Awareness and Knowledge of Breast Cancer and Mammography among a Group of Malaysian Women in Shah Alam

Al-Dubai, Sami Abdo Radman;Qureshi, Ahmad Munir;Saif-Ali, Riyadh;Ganasegeran, Kurubaran;Alwan, Mohanad Rahman;Hadi, Jalal Ibrahim Shawqi

  • Published : 20111000

Abstract

Objectives: The aim of this study was to assess awareness and knowledge of breast cancer and mammography among Malaysian women in Shah Alam. Methods: This cross sectional study was conducted among 250 Malaysian women. Data were collected using a self administrated questionnaire which included questions on socio-demographic data, knowledge of breast cancer and awareness of mammography. Results: Mean age of respondents was $28{\pm}9.2$ with 69.2% aged 18 to 29 years. The majority had heard about breast cancer (81.2%) and indicated books, magazines and brochures as their source of information (55.2%). However, most did not know about signs and symptoms of breast cancer and many of its risk factors. On multivariate analysis, significant predictors of breast cancer knowledge were age, race, marital status, level of education, occupation, family size and family history of other cancers (p<0.05). Fifty percent of women were aware of mammography, significant predictors being age, occupation, marital status and knowledge of breast cancer (p<0.05). Conclusion: Most women were aware of breast cancer. However, the knowledge about signs and symptoms of breast cancer and awareness of mammography were inadequate. It is recommended that the level of knowledge should be raised among Malaysian women, particularly in the young and less educated women.

Keywords

References

  1. Ahmed F, Mahmud S, Hatcher J, et al (2006). Breast cancer risk factor knowledge among nurses in teaching hospitals of Karachi, Pakistan: A cross-sectional study. BMC Nursing, 19, 5-6.
  2. Alam AA (2006). Knowledge of breast cancer and its risk and protective factors among women in Riyadh. Ann Saudi Med, 26, 272-7.
  3. Amin TT, Al Mulhim ARS, Al Meqihwi A (2009). Breast cancer knowledge, risk factors and screening among adult Saudi women in a primary health care setting. Asian Pacific J Cancer Prev, 10, 133-8.
  4. Budakoglu II, Maral I, Ozdemir A, et al (2007). The effectiveness of training for breast cancer and breast self-examination in women aged 40 and over. J Cancer Educ, 22, 108-11. https://doi.org/10.1007/BF03174358
  5. Champion VL (1993). Instrument refinement for breast cancer screening behaviors. Nursing Research, 42, 138-43.
  6. Dundar PE, Ozmen D, Ozturk B, et al (2006). The knowledge and attitudes of breast self examination and mammography in a group of women in a rural area in Western Turkey. BMC Cancer, 6, 43. https://doi.org/10.1186/1471-2407-6-43
  7. Eileen CT (2004). African American women's breast memories, cancer beliefs and screening behaviors. Cancer Nursing, 27, 295-302. https://doi.org/10.1097/00002820-200407000-00006
  8. Elmore JG, Armstrong K, Lehman CD, et al (2005). Screening for breast cancer. JAMA, 293, 1245-56. https://doi.org/10.1001/jama.293.10.1245
  9. Hadi MA, Hassali MA, Shafie AA, et al (2010). Evaluation of breast cancer awareness among female university students in Malaysia. Pharmacy Practice, 8, 29-34.
  10. Montazeri A, Vahdaninia M, Harirchi I, et al (2008). Breast cancer in Iran: Need for greater women awareness of warning signs and effective screening methods. Asia Pac Family Med, 7, 6. https://doi.org/10.1186/1447-056X-7-6
  11. Haji-Mahmoodi M, Montazeri A, Jarvandi S, et al (2002). Breast self-examination: Knowledge, attitudes and practices among female health care workers in Tehran, Iran. Breast J, 8, 222-5. https://doi.org/10.1046/j.1524-4741.2002.08406.x
  12. Hisham AN, Yip CH (2003). Spectrum of breast cancer in Malaysian women: Overview. World J Surg, 27, 921-3. https://doi.org/10.1007/s00268-003-6976-x
  13. Horn-Ross PL, Hoggatt KJ, West DW (2002). Recent diet and breast cancer risk: The California Teachers Study (United States). Cancer Cases Control, 13, 407-15. https://doi.org/10.1023/A:1015786030864
  14. Im EO, Park YS, Lee EO, et al (2004). Korean women's attitudes toward breast cancer screening tests. Int J Nursing Studies, 41, 583-9. https://doi.org/10.1016/j.ijnurstu.2004.01.004
  15. Jenkins CN, McPhee SJ, Bird JA (1999). Effect of a media-led education campaign on breast and cervical cancer screening among Vietnamese-American women. Prev Med, 28, 395-406. https://doi.org/10.1006/pmed.1998.0444
  16. Lam WW, Chan CP, Chan CF, et al (2008). Factors affecting the palpability of breast lesion by self-examination. Singapore Med J, 49, 228-32.
  17. Lauver DR, Kane J, Bodden J, et al (1999). Engagement in breast cancer screening behavior. Oncol Nurs Forum, 26, 545-54.
  18. Lannin DR, Mathews HF, Mitchell J, et al (2002). Impacting cultural attitudes in African-American women to decrease breast cancer mortality. Am J Surg, 184, 418-23. https://doi.org/10.1016/S0002-9610(02)01009-7
  19. Lee C, Kim HS, Ham O (2000). Knowledge, practice, and risk of breast cancer among rural women in Korea. Nursing Hlth Sci, 2, 225-30. https://doi.org/10.1046/j.1442-2018.2000.00063.x
  20. Madanat H, Merrill RM (2002). Breast cancer risk factors and screening awareness among women nurses and teachers in Amman, Jordan. Cancer Nursing, 25, 276-82. https://doi.org/10.1097/00002820-200208000-00003
  21. McMenamin M, Barry H, Lennon AM, et al (2005). A survey of breast cancer awareness and knowledge in a Western population: lots of light but little illumination. Eur J Cancer, 41, 393-7. https://doi.org/10.1016/j.ejca.2004.11.015
  22. Narimah A (1997). Breast Examination Report of second national health and morbidity survey conference. Organized by Public Health Institute Ministry of Health Malaysia. Hospital Kuala Lumpur, 145-8.
  23. Parkin DM, Bray F, Ferlay J, et al (2005). Global Cancer Statistics 2002. CA Cancer J Clin, 55, 74-108. https://doi.org/10.3322/canjclin.55.2.74
  24. Parsa P, Kandiah M, Mohd Zulkefli NA, et al (2008). Knowledge and behavior regarding breast cancer screening among female teachers in Selangor, Malaysia. Asian Pac J Cancer Prev, 9, 221-7.
  25. Russell KM, Monahan P, Wagle A, et al (2007). Differences in health and cultural beliefs by stage of mammography screening adoption in African American women. Cancer, 109, 386-95. https://doi.org/10.1002/cncr.22359
  26. Sait WA, Al-Amoudi SM, Tawtai DA, et al (2010). The knowledge of breast cancer among young Saudi females. Saudi Med J, 31, 1242-4.
  27. Seif YN, Aziz M (2000). Effect of breast self examination training program on knowledge, attitude and practices of a group of working women. J Egyptian Natl Cancer Inst, 12, 105-15.
  28. Seow A, Straughan PT, Ng EH, et al (1997). Factors determining acceptability of mammography in an Asian population: a study among women in Singapore. Cancer Causes Control, 8, 771-9. https://doi.org/10.1023/A:1018439623384
  29. Sim H L, Seah M, Tan SM (2009). Breast cancer knowledge and screening practices: a survey of 1,000 Asian women. Singapore Med J, 50, 132-8.
  30. Vogel V (2000). Breast cancer prevention. A review of current evidence. CA Cancer J Clin, 50, 156-70. https://doi.org/10.3322/canjclin.50.3.156
  31. World Health Organization (2007). The World Health Organization's Fight Against Cancer: Strategies that Prevent, Cure and Care. NLM Classification QZ 200, WHO: 9-27 Geneva, Switzerland. www.who.int/cancer/en
  32. Wong-Kim E, Sun A, DeMattos MC (2003). Assessing cancer beliefs in a Chinese immigrant community. Cancer Control, 10, 22-8.
  33. Yavari P, Pourhoseingholi MA (2007). Socioeconomic factors association with knowledge and practice of breast self-examination among Iranian women. Asian Pac J Cancer Prev, 8, 618-22.