DOI QR코드

DOI QR Code

Awareness and Practices Regarding Breast and Cervical Cancer among Turkish Women in Gazientep

  • Karadag, Gulendam (Department of Public Health Nursing, Faculty of Health Sciences) ;
  • Gungormus, Zeynep (Department of Public Health Nursing, Faculty of Health Sciences) ;
  • Surucu, Ramazan (SEV American Hospital) ;
  • Savas, Esen (Department of Internal Medicine, Division of Social Medicine, Faculty of Medicine Gaziantep University) ;
  • Bicer, Fulya (Department of Nursing, Faculty of Health Sciences)
  • Published : 2014.02.01

Abstract

Background: Cancer is a major public health problem both in our country and worldwide due to its disease burden, fatality and tendency for increased incidence. In Turkey, breast cancer ranks first with an incidence of 41.6% and cervical cancer is the tenth most common cancer with an incidence of 4.4%. Objectives and Design: This descriptive, cross-sectional study was conducted with 240 women aged from 15 to 65 years admitted to a gynecology-obstetrics outpatient clinic of a private hospital in Gaziantep. Study data were collected by the investigators through a 36-item questionnaire form which was generated using information gathered from similar surveys in the literature. Results: It was determined that 34.6% of women were high-school graduates, and 64.2% had a medium income level. The majority (79.2%) stated that they never performed BSE and 49.5% of them said that they did not know how to do it. Some 79.2% did not know what a Pap smear was and 73.3% had not experienced a smear test ever. Conclusions: In this study, we found that most of the women had insufficient knowledge of breast and cervical cancer, while knowledge and practices increased with the education level. Based on these findings, we suggest that there is a need for planning, implementation and assessment of health policies and healthcare services at the national and regional level and we believe that nurses working in the field of protective health services should develop educational programmes for women with a primary focus on cancer in order to increase awareness among the female population in Turkey.

Keywords

References

  1. Acikgoz A, Ergor G (2013). Compliance with screening recommendations according to breast cancer risk levels in Izmir, Turkey. Asian Pac J Cancer Prev, 14, 1737-42. https://doi.org/10.7314/APJCP.2013.14.3.1737
  2. Acikgoz A, Cehreli R, Ellidokuz H (2011). Women's knowledge and attitude about cancerand the behaviour for early diagnosis procedures. DEU J Med Faculty, 25, 145- 54.
  3. Adekanle DA, Adeyemi AS, Afolabi AF (2011). Knowledge, attitude and cervical cancerscreening among female secondary school teachers in Osogbo, Southwest Nigeria. Academic J Cancer Res, 4, 24-28.
  4. Ak M, Canbal M, Turan S, Gurbuz N (2010). Attitude concerning the Pap smear test of women who admitted to the family medicine outpatient clinic. Konuralp Med J, 2, 1-4.
  5. Akgun Sahin Z, Tan M, Polat H (2013). Hopelessness, depression and social support with endof life Turkish cancer patients. Asian Pac J Cancer Prev, 14, 2823-8. https://doi.org/10.7314/APJCP.2013.14.5.2823
  6. Akkas Gursoy A, Yigitbas C, Yilmaz F, et al (2009). The effect of peer education on university students' knowledge of breast self-examination and health beliefs. J Breast Health, 5, 135-43.
  7. Alpteker H, Avci A (2010). Determine the knowledge of the women about breast cancer and their practice about breast self examination. J Breast Health, 6, 74-9.
  8. Altunkan H, Akin B, Ege E (2008). Awareness and practice of breast self examination (BSE) among 20-60 years women. J Breast Health, 4, 84-91.
  9. Amosu AM, Degun AM, Thomas AM, Babalola AO (2011). Assessment of awareness, perception, specific knowledge, and screening behaviour regarding breast cancer among rural women in Ipokia Local Government Area, Ogun State, Nigeria. Arch. Appl Sci Res, 3, 253-65.
  10. Aydogdu NG, Bahar Z (2011). The effects of using health belief and health promotion models in low-income women with regard to breast and cervical cancer early detection behaviour. DEUNHYO ED, 4, 34-40.
  11. Baig MR, Subramaniam V, Chandrasegar AA, Khan TM (2011). A population based surveyon knowledge and awareness of breast cancer in the suburban females of Sungai Petani, Kedah, Malaysia. International Journal of Collaborative Research on Internal Medicine & Public Health, 3, 671-679.
  12. Bayoumi MM, Elbasuny MM, Nasser AMA, Abdullah KM, Al matery NMA (2012). Saudi young females' level of knowledge regarding cervical and breast cancer. Int. Journal of Nursing Science, 2, 47-52
  13. Bebis H, Altinkurek SZ, Acikel C, Akar I (2013). Evaluation of breast self-examination(BSE) application in first and second degree relatives of patients with breast cancer. Asian Pac J Cancer Prev, 14, 4925-30. https://doi.org/10.7314/APJCP.2013.14.8.4925
  14. Bebis H, Reis N, Yavan T, Bayrak D, Unal A, Bodur S (2012). Effect of health education about cervical cancer and papanicolaou testing on the behavior, knowledge, and beliefs of Turkish women. Int J Gynecol Cancer, 22, 1407-12. https://doi.org/10.1097/IGC.0b013e318263f04c
  15. Bicen YH, Aksuyek H (2012). Fieldwork about importance of awareness in early diagnosis of breast cancer in Bursa. The Journal of Breast Health, 8, 76-80.
  16. Baig MR, Subramaniam V, Chandrasegar AA, Khan TM (2011). A population basedsurvey on knowledge and awareness of breast cancer in the suburban females of Sungai Petani, Kedah, Malaysia. Int J Collab Res Int Med Public Hlth, 3, 671-679.
  17. Ceber E, Mermer G, Okcin F, et l (2013). Breast cancer Risk and early diagnosis applications in Turkish women Aged 50 and over. Asian Pac J Cancer Prev, 14, 5877-82. https://doi.org/10.7314/APJCP.2013.14.10.5877
  18. Coskun S, Can H, Turan S (2013). Knowledge about cervical cancer risk factors and Pap smear testing behavior among female primary health care workers: A study from South Turkey. Asian Pac J Cancer Prev, 14, 6389-6392. https://doi.org/10.7314/APJCP.2013.14.11.6389
  19. Dandash KF, Al- Mohaimeed A (2007). Knowledge, attitudes, and practices surrounding breast cancer and screening in female teachers of Buraidah, Saudi Arabia. Int J Health Sci, 1, 61-71
  20. Ersin F, Bahar Z (2012). Effects of health promotion models on breast cancer early detection behaviors: A literature review. DEUHYO ED, 5, 28-38.
  21. Ersin F, Bahar Z (2013). Barriers and facilitating factors perceived in Turkish women'sbehaviors towards early cervical cancer detection: A qualitative approach. Asian Pac J Cancer Prev, 14, 4977-82. https://doi.org/10.7314/APJCP.2013.14.9.4977
  22. Eryilmaz MA, Bodur S, Civcik C, Durduran Y (2012). Evaluation of breast complaintsof women applying to KETEM. Selcuk Med J, 28, 98-103.
  23. Farzaneh F, Shirvani HE, Barouti E, et al (2011). Knowledge and attitude of women regarding the human papillomavirus (HPV) infection, its relationship to cervical cancer and prevention methods. Med J Malaysia, 66, 468-73.
  24. Getahun F, Mazengia F, Abuhay M, Birhanu Z (2013). Comprehensive knowledge aboutcervical cancer is low among women in Northwest Ethiopia. BMC Cancer, 13, 2. https://doi.org/10.1186/1471-2407-13-2
  25. Guner H, Taskiran C (2007). Epidemiology of cervical cancer and the role of human papilloma virus. J Turk Soc Obstet Gynecol, 4, 11-19.
  26. Guvenc G, Akyuz A, Acikel CH (2011). Health belief model scale for cervical cancerand pap smear test: psychometric testing. J Adv Nurs, 67, 428-37. https://doi.org/10.1111/j.1365-2648.2010.05450.x
  27. Habib F, Salman S, Safwat M, Shalaby S (2010). Awareness and knowledge of breastcancer among university students in Al Madina Al Munawara Region. Middle East Journal of Cancer, 1, 159-66.
  28. Hadi MA, Hassali MA, Shafie AA, Awaisu A (2010). Evaluation of breast cancer awareness among female university students in Malaysia. Pharmacy Practice (Internet), 8, 29-34.
  29. Harirchi I, Azary S, Montazeri A, et al (2012). Literacy and breast cancer prevention: a population-based study from Iran. Asian Pac J Cancer Prev, 13, 3927-30. https://doi.org/10.7314/APJCP.2012.13.8.3927
  30. Hoque E, Hoque M (2009). Knowledge of and attitude towards cervical cancer amongfemale university students in South Africa. South Afr J Epidemiol Infect, 24, 21-24.
  31. Kanaga KC, Nithiya J, Shatirah MF (2011). Awareness of breast cancer and screening procedures among Malaysian women. Asian Pac J Cancer Prev, 12, 1965-7.
  32. Kanbur A, Capik C (2011). Cervical cancer prevention, early diagnosis-screening methods and midwives/nurses role. Hacettepe University Faculty of Health Sciences Nursing Journal, 18, 61-72.
  33. Karayurt O, Dramali A (2007). Adaptation of Champion's Health Belief Model Scale forTurkish women and evaluation of the selected variables associated with breast self-examination. Cancer Nurs, 30, 67-77.
  34. Kilic D, Saglam R, Kara O (2009). The examination of the factors affecting the awereness of breast cancer in college students. The Journal of Breast Health, 5, 195-9.
  35. Koca D, Ozdemir O, Akdeniz H, Unal OU, Yilmaz U (2013). Changes in the attitudes andbehavior of relatives of breast cancer patients concerning cancer prevention and screening. Asian Pac J Cancer Prev, 14, 5693-7. https://doi.org/10.7314/APJCP.2013.14.10.5693
  36. Koc Z, Saglam Z (2009). Determination of the knowledge and the practice of female patients about breast cancer, preventive measures and breast self examination and effectiveness of education. The Journal of Breast Health, 5, 25-33.
  37. Kratzke C, Vilchis H, Amatya A (2013). Breast cancer prevention knowledge, attitudes, and behaviors among college women and mother-daughter communication. J Community Health, 38, 560-8. https://doi.org/10.1007/s10900-013-9651-7
  38. Montazeri A, Vahdaninia M, Harirchi I, et al (2008). Breast cancerin Iran: need for greater women awareness of warning signs and effective screening methods. Asia Pac Fam Med, 7, 1-6. https://doi.org/10.1186/1447-056X-7-1
  39. Okobia MN, Bunker CH, Okonofua FE, Osime U (2006). Knowledge, attitude and practice of Nigerian women towards breast cancer: a cross-sectional study. World J Surg Oncol, 4, 11. https://doi.org/10.1186/1477-7819-4-11
  40. Oluwatosin OA, Oladepo O (2006). Knowledge of breast cancer and its early detection measures among rural women in Akinyele Local Government Area, Ibadan, Nigeria. BMC Cancer, 6, 271. https://doi.org/10.1186/1471-2407-6-271
  41. Oza JR, Prajapati JD, Ram R (2011). A study on awareness toward the early detection of breast cancer on nursing staff in civil hospital, Ahmedabad, Gujarat, India. Healthline, 2, 34-37.
  42. Ozan H, Demir BC, Atik Y, Gumus E, Ozerkan K 2011. Determination of knowledge level of patients regarding HPV and HPV vaccine in outpatient clinic of obstetrics and gynecology department. Uludag University Journal of Medical Faculty, 37, 145-148.
  43. Ozdemir L, Tekbas OF, Erdal M, Balkan M, Gocgeldi E, Saglam K (2007). Investigation of breast cancer risk factors among patients who visited the breast diseases outpatient clinic of GATA. Turkish Journal of Family Practice, 11, 163-167
  44. Ozdemir O, Bilgili N (2010). Knowledge and practices of nurses working in an education hospital on early diagnosis of breast and cervix cancers. TAF Prev Med Bull, 9, 605-612
  45. Ozmen V, Fidaner C, Aksaz E, Bayol U, Dede I, Goker E (2009). Organizing earlydiagnosis and screening programs for breast cancer in Turkey "The report of breast cancer early detection and screening sub-committee, National Cancer Advisory Board, The Ministry of Health of Turkey". The Journal of Breast Health, 5, 125-134.
  46. Oztunc G, Yesil P, Paydas S, Erdogan S (2013). Social support and hopelessness in patients with breast cancer. Asian Pac J Cancer Prev, 14, 571-8 https://doi.org/10.7314/APJCP.2013.14.1.571
  47. Parsa P, Kandiah M, Mohd Zulkefli NA, Rahman HA (2008). Knowledge and behavior regarding breast cancer screening among female teachers in Selangor, Malaysia. Asian Pac J Cancer Prev, 9, 221-7.
  48. Rizalar S, Altay B (2010). Early diagnosis applications of women with breast cancer. Firat Health Services Journal, 5, 73-87.
  49. Sambanje MN, Mafuvadze B (2012). Breast cancer knowledge and awareness among university students in Angola. Pan Afr Med J, 11, 70.
  50. Secginli S (2011). Breast cancer screening: What are the last changes? TAF Prev Med Bull, 10, 193-200.
  51. Shieh SH, Chen HC, Tsai WC, et al (2012). Impact of breast cancerpatients' awareness on attendance at screening. Int Nurs Rev, 59, 353-61. https://doi.org/10.1111/j.1466-7657.2012.00983.x
  52. Smith RA, Caleffi M, Albert US, et al (2006).Global summit early detection and access tocare panel. Breast cancer in limited-resource countries: early detection and access to care. Breast J, 12, 16-26. https://doi.org/10.1111/j.1075-122X.2006.00185.x
  53. Sogukpinar N, Karaca Saydam B, Ozturk Can H, et al (2013). Assessment of cervical cancer risk in women between 15 and 49 years of age: Case of Izmir. Asian Pac J Cancer Prev, 14, 2119-25 https://doi.org/10.7314/APJCP.2013.14.3.2119
  54. Somdatta P, Baridalyne N (2008). Awareness of breast cancer in women of an urban resettlement colony. Indian J Cancer, 45, 149-53. https://doi.org/10.4103/0019-509X.44662
  55. Suh MA, Atashili J, Fuh EA, Eta VA (2012). Breast self-examination and breast cancerawareness in women in developing countries: a survey of women in Buea, Cameroon. BMC Res Notes, 9, 627.
  56. Senol V, Balci E, Cetinkaya F, Balci F (2012). Women's knowledge and behavior oncervical cancer, in Kayseri, Turkey. Turkiye Klinikleri J Med Sci, 32, 694-701. https://doi.org/10.5336/medsci.2011-25153
  57. Turkey's Statistical Yearbook 2010. Turkish Statistical Institute. 2010.
  58. Turkey's Statistical Yearbook 2011. Turkish Statistical Institute. 2011.
  59. Yilmaz D, Bebis H, Ortabag T (2013). Determining the awareness of and compliance withbreast cancer screening among Turkish residential women. Asian Pac J Cancer Prev, 14, 3281-8 https://doi.org/10.7314/APJCP.2013.14.5.3281

Cited by

  1. Cervical Cancer Gene Therapy by Gene Loaded PEG-PLA Nanomedicine vol.15, pp.12, 2014, https://doi.org/10.7314/APJCP.2014.15.12.4915
  2. Risk of Cancer with Combined Oral Contraceptive Use among Iranian Women vol.15, pp.14, 2014, https://doi.org/10.7314/APJCP.2014.15.14.5517
  3. Knowledge of Breast Cancer and Breast Self-Examination Practice among Iranian Women in Hamedan, Iran vol.15, pp.16, 2014, https://doi.org/10.7314/APJCP.2014.15.16.6531
  4. Are Primary Health Care Workers Aware of Cervical Cancer Risk? vol.15, pp.16, 2014, https://doi.org/10.7314/APJCP.2014.15.16.6669
  5. Cytotoxicity of Trichoderma spp. Cultural Filtrate Against Human Cervical and Breast Cancer Cell Lines vol.15, pp.17, 2014, https://doi.org/10.7314/APJCP.2014.15.17.7229
  6. Effectiveness of Online Education in Teaching Breast Self-Examination vol.15, pp.7, 2014, https://doi.org/10.7314/APJCP.2014.15.7.3227
  7. Breast Cancer Awareness at the Community Level among Women in Delhi, India vol.16, pp.13, 2015, https://doi.org/10.7314/APJCP.2015.16.13.5243
  8. Knowledge of Female Undergraduate Students on Breast Cancer and Breast Self-examination in Klang Valley, Malaysia vol.16, pp.15, 2015, https://doi.org/10.7314/APJCP.2015.16.15.6231
  9. Breast and Cervical Cancer Knowledge and Awareness among University Students vol.16, pp.5, 2015, https://doi.org/10.7314/APJCP.2015.16.5.1719
  10. The Spectrum of Genetic Mutations in Breast Cancer vol.16, pp.6, 2015, https://doi.org/10.7314/APJCP.2015.16.6.2177
  11. Public Awareness of Warning Signs and Symptoms of Cancer in Oman: A Community-Based Survey of Adults vol.16, pp.7, 2015, https://doi.org/10.7314/APJCP.2015.16.7.2731
  12. Effects of Breast Cancer Fatalism on Breast Cancer Awareness among Nursing Students in Turkey vol.16, pp.8, 2015, https://doi.org/10.7314/APJCP.2015.16.8.3565
  13. Update knowledge on cervical cancer incidence and prevalence in Asia vol.16, pp.9, 2015, https://doi.org/10.7314/APJCP.2015.16.9.3617
  14. Health Beliefs and Breast Self-Examination among Undergraduate Female Students in Public Universities in Klang Valley, Malaysia vol.16, pp.9, 2015, https://doi.org/10.7314/APJCP.2015.16.9.4019
  15. Knowledge about Risk Factors for Breast Cancer and Having a Close Relative with Cancer Affect the Frequency of Breast Self-Examination Performance vol.17, pp.4, 2016, https://doi.org/10.7314/APJCP.2016.17.4.2075
  16. Determinants of Cervical Cancer Screening Uptake among Women in Ilorin, North Central Nigeria: A Community-Based Study vol.2016, pp.1687-8566, 2016, https://doi.org/10.1155/2016/6469240
  17. Interventions Promoting Breast Cancer Screening Among Turkish Women With Global Implications: A Systematic Review vol.14, pp.4, 2017, https://doi.org/10.1111/wvn.12245
  18. Knowledge About Cervical Cancer Risk Factors and Practices of Pap Testing Among Turkish Immigrant Women in the United States pp.1557-1920, 2017, https://doi.org/10.1007/s10903-017-0653-x
  19. Examination of Knowledge and Fear Levels of Breast Cancer With the Spiritual Characteristics of Nurses vol.6, pp.2296-2565, 2018, https://doi.org/10.3389/fpubh.2018.00331
  20. Women’s knowledge about risk factors of breast cancer in a Brazilian community pp.1541-0331, 2018, https://doi.org/10.1080/03630242.2018.1516266