Regression Analysis of Determinants of Breast Self-Examination and Practices Among Midwifery Students in a Teaching Hospital, Nigeria
Abstract:
Globally, women are exposed to
various forms of breast diseases, of which breast cancer poses a serious,
devastating state of ill health. Efforts to control breast cancer focus on
early detection through periodic breast examination for early diagnosis. This
study assessed the Regression analysis of determinants of Breast
Self-Examination and practices among 209 midwifery students at Tafawa Balewa
University Teaching Hospital, Bauchi. A descriptive cross-sectional survey
design was adopted using mixed methods for data collection. The data collected
was analysed using descriptive statistics, chi-square, logistic regression and
thematic analysis. Findings revealed that 61.0% students practiced BSE, and 66.0%
of them opined that BSE enables the detection of breast abnormalities such as
discharges and lumps. While students’ barriers to consistent BSE were: poor
knowledge about BSE (48.0%), lack of time (60.0%), and privacy (48.0%) in
practicing BSE. Furthermore, exercise (OR = 1.844, p <
0.05) and family history of cancer (OR =
1.572, p < 0.05) significantly decreases the odd to practice BSE among
students. This
study concluded that students expressed reduction in breast cancer anxiety with
mean = 2.51, std = 0.705, which explained a better understanding of BSE (mean =
2.61; std dev. = 0.623), while some perceived BSE as an effective means of
early detection of breast cancers. We recommended that BSE practices should be
given a high priority by students’ midwives, as they are major health educators
to females and women in the communities.
References:
[1]. Mulugeta,
T. W., Rosemary, O., Micheal, H., Mekitiew, A. B., 2023, The practice of breast self-examination and
associated factors among female healthcare professionals. medRxiv, 04.10.23288382; doi; https://doi.org/10.1101/2023.04.10.2328
[2]. World
Health Organization., 2024, Breast-cancer analysis; https://www.who.int/news-room/fact-sheets/detail/
[3]. Bray, F., Ferlay, J.,
Soerjomataram, I., Siegel, R. L., Torre, L. A., Jemal, A., 2018, Global cancer statistics. GLOBOCAN estimates of incidence
and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394–424.
[4].
Asmare, K., Yeneabat, B., Zerko, W., 2022, Knowledge, attitude, practice towards
breast self-examination and associated factors among women in Gondar town,
Northwest Ethiopia, : a community-based study. 10.1186/s12905-022-01764-4
[5]. Rejoice, O. U., Chime, H. O., Esegbue, P., Agofure, O., 2024, Effect of educational intervention on the knowledge, attitude and
practice of breast self-examination among female students at a private
university in Southern Nigeriaz/articles/10. 1186/s12885-024-12116-w
[6]. Salman
albeshan, Naseer Shubayr, Yazeed Alashban, 2023,
Assessment of Knowledge and Awareness About Breast Self-Examination Among
University Female Students in Saudi Arabia. Breast Cancer (Dove Med Press).
1;15:91–99. doi: 10.2147/BCTT.S396903. PMCID: PMC9900142 PMID: 36755689.https://www.dovepress.com/assessment-of-knowledge-and-awareness-about-breast-self-examination-am-peer-reviewed-fulltext-article-BCTT.
retrieved on 11th Nov. 2024.
[7]. Rakhshani, T., Maryam, D., Seyyed, M. K., Amirhossein, K., Ali, K. J., 2022, The Effect of Educational Intervention on
Knowledge, Attitude, and Practice of Women towards Breast Cancer Screening.
10.1155/2022/5697739
[8]. Johnson,
R. H., Chien, F. L., & Bleyer, A., 2013, Incidence of breast cancer with
distant involvement among women in the United States, 1976 to 2009. JAMA,
309(8), 800–805. https://doi.org/10.1001/jama.2013.776
[9]. Nirmala, M., Padmavathi, R., Chitra., 2024,
Eeffectiveness of planned teaching program on Knowledge.
of breast self-examination among students. https://www.researchgate.net/publication/381598943
[10]. Ran
Kang, S., Hyewon, S., Jungmin, L., Shin-Jeon, K., 2020, Knowledge and practice
Breast self-examination. https://doi.org/10.111/jjns.12318
[11]. Al-Naggar, R. A., Al-Naggar, D. H.,
Bobryshev, Y. V., Chen, R., & Assabri, A., 2011, Practice and barriers
toward breast self-examination among young Malaysian women. Asian Pacific
Journal Cancer Prev, 12(5), 1173-8.
[12]. Abubakar Tafawa Balewa, 2024, University
Teaching Hospital, Bauchi. School registry; LinkedIn. https://ng.linkedin.com/company/atbuth
[13]. Smith,
J., 2020, Increasing breast health awareness through community education
programs. Health Promotion International. 34(5), 987–995. https://doi.org/10.1093/heapro/daz023
[14]. Yakubu, M. A., Gadanya, M. A., Sheshe, A. A., 2014,
Knowledge, attitude and. practice of breast self-examination among female nurses
in Aminu Kano Teaching hospital Kano Nigeria. https://www.researchgate.net/links
/58ee7465a6fdcc61cc125f19/
[15]. Rosemary, A. A., Joyce Komesuor., Hubert Amu, Elvis Enowbeyang, T., 2023, Factors Influencing
the Practice of Breast Self-Examination among Female Tertiary Students in Ho,
Ghana. Available published by Advance in public Health at https://doi.org/10.1155/2022/7724050
[16]. Plesnicar, A., Golicnik, M.,
Fazarinc, I., Kralj, B., Kovac, V., & Plesnicar, B., 2010, Attitudes of
midwifery students towards teaching breast self-examination. Radiology and
oncology, 44(1), 52-56.
[17]. Harris, L. N., Isakoff, S. J., Davey, A., Dominici, L., Javid, S. H., Come, S. E., Burstein, H. J., et al., 2021, Breast cancer in very young women. Journal of the National Comprehensive Cancer Network. 19(10), 1222-1234. https://doi.org/10.6004/jnccn.2021.7104
