Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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Association of Knowledge and Cultural Perceptions of Malaysian Women with Delay in Diagnosis and Treatment of Breast Cancer: a Systematic Review

  • Khan, Tahir Mehmood (School of Pharmacy, Monash University Malaysia) ;
  • Leong, Jamie Pik Yan (School of Pharmacy, Monash University Malaysia) ;
  • Ming, Long Chiau (Brain Degeneration and Therapeutics Group, Pharmaceutical and Life Sciences CoRE, Faculty of Pharmacy, Universiti Teknologi MARA) ;
  • Khan, Amer Hayat (School of Pharmaceutical Science, Universiti Sains Malaysia)
  • Published : 2015.08.03
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Abstract

Background: Breast cancer is the most common cancer and the leading cause of cancer mortality among women of all ethnic and age groups in Malaysia. Delay in seeking help for breast cancer symptoms is preventable and by identifying possible factors for delayed diagnosis, patient prognosis and survival rates could be improved. Objectives: This narrative review aimed to understand and evaluate the level of in-depth breast cancer knowledge in terms of clinical breast examination and breast self-examination, and other important aspects such as side-effects and risk factors in Malaysian females. Since Malaysia is multicultural, this review assessed social perceptions, cultural beliefs and help-seeking behaviour in respect to breast cancer among different ethnic groups, since these may impinge on efforts to 'avoid' the disease. Materials and Methods: A comprehensive literature search of seven databases was performed from December 2015 to January 2015. Screening of relevant published journals was also undertaken to identify available information related to the knowledge, perception and help-seeking behaviour of Malaysian women in relation to breast cancer. Results: A total of 42 articles were appraised and included in this review. Generally, women in Malaysia had good awareness of breast cancer and its screening tools, particularly breast self-examination, but only superficial in-depth knowledge about the disease. Women in rural areas had lower levels of knowledge than those in urban areas. It was also shown that books, magazines, brochures and television were among the most common sources of breast cancer information. Delay in presentation was attributed mainly to a negative social perception of the disease, poverty, cultural and religion practices, and a strong influence of complementary and alternative medicine, rather than a lack of knowledge. Conclusions: This review highlighted the need for an intensive and in-depth breast cancer education campaigns using media and community health programmes, even with the existing good awareness of breast cancer. This is essential in order to avoid misconceptions and to frame the correct mind-set about breast cancer among women in Malaysia. Socio-cultural differences and religious practices should be taken into account by health care professionals when advising on breast cancer. Women need to be aware of the risk factors and symptoms of breast cancer so that early diagnosis can take place and the chances of survival improved.

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References

  1. Abdul-Hadi M, Hassali MA, Shafie AA, et al (2010a). Evaluation of breast cancer awareness among female university students in Malaysia. Pharm Pract, 8, 29-34.
  2. Abdul-Hadi M, Hassali MA, Shafie AA, et al (2010b). Knowledge and perception of breast cancer among women of various ethnic groups in the state of Penang: a cross-sectional survey. Med Princ Pract, 19, 61-7. https://doi.org/10.1159/000252837
  3. Abdullah NN, Aziz NA, Rampal S, et al (2011). Mammography screening uptake among hospital personnel in Kuala Lumpur tertiary hospital. Asian Pac J Cancer Prev, 12, 2643-7.
  4. Akhtari-Zavare M, Juni MH, Manaf RA, et al (2011). Knowledge on breast cancer and practice of breast self examination among selected female university students in Malaysia. Med Health Sci J, 7, 49-56. https://doi.org/10.15208/mhsj.2011.132
  5. Akhtari-Zavare M, Juni MH, Said SM, et al (2013). Beliefs and behavior of Malaysia undergraduate female students in a public university toward breast self-examination practice. Asian Pac J Cancer Prev, 14, 57-61. https://doi.org/10.7314/APJCP.2013.14.1.57
  6. Al-Dubai SA, Qureshi AM, Saif-Ali R, et al (2011). Awareness and knowledge of breast cancer and mammography among a group of Malaysian women in Shah Alam. Asian Pac J Cancer Prev, 12, 2531-8.
  7. Al-Dubai SAR, Ganasegeran K, Alabsi AM, et al (2012). Exploration of barriers to breast-self examination among urban women in Shah Alam, Malaysia: A cross sectional study. Asian Pac J Cancer Prev, 13, 1627-32. https://doi.org/10.7314/APJCP.2012.13.4.1627
  8. Al-Naggar RA, Al-Naggar DH, Bobryshev YV, et al (2011). Practice and barriers toward breast self-examination among young Malaysian women. Asian Pac J Cancer Prev, 12, 1173-8.
  9. Al-Naggar RA, Bobryshev YV (2012). Practice and barriers of mammography among Malaysian women in the general population. Asian Pac J Cancer Prev, 13, 3595-600. https://doi.org/10.7314/APJCP.2012.13.8.3595
  10. Al-Naggar RA, Bobryshev YV, Al-Jashamy K (2012). Practice of breast self-examination among women in Malaysia. Asian Pac J Cancer Prev, 13, 3829-33. https://doi.org/10.7314/APJCP.2012.13.8.3829
  11. Baig MR, Subramaniam V, Chandrasegar AA, et al (2011). A population based survey on knowledge and awareness of breast cancer in the suburban females of Sungai Petani, Kedah, Malaysia. Int J Collab Res Intern Med Pub Health, 3, 671-9.
  12. Beshir SA, Hanipah MA (2012). Knowledge, perception, practice and barriers of breast cancer health promotion activities among community pharmacists in two Districts of Selangor state, Malaysia. Asian Pac J Cancer Prev, 13, 4427-30. https://doi.org/10.7314/APJCP.2012.13.9.4427
  13. Bray F, Ren JS, Masuyer E, et al (2013). Estimates of global cancer prevalence for 27 sites in the adult population in 2008. Int J Cancer, 132, 1133-45. https://doi.org/10.1002/ijc.27711
  14. Che CC, Coomarasamy JD, Suppayah B (2014). Perception of breast health amongst Malaysian female adolescents. Asian Pac J Cancer Prev, 15, 7175-80. https://doi.org/10.7314/APJCP.2014.15.17.7175
  15. Chee HL, Rashidah S, Shamsuddin K, et al (2003). Knowledge and practice of breast self examination and Pap smear screening among a group of electronics women workers. Med J Malaysia, 58, 320-9.
  16. Chui PL, Abdullah KL, Wong LP, et al (2014). Prayer-forhealth and complementary alternative medicine use among Malaysian breast cancer patients during chemotherapy. BMC Complement Altern Med, 14, 425. https://doi.org/10.1186/1472-6882-14-425
  17. Dahlui M, Gan DE, Taib NA, et al (2013). Breast screening and health issues among rural females in Malaysia: how much do they know and practice? Prev Med, 57, 18-20. https://doi.org/10.1016/j.ypmed.2012.12.010
  18. Dahlui M, Gan DE, Taib NA, et al (2012). Predictors of breast cancer screening uptake: a pre intervention community survey in Malaysia. Asian Pac J Cancer Prev, 13, 3443-9. https://doi.org/10.7314/APJCP.2012.13.7.3443
  19. Dahlui M, Ng C, Al-Sadat N, et al (2011). Is breast self examination (BSE) still relevant? A study on BSE performance among female staff of University of Malaya. Asian Pac J Cancer Prev, 12, 369-72.
  20. Dunn RA, Tan A, Samad I (2010). Does performance of breast self-exams increase the probability of using mammography: evidence from Malaysia. Asian Pac J Cancer Prev, 11, 417-21.
  21. Dunn RA, Tan AK (2011). Utilization of breast cancer screening methods in a developing nation: results from a nationally representative sample of Malaysian households. Breast J, 17, 399-402. https://doi.org/10.1111/j.1524-4741.2011.01098.x
  22. Farid NDN, Aziz NA, Al-Sadat N, et al (2014). Clinical breast examination as the recommended breast cancer screening modality in a rural community in Malaysia; what are the factors that could enhance its uptake? PLoS ONE, 9.
  23. Ferlay J, Soerjomataram I, Ervik M, et al (2013). GLOBOCAN 2012: Cancer incidence and mortality worldwide [Online]. Available: http://globocan.iarc.fr [Accessed Dec 30 2014].
  24. Foo QY, Murugiah MK, Khan AH, et al (2015). Meta-synthesis exploring barriers to health seeking behaviour among Malaysian breast cancer patients. Asian Pac J Cancer Prev, 16, 145-52. https://doi.org/10.7314/APJCP.2015.16.1.145
  25. Ghazali SM, Othman Z, Cheong KC, et al (2013). Non-practice of breast self examination and marital status are associated with delayed presentation with breast cancer. Asian Pac J Cancer Prev, 14, 1141-5. https://doi.org/10.7314/APJCP.2013.14.2.1141
  26. Hisham AN, Yip CH (2004). Overview of breast cancer in Malaysian women: a problem with late diagnosis. Asian J Surg, 27, 130-3. https://doi.org/10.1016/S1015-9584(09)60326-2
  27. Kanaga KC, Nithiya J, Shatirah MF (2011). Awareness of breast cancer and screening procedures among Malaysian women. Asian Pac J Cancer Prev, 12, 1965-7.
  28. Khan TM, Afzal HA, Khan A, et al (2010). A pilot study evaluating health literacy towards breast cancer among multiethnic students. J Clin Diagn Res, 4, 2504-11.
  29. Khan TM, Anwar M, Gillani W (2011). Knowledge towards breast cancer among Malaysian university students. Breast J, 17, 553-4. https://doi.org/10.1111/j.1524-4741.2011.01142.x
  30. Leong BD, Chuah JA, Kumar VM, et al (2007). Breast cancer in Sabah, Malaysia: a two year prospective study. Asian Pac J Cancer Prev, 8, 525-9.
  31. Loh S, Packer T, Yip CH, et al (2009). Targeting health disparity in breast cancer: Insights into women's knowledge of their cancer profile in Malaysia. Asian Pac J Cancer Prev, 10, 631-6.
  32. Loh SY, Chew SL (2011). Awareness and practice of breast self examination among malaysian women with breast cancer. Asian Pac J Cancer Prev, 12, 199-202.
  33. Norlaili AA, Fatihah MA, Daliana NFN, et al (2013). Breast cancer awareness of rural women in Malaysia: is it the same as in the cities? Asian Pac J Cancer Prev, 14, 7161-4. https://doi.org/10.7314/APJCP.2013.14.12.7161
  34. Norsa'adah B, Rampal KG, Rahmah MA, et al (2011). Diagnosis delay of breast cancer and its associated factors in Malaysian women. BMC Cancer, 11, 141. https://doi.org/10.1186/1471-2407-11-141
  35. Parsa P, Kandiah M (2010). Predictors of adherence to clinical breast examination and mammography screening among Malaysian women. Asian Pac J Cancer Prev, 11, 681-8.
  36. Parsa P, Kandiah M, Parsa N (2011). Factors associated with breast self-examination among Malaysian women teachers. East Mediterr Health J, 17, 509-16.
  37. Parsa P, Kandiah M, Zulkefli NAM, et al (2008). Knowledge and behavior regarding breast cancer screening among female teachers in Selangor, Malaysia. Asian Pac J Cancer Prev, 9, 221-8.
  38. Rosmawati NHN (2010a). Knowledge, attitude and practice of breast self-examination among women in a suburban area in Terengganu, Malaysia. Asian Pac J Cancer Prev, 11, 1503-8.
  39. Rosmawati NHN (2010b). The usage and knowledge of mammogram among women in sub-urban area in Terengganu, Malaysia. Asian Pac J Cancer Prev, 11, 767-71.
  40. Samah AA, Ahmadian M (2014). Relationship between body image and breast self-examination intentions and behaviors among female university students in Malaysia. Asian Pac J Cancer Prev, 15, 9499-503. https://doi.org/10.7314/APJCP.2014.15.21.9499
  41. Subramanian P, Oranye NO, Masri AM, et al (2013). Breast cancer knowledge and screening behaviour among women with a positive family history: a cross sectional study. Asian Pac J Cancer Prev, 14, 6783-90. https://doi.org/10.7314/APJCP.2013.14.11.6783
  42. World Health Organization (2012). Population fact sheets [Online]. Available: http://globocan.iarc.fr/Pages/fact_sheets_population.aspx [Accessed Dec 30 2014].
  43. World Health Organization (2014). Breast cancer: prevention and control [Online]. Available: http://www.who.int/cancer/detection/breastcancer/en/ [Accessed Dec 30 2014].
  44. Yip CH, Mohd Taib NA, Lau PC (2008). Does a positive family history influence the presentation of breast cancer? Asian Pac J Cancer Prev, 9, 63-5.
  45. Yip CH, Taib NA, Mohamed I (2006). Epidemiology of breast cancer in Malaysia. Asian Pac J Cancer Prev, 7, 369-74.
  46. Yusof A, Chia YC, Hasni YM (2014). Awareness and prevalence of mammography screening and its predictors-A cross sectional study in a primary care clinic in Malaysia. Asian Pac J Cancer Prev, 15, 8095-9. https://doi.org/10.7314/APJCP.2014.15.19.8095

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