Health  Vol.7 No.9 , September 2015
Knowledge and Practice of Breast Self-Examination among Female Undergraduates in South-Eastern Nigeria
ABSTRACT
Breast disease often presents as palpable masses (lumps), inflammatory lesions, nipple secretion, or mammography abnormalities; and this can be easily treated when discovered early. Breast Self-Examination (BSE) is the quickest and cheapest means of early breast cancer detection. The objective of this study was to determine the knowledge and practice of breast self-examination among female undergraduates in Owerri, south eastern Nigeria. A multi-stage sampling design was used to select participants. Interview using structured questionnaire was conducted on randomly selected respondents in six faculties from each tertiary institution. Questionnaire was prepared in English and was self-administered. Permission to conduct the survey was requested and obtained from the university ethical review board. Informed verbal and written consent was obtained from participants. Confidentiality of information was maintained throughout the study. Knowledge and practice of BSE was examined among 720 randomly selected female undergraduates aged 16 to 28 years. It was found that 98.9 percent have heard of BSE but only 32.5 percent of them performed this examination accurately and monthly as required. There is a statistically significant relationship between knowledge of risk factors for breast cancer and practice of BSE (χ2 = 31.17, P < 0.001), source of information on BSE and practice of BSE (χ2 = 86.75, P < 0.001) and the age of the respondents and practice of BSE (χ2 = 75.94, P < 0.001). These female undergraduates had a poor knowledge of the right procedure and practice of BSE; therefore there is need for awareness creation on the risks of breast cancer and benefits of early detection among female undergraduates through breast self-examination.

Cite this paper
Casmir, E. , Anyalewechi, N. , Onyeka, I. , Agwu, A. and Regina, N. (2015) Knowledge and Practice of Breast Self-Examination among Female Undergraduates in South-Eastern Nigeria. Health, 7, 1134-1141. doi: 10.4236/health.2015.79129.
References
[1]   Deaton, J.G. (1988) How to Recognize Cancer before It’s Too Late. Herald of Health, June, 9-11.

[2]   Abudu, E.K., Banjo, A.A.F., Izegbu, M.C., Agboola, A.O.J., Anunobl, C.C. and Musa, A. (2007) Malignant Breast Lesions at Olabisi Onabanjo University Teaching Hospital (OOUTH) Saganu: A Histopathological Review. Nigeria Postgraduate Medical Journal, 14, 57-59.

[3]   Brunar, L.S. and Suddarth, D.S. (1988) Textbook of Medical Surgical Nursing. J. B. Lippincott Company, Philadelphia, 890-895.

[4]   Bray, F., MacCarron, P. and Parkin, M. (2004) The Changing Global Pattern of Female Breast Cancer Incidence and Mortality. Breast Cancer Review, 6, 229-239.

[5]   Parkin, D.M., Bray, F., Ferlay, J. and Pisani, P. (2005) Global Cancer Statistics, 2002. CA: A Cancer Journal for Clinicians, 55, 74-108.
http://dx.doi.org/10.3322/canjclin.55.2.74

[6]   Anderson, B.O., Braun, S., Lim, S., Robert, A., Taplin, S.S., et al. (2003) Early Detection of Breast Cancer in Countries with Limited Resources. The Breast Journal, 9, S51-S59.
http://dx.doi.org/10.1046/j.1524-4741.9.s2.4.x

[7]   American Cancer Society (2002) Cancer Statistics. CA: Am cancer l clin, 52, 10-11.

[8]   Adebamowo, C.A. and Ajayi, O.O. (2000) Breast Cancer in Nigeria. West African Journal of Medicine, 19, 179-191.

[9]   Okobia, M.N., Bunker, C.H., Okonofua, F. and Osime, U. (2006) Knowledge, Attitude and Practices of Nigeria Women towards Breast Cancer: A Cross-Sectional Study. World Journal of Surgical Oncology, 4, 11-16.
http://dx.doi.org/10.1186/1477-7819-4-11

[10]   Okobia, M.N. and Osime, U. (2001) Clinicopathological Study of Carcinoma of the Breast in Benin City. African Journal of Reproductive Health, 5, 56-62.
http://dx.doi.org/10.2307/3583430

[11]   Anyanwu, S.N. (2007) Breast Cancer in Eastern Nigerian: A Ten-Year Review. West African Journal of Medicine, 19, 120-125.

[12]   Smith, R.A., Cokkinides, V. and Brawleg, O.W. (2008) Cancer Screening in the United States, 2008: A Review of Current American Cancer Society Guidelines and Cancer Screening Issues. CA: A Cancer Journal for Clinicians, 58, 161-179.

[13]   Odusanya, O.O. and Tayo, O.O. (2001) Breast Cancer Knowledge, Attitude and Practices among Nurses in Lagos, Nigeria. Acta Oncologica, 40, 844-848.
http://dx.doi.org/10.1080/02841860152703472

[14]   Bhakata, P. (1995) Asian Women’s Attitudes to Breast Self Examination. Nursing Times, 91, 44-47.

[15]   Ekanem, I.A. and Etukudo, M.H. (1990) Cancer Information Survey among Students in Calabar University and School of Nursing, UCTH, Calabar, Nigeria. Nigerian Medical Journal, 20, 32-34.

[16]   Oyeka, I.C.A. and Ezeama, M.M. (1997) Breast Cancer; Information Gap among Female School Teachers in Nigeria. Orient Journal of Medicine, 9, 18-20.

[17]   Uche, E.E. (1999) Cancer Awareness among a Nigeria Population. Tropical Doctor, 29, 39-40.

 
 
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