Samenvatting
Introduction: Breast cancer is one of the leading causes of cancer deaths among women. Early detection using clinical breast examination (CBE), mammography, and breast self-examination (BSE) is important in improving treatment outcome and prognosis of persons with breast cancer.
Objectives: This study investigates the knowledge, attitude and practice of BSE among female medical students at University of Ibadan, Oyo state, Nigeria.
Materials and methods: A hundred and twenty (120) medical students were selected by stratified random sampling methods and their knowledge, attitude and practice of BSE were assessed by self-administered questionnaires.
Results: The mean age of the participants was 20.53 ± 2.18 years. Few students (5.8%) reported a positive family history of Breast cancer. About two thirds, (69.2%) of students had good knowledge of BSE and this was higher among clinical students (p>.005). Almost three quarters, (74.2%) of students practice BSE and good practice was highest in the 300 level class (95%). There were significant associations between age, academic level and knowledge of BSE with the practice of breast self- examination.
Conclusion: The study showed that good knowledge and attitude towards BSE corresponded with a good practice of BSE. This might be explained by the health care information they have received in the course of their studies. One can therefore safely propose that giving relevant health care information to other students may improve the practice of BSE and help increase early detection of breast cancer.
Keywords: Breast cancer, mammography, stratified random; CBE, BSE
Résumé
Introduction : Le cancer du sein est l’une des principales causes de décès par cancer chez les femmes. La détection précoce au moyen de l’examen clinique du sein (CBE), de la mammographie et de l’autoexamen du sein (BSE) est importante pour améliorer les résultats du traitement et le pronostic des personnes atteintes du cancer du sein.
Objectifs : Cette étude examine les connaissances, l’attitude et la pratique de BSE chez les étudiantes en médecine de l’Université d’Ibadan, État d’Oyo, Nigéria.
Matériels et méthodes : Cent vingt (120) étudiantes en médecine ont été sélectionnées selon des méthodes d’échantillonnage stratifié aléatoirement et leurs connaissances, leur attitude et la pratique de BSE ont été évaluées à l’aide de questionnaires autoadministrés.
Résultats : L’âge moyen des participantes était de 20,53 ± 2,18 ans. Peu d’étudiantes (5,8%) ont signalé des antécédents familiaux de cancer du sein. Environ deux tiers (69,2%) des étudiants avaient une bonne connaissance de BSE, ce qui était plus élevé chez les étudiantes en clinique (p> 0,005). Près de trois quarts (74,2%) des étudiantes pratiquent BSE et les bonnes pratiques étaient plus élevées dans la classe de 3 ème année (95%). Il existait des associations significatives entre l’âge, le niveau universitaire et la
connaissance de BSE avec la pratique de l’autoexamen des seins.
Conclusion : L’étude a montré qu’une bonne connaissance et une bonne attitude à l’égard de BSE correspondaient à une bonne pratique de BSE. Cela pourrait s’expliquer par les informations sur les soins de santé qu’ils auraient pu recevoir au cours de leurs études. On peut donc suggérer en toute sécurité que le fait de donner des informations pertinentes sur les soins de santé à d’autres étudiantes pourrait améliorer la pratique de l’BSE et contribuer à accroître la détection précoce du cancer du sein.
Mots-clés : cancer du sein, mammographie, stratifiée aléatoire, CBE, BSE
Correspondence: Dr. S. Folorunso, Department of Radiation Oncology, University College Hospital, Ibadan,
Nigeria. E-mail: thenoble20@yahoo.com.
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