• Asian Pacific Journal of Cancer Prevention
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• 제14권1호
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• pp.57-61
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• 2013

Background: Breast cancer is the most common cancer and the second principal cause of cancer deaths among women worldwide, including Malaysia. Methods: A cross-sectional study was carried out among 262 female undergraduate students in University Putra Malaysia using a validated questionnaire which was developed for this study. Results: The mean age of respondents was $22{\pm}2.3$ years. Most of them were single (83.1%), Malay (42.3%) and 20.7% reported having a family history of breast cancer. Eighty-seven (36.7%) claimed they had practiced BSE. Motivation and self-efficacy of the respondents who performed BSE were significantly higher compared with women who did not (p<0.05).There was no association between BSE practice and demographic details (p<0.05). Logistic regression analysis indicated that women who perceived greater motivation (OR=1.089, 95%CI: 1.016-1.168) and had higher confidence of BSE (OR=1.076, 95%CI: 1.028-1.126) were more likely to perform the screening. Conclusions: The findings show that Malaysian young female's perception regarding breast cancer and the practice of BSE is low. Targeted education should be implemented to improve early detection of breast cancer.

• Asian Pacific Journal of Cancer Prevention
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• 제16권15호
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• pp.6697-6704
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• 2015

Background: The burden of breast and cervical cancer is changing over time in developing countries. Regular screening is very important for early detection and treatment. In this study, we assessed inequalities in breast and cervical cancer screening rates in women according to household wealth status, and analyzed the potential predictors associated with a low cancer screening rate in Jordan. Materials and Methods: A nationwide populationbased cross-sectional survey collected information on different variables at the national level. All ever-married women (the phrase is used throughout the text to refer to women who had ever married) aged 15-49 years were included in the survey. Analysis of breast self-examination (BSE) and clinical breast examination (CBE) at least once in the previous year was carried out in 11,068 women, while lifetime Pap-smear testing was carried out in 8,333 women, aged 20-49 years. Results: Over 39% and 19% of ever-married Jordanian women reported having undergone a breast examination during the previous year and Pap smear examination at least once in their lifetime, respectively. The rate of BSE in the previous year was 31.5%, that of CBE in the previous year was 19.3%, and that of Pap smear examination at least once in life was 25.5%. The adjusted OR was higher for performing BSE (aOR 1.22, 95% CI 1.04-1.43), undergoing CBE (aOR 1.31, 95% CI 1.08-1.60) and undergoing Pap smear examination (aOR 2.38, 95% CI 1.92-2.93) among women in the highest wealth-index quintile as compared to those in the lowest quintile. The concentration index was 0.11 for BSE, 0.01 for CBE, and 0.27 for Pap smear examination. Women in their twenties, living in rural or the southern region of Jordan, with an elementary school education or less, who listened to the radio or read the newspaper not more than a few times a year, and nulliparous women were less likely to undergo breast and cervical cancer screening. Conclusions: The rates of breast and cervical cancer screening are low in Jordan. Reducing the sociodemographic and economic inequalities in breast and cervical cancer screenings requires concerted outreach activities for women living under socially deprived conditions.

• Asian Pacific Journal of Cancer Prevention
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• 제13권1호
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• pp.123-125
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• 2012

Purpose: The purpose of this study was to identify the current status of the awareness and practice of breast self-examination (BSE) among Korean women. Materials and Methods: The study population was derived from the 2007 Korea National Cancer Screening Survey (KNCSS), an annual cross-sectional survey that uses a nationally representative random sample to investigate cancer-screening rates and related factors. A total of 1,255 Korean women aged ${\geq}30$ years participated in this study. Results: Of all participants, 88.0% reported that they had heard of BSE. The most common source of information on BSE was the media such as TV, radio and newspapers (87.0%). Recommendations from medical staff reached only 17.2%. The overall proportions of regular and irregular BSE were 13.2% and 16.1%, respectively. The main reason for not performing BSE was lack of knowledge about how to conduct the exam (31.7%). Conclusion: Despite a high level of awareness about BSE, only a small minority of women examine their breasts regularly in Korea.

• 성인간호학회지
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• 제13권4호
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• pp.551-559
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• 2001

Purpose: The purpose of this study is to identify predicting factors of the performance of breast self-examination (BSE) among Korean middle-aged women based upon the Health Belief Model. Method: A descriptive design was used for this study. A total of 309 convenience samples were recruited from Yonsu-Gu, Inchon. The Champion's Health Belief Model Scale was used to measure the health belief related variables of susceptibility, severity, benefits, barriers, confidence, and health motivation. The performance of BSE asked of it was as ever or never performed during the last year. The obtained data were analysed using descriptive statistics, $\chi^2$-test, t-test, and logistic regression. Result: Results showed that 32% had ever BSE last year. Age and BSE education among demographic characteristics were significantly associated with the performance of BSE. Thus, these demographic variables were added to the logistic regression analyses with the health belief variables. As a result, age, BSE education, health motivation, and confidence significantly explained the performance of BSE. Conclusion: This study suggests that it is important that the development of BSE educational programs increase confidence and motivation, particularly for middle aged-Korean women.

• 성인간호학회지
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• 제15권1호
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• pp.5-13
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• 2003

Purpose: The purpose of this study was to compare the effect of breast self-examination (BSE) education between at education and three months. Method: The study subjects were consisted of 30 women chosen from those in a Catholic church in Seoul. The data was collected by using questionnare at two different times: immediately after the BSE education and 3 momths after. Result: At three months, women who performed BSE was 50.0% and the number of BSE practce was 2.53. There was statistically significant change on the score of the knowledge, barrier and practice between at education and three months later. Susceptibility was increased after three month, but wasn't significant different. Confidence, motivation after three months were decreased from the time of initial BSE education and wasn't significantly changed. It was found that motivation about BSE explained 44.2% of variance. Conclusion: The findings showed that the knowledge of BSE, and attitudes and practice were change between at the time of the first survey and at three months. Therefore, the intensive education about BSE can be effective to enhance women's health belief and practice to perform BSE for early detection of breast cancer.

• 한국학교보건학회지
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• 제30권3호
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• pp.202-210
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• 2017

Purpose: This study was to determine the effect of knowledge of and attitude to Breast Self-Examination (BSE) on female university students' intention to practice. Methods: The subjects were female university students who participated in the Pink Ribbon Campaign of the Korea Breast Health Foundation held at H University on October 11, 2016. The data were collected using a questionnaire in Naver Office Form. The data were analyzed by $x^2$ test, t-test, Mann-Whitney U test, ANOVA and logistic regression model using SPSS 21.0 program. Results: Significant factors influencing the intention to practice were BSE educational experience and the benefits of BSE. The odds ratios were 3.61 and 5.92, respectively. Conclusion: It was found that the benefits of BSE were more influential than the educational experience on BSE as an influencing factors of BSE practice intention. Also, it was confirmed that attitude should be considered more important than knowledge in order to increase their practice intention. Since the benefits, among attitudinal factors, were confirmed as an influencing factor, BSE educational programs for female university students should put more focus on the benefits of BSE, not just sticking to delivering related knowledge.

• Asian Pacific Journal of Cancer Prevention
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• 제16권17호
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• pp.7707-7711
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• 2015

A cross-sectional survey of 370 female teachers working at Governmental schools in Gaza city was conducted. Twenty four schools were selected randomly of all female schools of the city that included primary, preparatory and secondary. In each school all-female teachers aged 35-45 year were invited to fill out a self-administered questionnaire to investigate knowledge and behavior toward breast cancer screening. The survey revealed that more than 75% of women had never undergone clinical breast examination and 60% had never undergone mammography, whereas 62% performed breast self-examination (BSE). Women who performed BSE had significantly higher knowledge about breast cancer screening (P=0.001). Women attending CBE and mammography screening also had significantly higher knowledge (P=0.001). There were significant associations between the practices and presence of positive breast cancer family history (P=0.002) and the level of education of husbands (P=0.024). The oldest women demonstrated higher performance rates of screening methods than the youngest (P=0.001). Lack of breast screening knowledge was identified among more than one third of the women, and 24.6% of women did not know any screening method. About a half of women harboured misconceptions about breast cancer screening, including the belief that breast cancer not treatable. Women residing in Gaza city (P=0.00) and with husbands less educated were more likely to have a high level of misconceptions (P=0.01).

• Asian Pacific Journal of Cancer Prevention
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• 제13권8호
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• pp.3829-3833
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• 2012

Objective: The objective of this study was to examine the practice and associated factors of breast self-examination (BSE) among Malaysian women. Methods: For this cross-sectional study 250 women were selected by a simple random sampling technique. The questionnaire was consisted of three parts: socio-demographic characteristics, knowledge about BSE, and practice of BSE. Obtained data was analyzed using SPSS version 13. T-test and ANOVA test were used to explore the relation between socio-demographic characteristics and the practice of BSE. Results: About 32% of the participants reported that they have had family history of cancer and about 20% of the participants reported that they have had family history of breast cancer. The majority of the participants (88.8%) have heard about breast cancer and 78.4% of the participants have heard about BSE. Race, marital status, residency, regular exercise, awareness about breast cancer, belief that breast cancer can be detected early, belief that early detection improves the chance of survival, family history of cancer, family history of breast cancer, awareness about BSE, and belief that BSE is necessary, significantly influenced the practice of BSE among women. Practice of BSE on monthly basis was found to be 47.2% among the study participants. Conclusions: The socio-demographic characteristics significantly influence the practice of BSA among women in Malaysia. The findings of this study might not only influence the planning of specific screening interventions and strategies in Malaysia but might also be important for the relevant international communities, interested in the peculiarities of BSE incidence in different countries.

• 기본간호학회지
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• 제16권4호
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• pp.472-480
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• 2009

Purpose: The purpose of this study was to explore differences in health belief by compliance level with breast self-examination (BSE) and the predictors of BSE compliance among women. Method: Using a convenience sampling method, 163 women were selected for the sample. Data were measured for each participant during the period between December 2008 and February 2009, and analyzed by chi-square test, t-test, Kruskal-Wallis test with post hoc, and logistic regression analysis. Samples were categorized into three groups by the compliance level of BSE for the last 6 months: Never-performers (i.e, women who had never performed BSE), irregularly-performers (i.e, women who performed BSE at least once), and regularly-performers (i.e, women who performed monthly BSE). Result: Significant differences were reported among never-performers, irregularly-performers and regularly-performers correlated to age, level of education, mammography, ultrasonography, clinical examination, benefit, and confidence. There was no significant difference between irregularly-performers and regularly performers. The significant factor influencing compliance with BSE was 'confidence', which explained 33.7% of the variance in compliance with BSE. Conclusion: Women who had more confidence in their ability to perform BSE were more likely to practice BSE. It is necessary to develop the strategy to enforce woman's confidence in complying with BSE.

• 여성건강간호학회지
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• 제16권4호
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• pp.390-398
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• 2010

Purpose: The purpose of this study was to analyze periodic screening behaviors for breast cancer and factors affecting the screening behaviors among hospital nurses. Methods: A total of 461 nurses were recruited from 15 hospitals located in two southern areas of Korea. The Champion's Health Beliefs Model Scale-Korean version and a structured study questionnaire were used for data collection. Data were collected during July and August 2008. Results: Nurses who performed periodic mammography accounted for 15.6% of the total, while 22.8% performed periodic breast self-examination (BSE). Among married nurses, the rates of periodic mammography and BSE were significantly different by age, menopausal status, delivery experience, family history of breast cancer, and experiences of cervical cancer screening. Significant factors affecting periodic mammography were family history of breast cancer, experiences of cervical cancer screening, age above 40, and performance of periodic BSE. For health beliefs, levels of severity, confidentiality and barrier were significant factors for periodic BSE. Conclusion: Nurses, who are role models for health promoting behaviors, did not adequately performing periodic BSE and mammography. A health promotion program for breast cancer designed for hospital nurses is needed to improve performance rates for periodic screening behaviors for breast cancer.