediation analysis of the alcohol-postmenopausal breast cancer relationship by sex hormones in the EPIC cohort. Int J Cancer. 2020;146(3):759-68.

Richards T, Hunt A, Courtney S, Umeh H. Nipple discharge: a sign of breast cancer? Ann R Coll Surg Engl. 2007;89(2):124-6.

Souza FH, Wendland EM, Rosa MI, Polanczyk CA. Is full-field digital mammography more accurate than screen-film mammography in overall population screening? A systematic review and meta-analysis. Breast. 2013;22(3):217-24.

Olayide AS, Halimat AJ, Samuel OA, Ganiyu RA, Soliu OA. Level of Awareness and Knowledge of Breast Cancer in Nigeria. A Systematic Review. Ethiop J Health Sci. 2017;27(2):163-74.

Taleghani F, Kianpour M, Tabatabaiyan M. Barriers to Breast Self-examination among Iranian Women. Iran J Nurs Midwifery Res. 2019;24(2):108-12.

Vithana PC, Ariyaratne M, Jayawardana P. Educational intervention on breast cancer early detection: effectiveness among target group women in the district of Gampaha, Sri Lanka. Asian Pac J Cancer Prev. 2015;16(6):2547-53.

Güçlü S, Tabak RS. Impact of health education on improving women's knowledge and awareness of breast cancer and breast self examination. J Breast Health. 2013;9:18-22.

Alharbi NA, Alshammari MS, Almutairi BM, Makboul G, El-Shazly MK. Knowledge, awareness, and practices concerning breast cancer among Kuwaiti female school teachers. Alexandria J Med. 2012;48(

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