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Background: In Nigeria, about two-thirds of patients with breast cancer present in the hospital with advanced stages when treatment offers minimal or no benefits. Therefore, early detection remains the cornerstone of breast cancer control. A family history of breast cancer constitutes an increased risk of developing the disease. This study identified factors influencing utilisation of breast cancer screening measures among the family members of people living with breast cancer in a Nigerian Teaching Hospital.
Method: Using a descriptive cross-sectional design, 106 family members of people living with breast cancer were purposively selected. Data were collected using a 32 -item self-structured questionnaire, these were analysed using Statistical Package for Social Sciences, version 22 while the hypotheses were tested using student t-test, Analysis of Variance (ANOVA), Chi square at 0.05 level of significance.
Results: More than half (53.8%) of the respondents had adequate knowledge of breast cancer, mean knowledge score was 9.5± 2.0, 79.2% had low level of utilisation of breast cancer screening measures with the mean score of 1.6 ±0.5 . Lack of knowledge of practice of Breast Self-Examination (42.9%) and absence of breast problems (such as swelling or lumps) (39.7%) were factors associated with BSE. Feeling of wellbeing (72.5%) and ignorance of mammography (54.3%) were factors identified for non-utilisation of CBE and Mammography respectively.
Conclusion: Health education on the factors identified to be influencing utilisation of screening measures is highly recommended for individuals at higher risk and general populace to reduce the burden of breast cancer to the barest minimum.
Keywords: Factors, Breast cancer, Screening measures, Utilisation, Family members
Résumé
Contexte: Au Nigéria, environ deux tiers des patientes atteintes d’un cancer du sein se présentent à l’hôpital à des stades avancés lorsque le traitement offre des avantages minimes ou nuls. Par conséquent, la détection précoce reste la pierre angulaire de la lutte contre le cancer du sein. Des antécédents familiaux de cancer du sein constituent un risque accru de développer la maladie. Cette étude a identifié des facteurs influençant l’utilisation des mesures de dépistage du cancer du sein parmi les membres de la famille de personnes vivant avec un cancer du sein dans un hôpital d’enseignement universitaire nigérian.
Méthode: En utilisant une conception transversale descriptive, 106 membres de la famille de personnes vivant avec un cancer du sein ont été sélectionnés à dessein. Les données ont été collectées à l’aide d’un questionnaire autostructuré en 32 éléments, celles-ci ont été analysées à l’aide du progiciel statistique pour les sciences sociales, SPSS version 22, tandis que les hypothèses ont été testées à l’aide du test t de l’élève, analyse de variance (ANOVA), Chi carré à un niveau de signification de 0,05.
Résultats: Plus de la moitié (53,8%) des répondants avaient une connaissance adéquate du cancer du sein, le score de connaissance moyen était de 9,5 ± 2,0, 79,2% avaient un faible niveau d’utilisation des mesures de dépistage du cancer du sein avec un score moyen de 1,6 ± 0,5. Le manque de connaissances sur la pratique de l’auto-examen des seins (42,9%) et l’absence de problèmes mammaires (tels que gonflement ou bosses) (39,7%) étaient des facteurs associés à l’auto-examen des seins. Le sentiment de bien-être (72,5%) et l’ignorance de la mammographie (54,3%) étaient des facteurs identifiés respectivement pour la non-utilisation de la CBE et de lamammographie.
Conclusion: Une éducation sanitaire sur les facteurs identifiés comme influençant l’utilisation des mesures de dépistage est fortement recommandée pour les personnes à risque élevé et la population en général afin de réduire au minimum le fardeau du cancer du sein.
Mots clés: Facteurs, cancer du sein, mesures de dépistage, utilisation, membres de la famille
Correspondence: Dr. Amina A.L. Adeyemo, Department of Nursing, College of Medicine, University of Ibadan, Ibadan, Nigeria. E-mail: sholamina@gmail.com
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