Knowledge, attitudes, beliefs, behaviour and breast cancer screening practices in Ghana, West Africa
Identifieur interne : 001674 ( Ncbi/Merge ); précédent : 001673; suivant : 001675Knowledge, attitudes, beliefs, behaviour and breast cancer screening practices in Ghana, West Africa
Auteurs : Samuel Yaw Opoku [Ghana] ; Martin Benwell ; Joel YarneySource :
- The Pan African Medical Journal [ 1937-8688 ] ; 2012.
Abstract
Late presentation has been observed as the hallmark of breast cancer in Ghanaian women where over 60% of patients report with either stage 3 or 4 of the disease. This cross-sectional study aimed at exploring breast cancer related knowledge and practices in order to develop an appropriate socio-economic and cultural specific model to improve breast cancer care in Ghana.
The study which was conducted in Accra and Sunyani in Ghana used both quantitative and qualitative methods and employed the theory of planned behavior as a communication and educational model. Information was collected from 474 women using questionnaires. In addition semi-structured interviews were conducted on 10 breast cancer patients; 10 breast clinic attendants; 3 Oncology Consultants and 2 herbalists.
Generally, the respondents displayed knowledge deficit about the disease. However, higher levels of education was associated with better appreciation of the disease (rs =0.316, N465, p < 0.001). The respondents’ attitudes include fear of the disease which was linked to death in most cases; denial and guilt; as well as supernatural attributes. The self-reported breast cancer screening rate (BSE 32%, CBE 12% and mammogram 2%) was poor, however, higher educational of the respondents was very significant for breast cancer screening practices.
The study found that routine mammography screening is not feasible in Ghana at the moment which therefore requires a different approach
Url:
PubMed: 22514762
PubMed Central: 3325066
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<author><name sortKey="Opoku, Samuel Yaw" sort="Opoku, Samuel Yaw" uniqKey="Opoku S" first="Samuel Yaw" last="Opoku">Samuel Yaw Opoku</name>
<affiliation wicri:level="4"><nlm:aff id="AF0001">Department of Radiography, School of Allied Health Sciences, College of Health Sciences, University of Ghana</nlm:aff>
<country>Ghana</country>
<placeName><settlement type="city">Accra</settlement>
<settlement type="town">Legon (Ghana)</settlement>
<region type="region">Région du Grand Accra</region>
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<orgName type="university">Université du Ghana</orgName>
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<author><name sortKey="Benwell, Martin" sort="Benwell, Martin" uniqKey="Benwell M" first="Martin" last="Benwell">Martin Benwell</name>
<affiliation><nlm:aff id="AF0002">Department of Radiography, School of Health, London South Bank University</nlm:aff>
<wicri:noCountry code="subfield">London South Bank University</wicri:noCountry>
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<author><name sortKey="Yarney, Joel" sort="Yarney, Joel" uniqKey="Yarney J" first="Joel" last="Yarney">Joel Yarney</name>
<affiliation><nlm:aff id="AF0003">National Radiotherapy Center, Korle Bu Teaching Hospital, Accra. Ghana</nlm:aff>
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<author><name sortKey="Opoku, Samuel Yaw" sort="Opoku, Samuel Yaw" uniqKey="Opoku S" first="Samuel Yaw" last="Opoku">Samuel Yaw Opoku</name>
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<author><name sortKey="Benwell, Martin" sort="Benwell, Martin" uniqKey="Benwell M" first="Martin" last="Benwell">Martin Benwell</name>
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<front><div type="abstract" xml:lang="en"><sec id="S0001"><title>Background</title>
<p>Late presentation has been observed as the hallmark of breast cancer in Ghanaian women where over 60% of patients report with either stage 3 or 4 of the disease. This cross-sectional study aimed at exploring breast cancer related knowledge and practices in order to develop an appropriate socio-economic and cultural specific model to improve breast cancer care in Ghana.</p>
</sec>
<sec id="S0002"><title>Methods</title>
<p>The study which was conducted in Accra and Sunyani in Ghana used both quantitative and qualitative methods and employed the theory of planned behavior as a communication and educational model. Information was collected from 474 women using questionnaires. In addition semi-structured interviews were conducted on 10 breast cancer patients; 10 breast clinic attendants; 3 Oncology Consultants and 2 herbalists.</p>
</sec>
<sec id="S0003"><title>Results</title>
<p>Generally, the respondents displayed knowledge deficit about the disease. However, higher levels of education was associated with better appreciation of the disease (rs =0.316, N465, p < 0.001). The respondents’ attitudes include fear of the disease which was linked to death in most cases; denial and guilt; as well as supernatural attributes. The self-reported breast cancer screening rate (BSE 32%, CBE 12% and mammogram 2%) was poor, however, higher educational of the respondents was very significant for breast cancer screening practices.</p>
</sec>
<sec id="S0004"><title>Conclusion</title>
<p>The study found that routine mammography screening is not feasible in Ghana at the moment which therefore requires a different approach</p>
</sec>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Pan Afr Med J</journal-id>
<journal-id journal-id-type="iso-abbrev">Pan Afr Med J</journal-id>
<journal-id journal-id-type="publisher-id">PAMJ</journal-id>
<journal-title-group><journal-title>The Pan African Medical Journal</journal-title>
</journal-title-group>
<issn pub-type="epub">1937-8688</issn>
<publisher><publisher-name>The African Field Epidemiology Network</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22514762</article-id>
<article-id pub-id-type="pmc">3325066</article-id>
<article-id pub-id-type="publisher-id">PAMJ-11-28</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research</subject>
</subj-group>
</article-categories>
<title-group><article-title>Knowledge, attitudes, beliefs, behaviour and breast cancer screening practices in Ghana, West Africa</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Opoku</surname>
<given-names>Samuel Yaw</given-names>
</name>
<xref ref-type="aff" rid="AF0001">1</xref>
<xref ref-type="corresp" rid="cor1">&</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Benwell</surname>
<given-names>Martin</given-names>
</name>
<xref ref-type="aff" rid="AF0002">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Yarney</surname>
<given-names>Joel</given-names>
</name>
<xref ref-type="aff" rid="AF0003">3</xref>
</contrib>
</contrib-group>
<aff id="AF0001"><label>1</label>
Department of Radiography, School of Allied Health Sciences, College of Health Sciences, University of Ghana</aff>
<aff id="AF0002"><label>2</label>
Department of Radiography, School of Health, London South Bank University</aff>
<aff id="AF0003"><label>3</label>
National Radiotherapy Center, Korle Bu Teaching Hospital, Accra. Ghana</aff>
<author-notes><corresp id="cor1"><label>&</label>
Corresponding author: Samuel Yaw Opoku, Department of Radiography, College of Health Sciences, University of Ghana, Accra, Ghana</corresp>
</author-notes>
<pub-date pub-type="epub"><day>17</day>
<month>2</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="collection"><year>2012</year>
</pub-date>
<volume>11</volume>
<elocation-id>28</elocation-id>
<history><date date-type="received"><day>15</day>
<month>2</month>
<year>2011</year>
</date>
<date date-type="accepted"><day>02</day>
<month>2</month>
<year>2012</year>
</date>
</history>
<permissions><copyright-statement>© Samuel Yaw Opoku et al.</copyright-statement>
<copyright-year>2012</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><license-p>The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><sec id="S0001"><title>Background</title>
<p>Late presentation has been observed as the hallmark of breast cancer in Ghanaian women where over 60% of patients report with either stage 3 or 4 of the disease. This cross-sectional study aimed at exploring breast cancer related knowledge and practices in order to develop an appropriate socio-economic and cultural specific model to improve breast cancer care in Ghana.</p>
</sec>
<sec id="S0002"><title>Methods</title>
<p>The study which was conducted in Accra and Sunyani in Ghana used both quantitative and qualitative methods and employed the theory of planned behavior as a communication and educational model. Information was collected from 474 women using questionnaires. In addition semi-structured interviews were conducted on 10 breast cancer patients; 10 breast clinic attendants; 3 Oncology Consultants and 2 herbalists.</p>
</sec>
<sec id="S0003"><title>Results</title>
<p>Generally, the respondents displayed knowledge deficit about the disease. However, higher levels of education was associated with better appreciation of the disease (rs =0.316, N465, p < 0.001). The respondents’ attitudes include fear of the disease which was linked to death in most cases; denial and guilt; as well as supernatural attributes. The self-reported breast cancer screening rate (BSE 32%, CBE 12% and mammogram 2%) was poor, however, higher educational of the respondents was very significant for breast cancer screening practices.</p>
</sec>
<sec id="S0004"><title>Conclusion</title>
<p>The study found that routine mammography screening is not feasible in Ghana at the moment which therefore requires a different approach</p>
</sec>
</abstract>
<kwd-group><kwd>Breast cancer</kwd>
<kwd>screening</kwd>
<kwd>mammography</kwd>
<kwd>Knowledge</kwd>
<kwd>attitude</kwd>
<kwd>belief</kwd>
<kwd>Ghana</kwd>
<kwd>Africa</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Ghana</li>
</country>
<region><li>Région du Grand Accra</li>
</region>
<settlement><li>Accra</li>
<li>Legon (Ghana)</li>
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<orgName><li>Université du Ghana</li>
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<tree><noCountry><name sortKey="Benwell, Martin" sort="Benwell, Martin" uniqKey="Benwell M" first="Martin" last="Benwell">Martin Benwell</name>
<name sortKey="Yarney, Joel" sort="Yarney, Joel" uniqKey="Yarney J" first="Joel" last="Yarney">Joel Yarney</name>
</noCountry>
<country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Opoku, Samuel Yaw" sort="Opoku, Samuel Yaw" uniqKey="Opoku S" first="Samuel Yaw" last="Opoku">Samuel Yaw Opoku</name>
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