DOI: https://doi.org/10.21203/rs.2.14961/v1
Background: Early detection of breast cancer plays an important role in decreasing morbidity and mortality associated with breast cancer. Breast self-examination (BSE) is one of the screening methods for early detection of breast cancer. BSE method involves the woman herself looking at and feeling each breast for possible lumps, distortions or swelling. BSE is a simple exercise which can potentially save the life of a woman but it is not well focused yet and no study has addressed BSE at community level. So, this was aimed assess breast Self-Examination and associated factors among women in Wolaita Sodo city, Ethiopia.
Methods: Community based cross-sectional study design was employed. Systemic random sampling technique was used to select 626 women aged 20-65 years old. The data were collected using pre-tested and structured questionnaire. The data entry was done using Epi data version 3.5.1 and exported to SPSS version 21 software for cleaning and statistical analysis. Bivariable analysis was done and variables with p-value of less than 0.25 were made candidate for multiple logistic regression analysis. The relative contribution of each selected variables to the outcome of interest was assessed using multiple logistic regression and variables with P-value less than 0.05 were considered as statically significant.
Results: A total of 629 women between 20 and 65 years old were included in the study. More than half (60.9%) of the participants were in the age range of 20-29 years and 8.2% were less than 50 years old. Two hundred eighteen (34.7%) and 338(53.7%) had primary and secondary/ college/university education, respectively. Women who had mentioned BSE as method for early detection of breast problem were 6.359 times (AOR: 6.359, 95% CI :( 3.719, 10.713) more likely to perform BSE than those who say that they don’t know any method.
Conclusion The finding of this study showed that women’s practice of breast self-examination is relatively low. Knowledge of BSE, breast feeding up to 24 months, being employed and being student were factors affecting performing breast self-examination. Therefore, educating girls and increasing awareness on electronics media is important.
Breast cancer has increasingly become an issue of public health importance in both developed and developing nations. Because of its high prevalence, it over-burdened health system and direct medical expenditure. It is the second leading cause of death among women worldwide with an estimated 1.38 million new cases diagnosed annually which accounts for 10.9% of all cancer cases next to lung cancer(1, 2). Breast cancer incidence is increasing both in developed and developing regions. In 2008, an estimated 636,000 incident cases were diagnosed in high resource countries, while 514,000 cases were diagnosed in low and middle resource countries. It is the most frequent cause of death among women both in developing (269,000 deaths (12.7%) of total) and developed region with an estimated 189,000 deaths. It is estimated that 70% of all breast cancer cases worldwide will be in low and middle resource countries by 2020 (3).
The incidence varies across the continent ranges from 19.3 per 100,000 per year in Eastern Africa to 38.1 per 100,000 in Southern Africa(4).
Breast self-examination (BSE) is one of screening methods, which involves the woman herself looking at and feeling each breast for possible lumps, distortions or swelling. BSE is a simple exercise which can potentially save the life of a woman. It is recommended for every woman to start breast self-examination at age of 20 years and this expected to be done for 20 minutes every month(5). However, women in developing countries do not perform BSE for various reasons(1). A woman who performs BSE may be more motivated to seek medical attention, including Clinical Breast Examination (CBE) and mammography(6).
In Ethiopia more than half of women with breast cancer were age 50 and younger. Around 69.6% of patients ignored their symptoms initially for an average of more than one and half year(7). BSE is still recommended as a general approach to increasing breast health awareness and thus potentially allow for early detection of any anomalies, because it is free, painless and easy to practice(5).
The American Cancer Society also recommends that women, starting from the age of 20 years should be educated on the pros and cons of performing a monthly BSE(8).
Even though breast cancer is among the leading causes of morbidity and mortality among women, very limited report has been published that measures the level of BSE at community level.
Therefore, this study was aimed to assess breast self-examination and associated factors among women at the community level. Breast cancer in low to middle income countries has late presentation with poor treatment outcomes due to several factors such as unequal access to prompt high quality treatment and lack of early screening(3)
Despite the fact breast cancer comes out recently as the worst killer of young women especially those in urban area, Ethiopia health system has traditionally concentrated on communicable diseases prevention(7).
So, this study will contribute towards building on breast self-examination related issues. And also seeks to identify the need for information on breast cancer self-examination.
And findings from this research help to provide some important data to design better understanding of the topic in more expanded research.
The study was carried out in Wolaita Sodo city. The city has a total population of 250521. Male 79871 (52%), female 73650 (48%) and the city has three sub cities, 18 kebeles, three health centers, one hospital owned by MOH and one private hospital. The city is located 160km from regional city Hawassa and 327km from Addis Ababa, the capital of Ethiopia (26). A Community based cross-sectional study design was employed.
All women age 20–65years were considered as a source population.
The house in selected kebeles were taken by systematic random sampling technique and study unit was selected by simple random sampling technique.
Women age 20–60 years were included in the study and women who seriously ill during data collection time, women having known breast cancer and those not willing to participate in the study were excluded.
Sample size was calculated with open- Epi statistical software version 3.03 using single population proportion statistical formulas. n = Z (1.96)2 P (1-P)/ d 2
With assumption of: z = 1.96, at 95% confidence level.
P-prevalence of breast self-examination 53.6 %( 0.536) from previous study (10).
Non-respondent rate 10% and confidence levels of 95% and 5% margin of error.
Therefore a calculated sample size was 572 and after considering 10% non-response the final sample size was 629.
Multi stage sampling technique was used to select the respondents of the study. First, among the 18 kebeles in the town, 6 kebeles were randomly selected by lottery method to represent all kebeles. The number of source population in each selected kebeles was identified from Wolaita Sodo finance economic development department data(26). The calculated sample size allocated to the selected kebeles proportionate to the number of source population in the kebele.
Sampling frame containing lists of the population from selected kebeles was obtained and the study population were selected by systemic random sampling technique until the given sample size filled for a given kebele and the respondents from each house taken by simple random sampling technique.
Structured, pre-tested and interviewer administered questionnaires were used. Questions on the questionnaire include the socio demographic characteristics and BSE related issues. The questionnaires were adapted from EDHS and different published literatures. Data were collected for the period of 24 November 2019 to 2 December 2019 by trained data collectors. Data were collected through face-to-face interview maintaining the pre-determined sampling intervals. The data collectors also expected to inform the respondents all details of the research purpose and procedures and what was expected of them, potential risk and benefit in order to encourage accurate and honest response. When the woman was not available in the first visit, data collectors arranged alternative visits. If a woman was still not available on second visits or declined to participate in the study, the household was jumped and the immediate next household in the sampling frame was considered.
Before data collection the questionnaire was first prepared in English and translated into Amharic and back to English to keep the consistence of questionnaire. Two days training was given to data collectors and supervisors by the principal investigator before data collection.
A pretest was conducted in Dilbetigil kebele which was other than selected kebele and 5% of total sample size was tested. Based on the pretest, questionnaires were revised, edited and the necessary corrections made accordingly. Daily check-up of data for completeness and consistency was done.
The data entry was done using EPidata version 3.1 and cleaned to check for accuracy, consistencies, completeness, values and any error identified was corrected.
The data was exported to SPSS version 21 software for analysis. Descriptive statistics was done. Bivariable analysis was computed and variables with p-value of less than 0.25 was made candidate for multiple logistic regression analysis. Multiple logistic regression analysis was done and variables with P-values ≤ 0.05 were considered as statically significant. Adjusted Odds Ratio (AOR with 95% C.I) was used to declare statistically significant association.
Ethical clearance was obtained from Wolaita sodo university Institutional Review Board (IRB). Written permission was obtained from Sodo city health department. During data collection all respondents were asked their permission and informed consent was obtained from each study participants.
Breast self-examination (BSE): The examination of their breast by themselves, to identify any changes in the breast(27).
Breast self-examination performed: If the woman performed breast self-examination at least once in the last 12 months.
Age 20 to 65: American cancer society recommended BSE for women aged 20 or older, and mammography for women aged 40 or older (8).
A total of 629 women were interviewed and subjected to analysis. The participants were between the age 20 and 65 years. More than half (60.9%) of the participants were in the age range 20–29 years and 8.2% were greater than 50 years. Five hundred forty nine (87.3%) were Wolaita in ethnicity and 444 (70.6%) were protestant. Three hundred thirty eight (53.7%) of the respondents had completed secondary education and majority (76%) of the study participants were married. (See Table 1).
Among the respondents, 591 (94%) knew (heard or read) about Bca and their main source of information was electronic media (62.4%). The contribution of health professionals as a source of breast cancer information was found to be eight seven (14.7%).Electronic media, family/friends, and health workers were respectively reported as a major source of information. Forty five (7.6%) of the respondents who reported to have had information on breast cancer mentioned other sources like journals, books, NGOs (Figure 1).
The methods of screening for breast cancer reported were clinical breast examination 268 (45.3%), breast self-examination 107 (18%), and I don’t know respondents were two hundred sixteen (36.5%) Of those who ever heard Bca, 272(46%) have also heard about breast self-examination (BSE) and among the study participants who had information on BSE, only 217 (79.8%) have ever done BSE and 195(71.6%) reported they keep on performing it. Among those who have ever heard breast cancer, 92% has known (heard) their family history of breast cancer. Majority of the respondents (63.5%) not know their status of benign breast lamp (See table 2).
Different responders, those who perform BSE, cited different prospective on correct age at which BSE commenced, which is at the range of 10 - 30 year (mean age 18.41±2.8 SD). Of these, 63(29%) recommend it at the age of 20 years and one hundred forty four (144) responded, I don’t know. Breast –Self Examination performers claimed to have their own performance at varying time period. Of these; few days after menses, few days before menses were ninety seven (44.7%), thirteen (6%) respondents respectively and one hundred seven (49%) answers no specific time/ any time they remember. From those participants who have ever done BSE, One hundred thirty three (61.2%) of them reported to practice it on a regular basis. Among the participants who practiced BSE on regular basis, 98(45%) were practicing monthly, and any time they observe a change were 65(30%). There were both physical and historical intentions indicated by participants for performing BSE. Physically, to identify breast lamp/mass one hundred sixty seven (23%), change in the nipple and unusual discharge which is 17(7.8%) followed by size of the breast and change in skin color reasons constitute 6.5%. The historical reasons given for performing BSE were fear and early detection of breast cancer 179(82.4%), breast cancer in family or friend 13 (5.9%) and previous breast problem 3 (1.3%) (See Table3).
From those responded as ever heard breast self-examination (BSE), ninety eight (45%) believed that they have some kind of barrier to practice BSE. pressure of work/too busy, I don’t have enough privacy to do BSE, I know I can never have Bca, and, forgetfulness, doubt about its effectiveness were mentioned as main barriers/reason not to perform BSE by 30(14%), 14 (6.4%), 13 (5.9%), 10(4.6%), and 11(5%) of the respondents, respectively. However more than half of performers 119(54.8%) claimed that there is no obstacle (See figure 2).
Spousal and other person support for breast-self-examination was 146(67.2%). On the other hand, majority of BSE performers were confident (88%) in exercising self-examination. Almost all study participants 98.6% knew early detection of breast cancer improve chance of survival. Most respondents, two hundred forty nine (91%) wanted more information on BSE. Of the total BSE performers two hundred seven claimed BSE is very important. Fifty nine of the participants, who ever heard BSE, had some kind of discussions on the importance of BSE with someone other than health professional and 52(8.3%) of participants had got information on BSE from health professionals. and those respondents ever get practical demonstration on BSE from health workers were 29(4.6%). Also, 45(7.2%) of the participants had got chance of observing while some one perform BSE. On the other hand 91.1% of the participants responded health facility was their first choice to visit if find any breast mass within one month,1–3 months,˃ 3 months(85.5%, 12.6%,0.3%) respectively. whereas 49(22.5%)choices traditional healers. Within a year just prior to this study, among performers of BSE, one hundred forty nine (23.7%) participants perform it more than six times and four to six times26 (4.1%) less than 4 times26(4.1%)( See table 4).
The Bivariate binary logistic regression analysis yielded that occupational status, duration of breast feed,women education,husband education, early detection method for Bca, Source of information, Knowledge of personal history of having benign breast lamp became candidate for multiple logistic regression analysis at p≤0.25.
In the final logistic regression (multivariable logistic regression analysis) model occupational status of women, duration of breast feed and previously heard on BSE were significantly associated with performing BSE at P-value less than 0.05. Women who had mention BSE as method for early detection of breast problem were 6.359 times AOR: 6.359, 95% CI:( 3.719, 10.713) more likely to perform BSE than those who say that they don’t know any method. Those who had breast feed 13–24monnths were 2.43 times AOR: 2.430, 95% CI:( 1.284, 4.594) more likely to examine their breast than those who mention different category/duration of breast feed The study participants who were employed were 3.126 times more likely AOR: 3.126 95% CI:( 1.139, 8.581) to practice BSE than those who were not employed. Likewise being student was 3.73 times AOR: 3.73, 95% CI (1.186, 11.728) more likely to perform BSE than others (See table 5).
This study showed that 94% of respondents had ever heard or read about breast cancer. This is higher than the study done among Mekelle town women which showed 83% (10), lower than study findings done in Malaysian among female students is 99.5% (14) This could be due to the difference of education level among the study participants and difference in time interval between the studies. The present study also revealed that 46% of the women have previously heard about breast self-examination. This is lower than study done among Women in Malaysia where 78.4% heard about breast self-examination (13),Jordanian Women 67(15) study done among female undergraduate students in a higher teachers training college in Cameroon 47%(17), A study of BSE among Chinese immigrant women indicated that 80.9% reported having heard of BSE(1) Another study on a group of women in a rural area of Western Turkey found that 72.1% of the respondents had heard about BSE(28) and on the other hand this study was higher than study result done in Benghazi, Libya which showed only 41.5% heard BSE (16). The difference observed could be due to the difference in socio-economic and demographic characteristics among the study population. The relatively low knowledge of our respondents about BSE might preclude them from practicing BSE, which might lessen chances of early detection of the disease. Three-fifth (62 %) of those who had breast cancer information indicated that their major source of information was media. Colleagues/friends were also mentioned as important sources of information on breast cancer. Surprisingly, the proportion of respondents who mentioned health professionals as major source of breast cancer information was lower than the above once 13.8%. This is consistent to the findings of a similar study conducted among Jordanian females where relatives, friends and neighbors were found to be the main sources of breast cancer information(15).and inconsistent with study done among Iranian women which the health professionals are the major source of information 32.4% (29).
In the present study, large proportion [98%] of breast cancer informed participants knew that early detection of breast cancer improves chances of survival from the disease. This finding is supported by the study of Mekelle town women (10) and higher than study done western part of Ethiopia [74.7%](25). The present study showed that among the respondents who reported to have had information on breast self-examination, 79% have ever done BSE, this was smaller than study done Nigerian Nurses in Lagos general hospital [89%] (4), and greater than studies done among women in north Ethiopia [37.3%](30), Malaysian female students 25.5%(14), Female Traders in Ibadan, Nigeria [18%] (6), women in a rural area in western Turkey 40.9% (28), women household heads in Northern Ethiopia [53.6](10). But consistence with study done among female health professionals in Wolega 77%(25) And also 45% participant of this study performing BSE on a regular monthly basis. Studies done in Jordanian Women only 7% (15), Malaysian female students31.2%(14), among female undergraduate students in a higher teachers training college in Cameroon 25.9 (17) This could be due to difference in time interval between the studies.
Furthermore, present study reviled that 29% of the participants know correct age at which BSE commenced this was slightly greater than study in Benghazi, Libya [27.7%](16) and smaller than study done in South East Asia 44% of the study participants had recommend practicing BSE at age of 20(5), Nigerian women(60.28%) recommend age twenty(20) Kyadondo County, Uganda 40% could correctly answer about the recommended age of starting BSE(30)
Breast screening method cited by the participants in present study was: breast self-examination(BSE)15.4%,clinical breast examinaton42.4%, mammography 0.3% The methods of screening for breast cancer reported by Canadian women were: BSE (64.3%), clinical breast examination (45.7%), and mammogram (32.7%)(31) in study done in northern Ethiopia the methods of screening for breast cancer reported by health extension workers were breast self-examination (14.4%), clinical breast examination (22.3%), mammogram (3%)(12) The difference may be due to difference in educational status and composition of participant. In this study 11.6% were illiterate.
In this study 53.6% of BSE performers had support from their partners which was dislike with other study done saying, [39.8%] of BSE performers were getting support from spouse/partner (21).
The major barriers for practicing BSE identified in the present study were: pressure of work/too busy, I don’t have enough privacy to do BSE, I know I can never have Bca, and, forgetfulness, doubt about its effectiveness were mentioned as main barriers/reason not to perform BSE by 30(13.8%), 14 (6.4%), 13 (5.9%), 10(4.6%), and 11(5%) of the respondents, respectively. However more than half of the performers 119(54.8%) claimed that there is no obstacle.
Study done in western part of Ethiopia showed the barriers for not performing BSE were: no breast problem (12.7%), do not feel comfortable performing BSE (2.7%), scared of being diagnosed with breast problem or cancer, do not believe it is beneficial (4%) and do not know how to do it (7.7%)(25).
On the other study the three main reasons for not doing BSE were no breast problem (53.2%), not knowing BSE technique (30.6%), and not knowing the importance of BSE (21.4%](12) In study among Female Debre Birhan University Students the main reasons for not performing BSE were lack of knowledge on how to conduct BSE and not having any symptoms of breast cancer (22) other Study among women household heads in Northern Ethiopia indicate the major barriers for practicing BSE identified were absence of the symptoms and lack of knowledge about its importance(10). And Being health 100 (44.8%) and lack of knowledge 60 (26.9%) were the most barriers mention for not practicing BSE in Adama Science and Technology University (27).
Engagement in occupations other than housewife was significantly associated with performing BSE. These results are in agreement with findings that were reported among Nigerian women(32), study in Benghazi, Libya(16) and study done in Southern Ethiopia (21). Other demographic variables, duration of breast feed; being optimal breast feed, were significantly related to performing BSE in current study. Electronic Media users were 59% more likely to practice BSE. This may be due to its relative accessibility than other source of information
Strengths: previous studies conducted in Ethiopia were merely focused on health professionals at their institution but this study was focused on the urban community.
Limitations: this study was conducted in urban community, Sodo town which may not equally represent the rural community and also in this study causal conclusions cannot be drawn
Participant previously heard on breast self-examination were low among women included in the study. Almost half (49%) of BSE performers responded no specific time (irregularly) perform it.
Less than one third correctly recognized age at which BSE commenced and Electronic Media, occupation and early detection method were among factors associated with breast self-examination. Therefore, based on the findings of the study we recommend: Wolaita Sodo administrative need to use electronic media consistently and programmatically (e.g. Wolaita Sodo FM, south TV) to advocate performing breast self-examination.Make weekly or monthly mobile phone message and encourage performing BSE. Make permanent video screen at the center of the town that demonstrate BSE issues. Ensure the advantage of performing BSE over other early screening methods.
AOR———adjusted odds ratio, AIDS—-acquired immune deficiency syndrome, Bca——-breast cancer, BSE——breast self-examination, Ca—-cancer, CBE—-clinical breast examination, CI—Confidence interval, HEW———Health Extension Workers, HIV—-human immune deficiency virus, HPV——-human papilloma virus, NCD——none communicable disease, NCR—-national cancer registry, OR——Odds Ratio, RHEW——Rural health extension workers, SNNPR—south nation nationality peoples region, UHEW—- health extension workers, WHO——world health organization.
We would like to forward our gratitude to Wolaita Sodo University, College of Health Sciences and Medicine. We also thank Wolaita Zone administrators, the supervisors, respondents and Data Collectors.
AB, BB, SA and TL
These authors equally contributed to this research work
This study is not funded
The data for this research is available, so we can contact you when you need our data for the future process.
Ethical clearance and approval letter to conduct study was obtained from Wolaita Sodo University institutional review board and a letter of cooperation was taken from the Wolaita Sodo University College of health science and Medicine to Wolaita Sodo city health bureau. Written consent was obtained from the study participants after explaining the study objectives and procedures and their right to refuse not to participate in the study any time they want was assured. For this very purpose, a one page consent letter was attached to the cover page of each questionnaire stating about the general objective of the study and issues of confidentiality which was discussed by the data collectors before proceeding with the interview. Confidentiality of the information was ensured by coding. The interview was undertaken privately in separate area. Only authorized person was getting access to the raw data collected from the field.
Not applicable
The authors have declared that no competing interests exist.
Table 1 Socio demographic Characteristics of women in Sodo City, 2019(n=629)
|
Variables/ characteristics |
Frequency (%) |
|
Age distribution of the women 20-29 years 30-39 years 40-49 years ≥50 years Marital status Never married Married Divorce Widowed Women Education No education primary secondary higher education Husband education No education primary secondary higher education Religion Protestant Orthodox Muslim Catholic
|
383(60.9) 139((22.1) 55(8.7) 52(8.3)
113(8.0) 478(76) 17(2.7) 21(3.3)
73(11.6) 218(34.7) 179(28.5) 159(25.3)
20(4%) 131(27.4%) 148(31%) 179(34%)
444(70.6) 131(20.8) 24(3.8) 16(2.5) |
|
Ethnicity Wolaita Gamo Garage Amhara Others Occupational status of the women House wife Employee Merchant Student Other Age at which first pregnancy occur 15-24 years 25-34 years 35-44 years ≥45 years Duration of breast feeding Birth-12months 13-24months 25-34months № of children None One Two Three and more
|
549(87.3) 32(5.1) 18(2.9) 12(1.9) 14(2.2)
312(49.6) 133(21.1) 74 (11.8) 54(8.6%) 56(8.9%)
382(60.7) 111(17.6) 2(0.3) 6(0.2)
77(15.4%) 280(56%) 141(28%)
23(7.8%) 107(20.7%) 117(23%) 232(43%)
|
Table 2: knowledge and practice of BSE and main information source among women in Sodo city, 2019(n=629).
|
Characteristics/variables |
Frequency (%) |
|
Ever heard Bca Yes No Source of information Electronic media Journal/brochure/leaflet/magazine Books Educational institution NGOs Health workers Family/friend Other person Previously heard on BSE Yes No Early detection method for Bca Breast self-examination(BSE) Clinical breast examination(CBE) I don’t know Perform breast self-examination Yes No Still perform breast self-examination Yes No Knowledge whether early detection of Bca improve chance of survival Yes No I don’t know Family history of Bca Yes No I don’t know Personal history of having benign breast lamp Yes No I don’t know Knowledge of someone suffering from Bca Yes No Ever nurse Bca patient Yes No
Had close contact with person having benign breast lamp Yes No Knowledge of Personal status of other body part cancer Yes No
Position BSE Standing Lying Sitting Standing and lying Technical knowledge of BSE With palm and three middle fingers Simply touch and feel I don’t know BSE practices applied Inspection Palpation inspection and palpation Knowledge about which arm to be used for BSE Right hand for left breast and vice versa The same arm for the same side breast Any(no protocol)
|
591(94%) 38(6%)
366(62%) 4(0.8%) 3(0.5%) 9(1.4%) 1(0.2) 87(14.7%) 93(15.8%) 28(4.7%)
272(46%) 319(54%)
107(18%) 268(45.3%) 216(36.5%)
217(78%) 55(20.2%)
195(90%) 22(10%)
570(96%) 13(2%) 8(1.3%)
14(2.4%) 523(88.4%) 54(9%)
20(3.3%) 197(33.3%) 374(63%)
116(20%) 475(80.3%)
4(0.7%) 587(99%)
18(3%) 573(97%)
446(75.4%) 145(25%)
49(22.5%) 45(21%) 16(7.3) 107(49.3)
35(16%) 157(72.3%) 25(11.5%)
3(1.4%) 116(53.4%) 98(45%)
33(15.2%)
13(6%) 171(79%) |
Table 3: Distribution of time BSE practiced and the reasons given to perform or not among women in Sodo city, 2019(n=626).
|
Variable/characteristics |
Frequency (%) |
|
Appropriate time of BSE Few days after menses Few days before menses No specific time Frequency of BSE practices Twice per month Once Every month Once Every 6 month Once per year Any time I observe a change Advantage of regular breast self-examination Detect any abnormality Learn how the breast normally looks and feels Detect breast cancer earlier and promote treatment Reasons for performing BSE Fear from breast cancer Early detection of breast cancer Breast cancer in the my family/friends Previous breast problems Heard from media Barriers towards BSE I don’t have enough privacy for BSE practice Pressure of work/ I am too busy Doubt about its effectiveness Absence of symptom/disease I am scared of being diagnosed with breast cancer Forgetfulness I know I can never have BC No obstacle(barriers)
|
97(44.7) 13(6%) 107(49%)
48(22%) 98(45%) 2(0.9%) 4(1.8%) 65(30%)
72(33%) 56(26%) 89(41%)
51(23.5%) 128(59%) 13(6%) 3(1.4%)
22(10%)
14(6.4%) 30(13.8)
11(5%) 13(6%)
7(3.2%) 10(4.6%)
13(6%) 119(54.8%) |
Table 4: Distribution of spousal/parents support to perform BSE and the need for further information among women in Sodo city, 2019(n=626).
|
Variables/characteristics |
Frequency (%) |
|
Support on BSE from spouse/partner Yes No Desire information on how to do BSE Yes No Impressed on importance of BSE Very Important Important Self-confidence to perform BSE Yes No Where will you go, if you discover a breast lump Health facility Traditional healer
|
146(67.2%) 71(32.7%)
249(91%) 23(8.5%)
207(95.3) 10(4.6%)
191(88%) 26(11%)
168(77.4%)
49(22.5%) |
Table 4: Factors associated with breast self-examination among women in Sodo city, 2019 (n=626).
|
Variables |
Perform BSE |
Odds ratio (95% CI) |
|||
|
Yes |
No |
COR(95%CI) |
AOR(95%CI) |
||
|
Women’s Occupation⃰ status House wife Employee Merchant Student |
|
|
|
|
|
|
96(15%) 76(12%) 26(4%) 19(3%) |
217(34.4%) 57(9%) 49(7.7%) 89(14%) |
1.00 2.072(1.195,3.594) 6.246(3.418, 11.411) 2.485(1.251, 4.939) |
1.00 3.126(1.139,8.581) 6.470(2.310-18.120) 3.730(1.186-11.728) |
||
|
Duration of breast feed⃰ Birth-12months 13-24months 25-34months |
39(7.8%) 101(20%) 46(9.2%) |
39(7.8%) 181(36.4%) 92(18.4%) |
1.00 2.100(1.180, .736) 1.155(0.749, .780) |
1.00 2.430(1.284-4.594) 1.187(0.735-1.917) |
|
|
Early detection method⃰ for Bca BSE I don’t know |
111(32%) 106(20%) |
9(33%) 364(59%) |
7.034(4.139,11.954) 1.00 |
6..359(3.719-10.713) 1.00 |
|
|
Personal history of having benign breast lamp Yes No |
21(3.5%) 196(33%) |
59(10%) 315(53%) |
2.313(1.199,4.459) 1.00 |
0.029(0.081,1.521) 1.00 |
|
|
Women’s Educational status Primary Secondary |
82(28.2%) 135(39.9%) |
209(71.8%) 203(60.1%) |
1.00 1.695(1.212, 2.371)
|
1.00 0.807(0.291,2.235)
|
|
|
Husband’s educational status Primary Secondary |
51 134 |
118 175 |
1.00 1.798(1.2142.665)
|
0.621(0.258,1.489) |
|
|
Source of information⃰ Electronics media Otherwise |
151(25.5%) 66(11%) |
218(36.8) 156(26.3) |
1.627(1.141,2.320) 1.00 |
1.592(1.009,2.592) 1.00 |
|
|
|
|
|
|
|
|
Adjusted odds ratio (AOR), Significant at P-value<=0.05