Cancer is a leading cause of death worldwide, with breast cancer being the most common (2.26 million new cases and 685,000 deaths). In Saudi Arabia, breast cancer ranked the first among females in 2014, accounting for 15.9% of all cancers reported among Saudi nationals and 28.7% of all cancers reported among females of all ages. Early detection of breast cancer could decrease the risks, have a better prognosis, and have better outcomes/more successful treatments. Prevalence of breast cancer reached more than 25% of all diagnosed cancer in the kingdom among women. Aim: This study aims to assess the knowledge and performance of women attending primary care centers about breast self-examination and mammogram screening for prevention and early detection of breast cancer in Abha city primary healthcare centers, Kingdom of Saudi Arabia. Research Method: cross sectional design was conducted by using questionnaire, which was distributed to primary care center nurses. The collected data was statistically analyzed using the Statistical Package for Social Sciences, version 25. Results: The study found that participants had poor awareness and knowledge about breast self-examination, risk factors for breast cancer, and trends and practices in early diagnosis of breast cancer. Conclusion and Recommendations: It recommends increasing awareness campaigns and providing educational programs to improve knowledge and practices.
References
[1]
WHO: World Health Organization (2021) “Cancer”. http://www.who.int/topics/cancer/en/
[2]
Nyante, S.J., Biritwum, R.B., Figueroa, J.D., Graubard, B.I., Awuah, B., Addai, B.W., Yarney, J., Clegg-Lamptey, J.N., Ansong, D., Nyarko, K., Wiafe, S., Oppong, J.K., Boakye, I., Brotzman, M., Adjei, R., Afriyie, L., García-Closas, M. and Brinton, L.A. (2019) Recruiting Population Controls for Case-Control Studies in Sub-Saharan Africa: The Ghana Breast Health Study. PLOS ONE, 14, e0215347. https://doi.org/10.1371/journal.pone.0215347
[3]
Saggu, S., Rehman, H., Abbas, Z.K. and Ansari, A.A. (2015) Recent Incidence and Descriptive Epidemiological Survey of Breast Cancer in Saudi Arabia. Saudi Medical Journal, 36, 1176-1180. https://doi.org/10.15537/smj.2015.10.12268
[4]
Zeeshan, M., Salam, B., Khalid, Q.S.B., Alam, S. and Sayani, R. (2018) Diagnostic Accuracy of Digital Mammography in the Detection of Breast Cancer. Cureus, 10, e2448. https://doi.org/10.7759/cureus.2448
[5]
Balekouzou, A., Yin, P., Pamatika, C.M., Nambei, S.W., Djeintote, M., Doromandji, E., Gouaye, A.R., Yamba, P.G., Guessy, E.E., Ba-Mpoutou, B., Mandjiza, D.R., Shu, C., Yin, M., Fu, Z., Qing, T., Yan, M., Mella, G. and Koffi, B. (2016) Assessment of Breast Cancer Knowledge among Health Workers in Bangui, Central African Republic: A Cross-Sectional Study. Asian Pacific Journal of Cancer Prevention, 17, 3769-3776.
[6]
Radi, S.M. (2013) Breast Cancer Awareness among Saudi Females in Jeddah. Asian Pacific Journal of Cancer Prevention, 14, 4307-4312. https://doi.org/10.7314/APJCP.2013.14.7.4307
[7]
Holman, D.M. and Buchanan, N.D. (2016) Opportunities during Early Life for Cancer Prevention: Highlights from a Series of Virtual Meetings with Experts. Pediatrics, 138, S3-S14. https://doi.org/10.1542/peds.2015-4268C
[8]
Thomson, C.A., McCullough, M.L., Wertheim, B.C., Chlebowski, R.T., Martinez, M.E., Stefanick, M.L., Rohan, T.E., Manson, J.E., Tindle, H.A., Ockene, J., Vitolins, M.Z., Wactawski-Wende, J., Sarto, G.E., Lane, D.S. and Neuhouser, M.L. (2014) Nutrition and Physical Activity Cancer Prevention Guidelines, Cancer Risk, and Mortality in the Women’s Health Initiative. Cancer Prevention Research, 7, 42-53. https://doi.org/10.1158/1940-6207.CAPR-13-0258
[9]
Go, L. and Sandhu, P. (2020) Standardizing Mammogram Screening in Primary Care: Integrating an Evidence-Based Approach. Journal of the American Association of Nurse Practitioners, 33, 688-697. https://doi.org/10.1097/JXX.0000000000000418
[10]
Bashirian, S., Barati, M., Mohammadi, Y., Moaddabshoar, L. and Dogonchi, M. (2019) An Application of the Protection Motivation Theory to Predict Breast Self-Examination Behavior among Female Healthcare Workers. The Journal of Breast Health, 15, 90-97. https://doi.org/10.5152/ejbh.2019.4537
[11]
Mekonnen, B.D. (2020) Breast Self-Examination Practice and Associated Factors among Female Healthcare Workers in Ethiopia: A Systematic Review and Meta-Analysis. PLOS ONE, 15, e0241961. https://doi.org/10.1371/journal.pone.0241961
[12]
Shallo, S.A. and Boru, J.D. (2019) Breast Self-Examination Practice and Associated Factors among Female Healthcare Workers in West Shoa Zone, Western Ethiopia 2019: A Cross-Sectional Study. BMC Research Notes, 12, Article No. 637. https://doi.org/10.1186/s13104-019-4676-3
[13]
Alomair, A., Felemban, D., Felemban, M., Awadain, J., Altowairqi, A., Alfawzan, N., Almazayen, F., Korkoman, A. and Alrusayyis, N. (2020) Knowledge, Attitude, and Practice of Breast Self-Examination toward Breast Cancer among Female Students at King Saud University in Riyadh, Saudi Arabia. International Journal of Medicine in Developing Countries, 4, 429-434. https://doi.org/10.24911/IJMDC.51-1576668182
[14]
Asiri, S., Asiri, A., Ulahannan, S., Alanazi, M., Humran, A. and Hummadi, A. (2020) Incidence Rates of Breast Cancer by Age and Tumor Characteristics among Saudi Women: Recent Trends. Cureus, 12, e6664. https://doi.org/10.7759/cureus.6664
[15]
Rojas, K. and Stuckey, A. (2011) Breast Cancer Epidemiology and Risk Factors. Clinical Obstetrics and Gynecology, 54, 96-102. https://doi.org/10.1097/GRF.0b013e3182080056
[16]
Tewabe, T.and Mekuria, Z. (2019) Knowledge and Practice of Breast Self-Examination among Undergraduate Student in Bahir Dar University, North-West Ethiopia, 2016: A Cross-Sectional Study. Journal of Public Health in Africa, 10, 31-34. https://doi.org/10.4081/jphia.2019.805
[17]
Medcalf, A. and Nunes, J. (2018) Visualising Primary Health Care: World Health Organization Representations of Community Health Workers, 1970-89. Medical History, 62, 401-424. https://doi.org/10.1017/mdh.2018.40
[18]
Binhussien, B.F. and Ghoraba, M.A. (2018) Awareness of Breast Cancer Screening and Risk Factors among Saudi Females at Family Medicine Department in Security Forces Hospital, Riyadh. Journal of Family Medicine and Primary Care, 7, 1283-1287. https://doi.org/10.4103/jfmpc.jfmpc_286_18
[19]
Chen, X., Chen, J., Wen, Y., Huang, X., Xie, M. and Liu, Y. (2020) A Cross-Sectional Study of Breast Cancer Awareness among Female Healthcare Workers in China. BMC Public Health, 20, Article No. 1327.
[20]
Azemfac, K., Christie, S.A., Carvalho, M., Nana, T., Fonje, A.N., Halle-Ekane, G., Dicker, R., Mefire, A.C. and Juillard, C. (2019) A Community-Based Assessment of Knowledge and Practice of Breast Self-Examination and Prevalence of Breast Disease in Southwest Cameroon. Journal of Cancer Epidemiology, 2019, Article ID: 2928901. https://doi.org/10.1155/2019/2928901
[21]
Bonsu, A.B. and Ncama, B.P. (2019) Integration of Breast Cancer Prevention and Early Detection into Cancer Palliative Care Model. PLOS ONE, 14, e0212806. https://doi.org/10.1371/journal.pone.0212806
[22]
Kratzke, C., Amatya, A. and Vilchis, H. (2014) Breast Cancer Prevention Knowledge, Beliefs, and Information Sources between Non-Hispanic and Hispanic College Women for Risk Reduction Focus. Journal of Community Health, 40, 124-130. https://doi.org/10.1007/s10900-014-9908-9
[23]
Mensaah, A.B.B., Mensah, K.B., Aborigo, R., Bangalee, V., Oosthuizen, F., Kugbey, N., Clegg-Lamptey, J.N., Virnig, B.A., Kulasingam, S. and Ncama, B.P. (2022) Breast Cancer Screening Pathways in Ghana: Applying an Exploratory Single Case Study Methodology with Cross-Case Analysis. Social Science Research Network, 8, 1-11. https://doi.org/10.2139/ssrn.4148414
[24]
Al-Zalabani, A.H., Alharbi, K.D., Fallatah, N.I., Alqabshawi, R.I., Al-Zalabani, A.A. and Al-Ghamdi, S. (2016) Breast Cancer Knowledge and Screening Practice and Barriers among Women in Madinah, Saudi Arabia. Journal of Cancer Education, 33, 201-207. https://doi.org/10.1007/s13187-016-1057-7
[25]
Ginsburg, O., Yip, C., Brooks, A.D., Cabanes, A., Caleffi, M., Yataco, J.A.D., Gyawali, B., McCormack, V., De Anderson, M.M., Mehrotra, R., Mohar, A., Murillo, R., Pace, L.E., Paskett, E.D., Romanoff, A., Rositch, A.F., Scheel, J.R., Schneidman, M., Unger-Saldaña, K., Anderson, B.O., et al. (2020 Breast Cancer Early Detection: A Phased Approach to Implementation. Cancer, 126, 2379-2393. https://doi.org/10.1002/cncr.32887
[26]
Koç, G., Gulen-Savas, H., Ergöl, Ş., Yildirim-Cetinkaya, M. and Aydın, N. (2019) Female University Students’ Knowledge and Practice of Breast Self-Examination in Turkey. Nigerian Journal of Clinical Practice, 22, 410-415. https://doi.org/10.4103/njcp.njcp_341_18
[27]
Rahman, S.A., Al–Marzouki, A., Otim, M., Khalil Khayat, N.E.H., Yousuf, R. and Rahman, P. (2019) Awareness about Breast Cancer and Breast Self-Examination among Female Students at the University of Sharjah: A Cross-Sectional Study. Asian Pacific Journal of Cancer Prevention, 20, 1901-1908. https://doi.org/10.31557/APJCP.2019.20.6.1901
[28]
Osei-Afriyie, S., Addae, A.K., Oppong, S.A., Amu, H., Ampofo, E. and Osei, E. (2021) Breast Cancer Awareness, Risk Factors and Screening Practices among Future Health Professionals in Ghana: A Cross-Sectional Study. PLOS ONE, 16, e0253373. https://doi.org/10.1371/journal.pone.0253373
[29]
Zare Marzouni, H., Najibpour, R., Shalilian, M., Fakhr, M.S., Nazarzadeh, R., Farshad, A. and Bahrami, N. (2014) Women’s Awareness and Attitude toward Breast Self-Examination in Dezful City, Iran, 2013. Iranian Red Crescent Medical Journal, 17, e17829. https://doi.org/10.5812/ircmj.17829
[30]
Al-Sharbatti, S.S., Al-Haddabi, M. and Al-Sharbatti, M.M. (2018) Knowledge, Attitudes and Practices towards Breast Cancer Self-Examination among Females in Oman: A Cross-Sectional Study. Sultan Qaboos University Medical Journal, 18, e192-e198.
[31]
Alharbi, M.F., Alshammari, F.S. and Alsaqabi, R.M. (2019) Breast Cancer Knowledge, Attitudes, and Screening Behaviors among Women in Saudi Arabia: A Systematic Review. Journal of Cancer Education, 34, 1-11.
[32]
Jibiri, N.N. and Osagbemi, K.G. (2020) Knowledge, Attitude and Practice of Breast Self-Examination among Female Undergraduates in Nigeria. BMC Public Health, 20, Article No. 805.
[33]
Koo, M.M., von Wagner, C., Abel, G.A. and McPhail, S. (2018) Does Knowledge Matter in Cancer Risk Perception and Screening Behavior? A Population-Based Study from the United Kingdom. Journal of Public Health, 40, e477-e485.
[34]
Hadi, M.A. and Hassali, M.A. (2017) Breast Cancer Knowledge, Perception and Breast Self-Examination Practices among Yemeni Women: A Cross-Sectional Study. Asian Pacific Journal of Cancer Prevention, 18, 2973-2980.
