Evaluation of the impact of a breast cancer awareness program in rural Ghana: a cross-sectional survey.
Identifieur interne : 000492 ( Main/Exploration ); précédent : 000491; suivant : 000493Evaluation of the impact of a breast cancer awareness program in rural Ghana: a cross-sectional survey.
Auteurs : Marisa Mena [Espagne] ; Beatrice Wiafe-Addai ; Catherine Sauvaget ; Ibrahim A. Ali ; Seth A. Wiafe ; François Dabis ; Benjamin O. Anderson ; Denis Malvy ; Annie J. SascoSource :
- International journal of cancer [ 1097-0215 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Auto-examen du sein, Connaissances, attitudes et pratiques en santé, Conscience immédiate, Détection précoce de cancer, Enquêtes et questionnaires, Femelle, Ghana (épidémiologie), Humains, Population rurale, Pronostic, Tumeurs du sein (), Tumeurs du sein (diagnostic), Tumeurs du sein (épidémiologie), Éducation pour la santé, Études de suivi, Études transversales.
- MESH :
- diagnostic : Tumeurs du sein.
- épidémiologie : Ghana, Tumeurs du sein.
- Adulte, Adulte d'âge moyen, Auto-examen du sein, Connaissances, attitudes et pratiques en santé, Conscience immédiate, Détection précoce de cancer, Enquêtes et questionnaires, Femelle, Humains, Population rurale, Pronostic, Tumeurs du sein, Éducation pour la santé, Études de suivi, Études transversales.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- Adult, Awareness, Breast Neoplasms (diagnosis), Breast Neoplasms (epidemiology), Breast Neoplasms (prevention & control), Breast Self-Examination, Cross-Sectional Studies, Early Detection of Cancer, Female, Follow-Up Studies, Ghana (epidemiology), Health Education, Health Knowledge, Attitudes, Practice, Humans, Middle Aged, Prognosis, Rural Population, Surveys and Questionnaires.
- MESH :
- geographic , epidemiology : Ghana.
- diagnosis : Breast Neoplasms.
- epidemiology : Breast Neoplasms.
- prevention & control : Breast Neoplasms.
- Adult, Awareness, Breast Self-Examination, Cross-Sectional Studies, Early Detection of Cancer, Female, Follow-Up Studies, Health Education, Health Knowledge, Attitudes, Practice, Humans, Middle Aged, Prognosis, Rural Population, Surveys and Questionnaires.
Abstract
Community awareness is crucial to early detection of breast cancer in low- and middle-income countries. In Ghana 60% of the cases are detected at late stages. Breast Care International (BCI) is a Ghanaian non-governmental organization dedicated to raising breast cancer awareness. A cross-sectional survey was designed to assess the impact of BCI program on knowledge, attitudes and practices (KAP) toward breast cancer among women from rural communities of Ghana. A total of 232 women were interviewed in June 2011 in the Ashanti region; of these 131 participants were from a community that received the BCI program in August 2010 (intervention group) and 101 from another community that received the program post-survey (referent group). Data analysis was performed using Epi-Info version 3.5.3. Knowledge about breast cancer among participants who received the program was better than among those who did not. Only 53.5% of participants from the referent group knew that breast cancer usually appears as painless breast lump when compared to 82.3% from the intervention group. Participants who attended the program were significantly more likely to obtain higher knowledge scores (odds ratio (OR) = 2.10, 95% confidence interval (CI) = 1.14-3.86) and to state practicing breast self-examination (OR = 12.29, 95% CI = 5.31-28.48). The BCI program improved KAP toward breast cancer. Further research is warranted to provide stronger evidence that the program improves breast cancer early detection.
DOI: 10.1002/ijc.28412
PubMed: 23913595
Affiliations:
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<term>Awareness</term>
<term>Breast Neoplasms (diagnosis)</term>
<term>Breast Neoplasms (epidemiology)</term>
<term>Breast Neoplasms (prevention & control)</term>
<term>Breast Self-Examination</term>
<term>Cross-Sectional Studies</term>
<term>Early Detection of Cancer</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Ghana (epidemiology)</term>
<term>Health Education</term>
<term>Health Knowledge, Attitudes, Practice</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Prognosis</term>
<term>Rural Population</term>
<term>Surveys and Questionnaires</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Auto-examen du sein</term>
<term>Connaissances, attitudes et pratiques en santé</term>
<term>Conscience immédiate</term>
<term>Détection précoce de cancer</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Ghana (épidémiologie)</term>
<term>Humains</term>
<term>Population rurale</term>
<term>Pronostic</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (diagnostic)</term>
<term>Tumeurs du sein (épidémiologie)</term>
<term>Éducation pour la santé</term>
<term>Études de suivi</term>
<term>Études transversales</term>
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</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Breast Neoplasms</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Ghana</term>
<term>Tumeurs du sein</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Awareness</term>
<term>Breast Self-Examination</term>
<term>Cross-Sectional Studies</term>
<term>Early Detection of Cancer</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Health Education</term>
<term>Health Knowledge, Attitudes, Practice</term>
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<term>Adulte d'âge moyen</term>
<term>Auto-examen du sein</term>
<term>Connaissances, attitudes et pratiques en santé</term>
<term>Conscience immédiate</term>
<term>Détection précoce de cancer</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Population rurale</term>
<term>Pronostic</term>
<term>Tumeurs du sein</term>
<term>Éducation pour la santé</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en">Community awareness is crucial to early detection of breast cancer in low- and middle-income countries. In Ghana 60% of the cases are detected at late stages. Breast Care International (BCI) is a Ghanaian non-governmental organization dedicated to raising breast cancer awareness. A cross-sectional survey was designed to assess the impact of BCI program on knowledge, attitudes and practices (KAP) toward breast cancer among women from rural communities of Ghana. A total of 232 women were interviewed in June 2011 in the Ashanti region; of these 131 participants were from a community that received the BCI program in August 2010 (intervention group) and 101 from another community that received the program post-survey (referent group). Data analysis was performed using Epi-Info version 3.5.3. Knowledge about breast cancer among participants who received the program was better than among those who did not. Only 53.5% of participants from the referent group knew that breast cancer usually appears as painless breast lump when compared to 82.3% from the intervention group. Participants who attended the program were significantly more likely to obtain higher knowledge scores (odds ratio (OR) = 2.10, 95% confidence interval (CI) = 1.14-3.86) and to state practicing breast self-examination (OR = 12.29, 95% CI = 5.31-28.48). The BCI program improved KAP toward breast cancer. Further research is warranted to provide stronger evidence that the program improves breast cancer early detection.</div>
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<name sortKey="Dabis, Francois" sort="Dabis, Francois" uniqKey="Dabis F" first="François" last="Dabis">François Dabis</name>
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