Regression Analysis of Determinants of Breast Self-Examination and Practices Among Midwifery Students in a Teaching Hospital, Nigeria

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DOI: 10.21522/TIJPH.2013.13.04.Art011

Authors : Umar N. Jibril, Ali Hajara, Aminat G. Umar, Ibraheem M. Ayoade, Baba D. Abubakar, Aliyu Umar, Abdulmalik, N. Ajoke, Imam A. Abubakar, Lawal F.A. Ibrahim

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 countriesCA 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/101186/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