scholarly journals The Influence of Sociodemographic Factors on Women’s Breast Cancer Screening in Accra, Ghana

2021 ◽  
Vol 20 (3) ◽  
pp. 756-777
Author(s):  
Margaret Amenuke-Edusei ◽  
Charles M. S. Birore

Ghana has a relatively low incidence rate of women’s breast cancer compared to more developed countries. However, the breast cancer’s mortality rate is higher in the former compared to the latter. In Ghana, the role of social work in health care is limited or is not recognized. The purpose of this study was to explore the influence of sociodemographic characteristics, access to healthcare providers, and physicians’ recommendations on Ghanaian women’s breast cancer screening practices. A cross-sectional survey and convenience sample were used to collect data from 194 Ghanaian women after approval was obtained from two Institutional Review Boards, authors of instruments used, and the participants. Univariate, chi-square, and logistic regression statistics were used to analyze data. Seventy-one percent of the participants reported practicing breast self-examination (BSE) and 14% reported mammogram screening. While educational level and employment were positively associated with BSE, a regular visit to healthcare providers was negatively associated with BSE. Income and physicians’ recommendations were positively associated with mammogram screening. Ghanaian women’s low level of mammogram screening calls for first, increasing breast cancer awareness and education to counteract negative personal and cultural beliefs relating to breast cancer and screening. Second, social workers in collaboration with health professionals and social justice agencies should advocate and lobby for health insurance legislation which mandates coverage of mammogram screening services. Finally, introducing oncology social work to the curriculum of social work educational programs in Ghana is needed to prepare social workers to address psychosocial challenges relating to breast cancer.

2022 ◽  
pp. 104365962110668
Author(s):  
Cannas Kwok ◽  
Mi-Joung Lee ◽  
Chun Fan Lee

Introduction: Cultural beliefs are influential factors that affect breast cancer screening practices among Korean women. The aim of this study was to examine the role of educational levels and compare the cultural beliefs associated with breast cancer screening practices among immigrant Korean women in Australia with those of their counterparts in Korea. Methods: A secondary analysis based on data from convenience samples of 245 and 249 Korean women living in Australia and Korea, respectively. Data were collected by the Korean version of Breast Cancer Screening Beliefs Questionnaire. Results: Educational level has a significant association with Korean women’s cultural beliefs about breast cancer and breast cancer screening practices regardless of country of residence. Discussion: Nurses working in multicultural societies should take cultural beliefs and the role of education into account while designing strategies to promote breast cancer screening practices among immigrant Korean women.


2017 ◽  
Vol 1 ◽  
pp. 6
Author(s):  
Bahaty Riogi ◽  
Ronald Wasike ◽  
Hassan Saidi

<strong>Background:</strong> Breast cancer screening programmes have been developed in few developing countries to aid curb the increasing burden. However, breast cancer is still being detected in late stage, attributed to barriers in health care. Patient navigation programmes have been implemented in developed countries to help patients overcome these barriers, and they have been associated with early detection and timely diagnosis. Despite the consistent positive effects of breast navigation programmes, there are no studies conducted to show its effect in Africa where the needs are enormous.<br /><strong>Aim:</strong> To evaluate the effect of patient navigation programme on patient return after an abnormal clinical breast cancer screening examination finding at Aga Khan University Hospital, Nairobi(AKUH-N).<br /><strong>Setting:</strong> Women presenting for breast screening.<br /><strong>Methods:</strong> This was a before-and-after study conducted on 76 patients before and after the implementation of the navigation programme. They were followed up for 30 days. Measures included proportion of patient return and time to return.<br /><strong>Results:</strong> The proportion of return of patients in the navigated and non-navigated group was 57.9% and 23.7%, respectively (odds ratio [OR]: 4.43 [95% confidence interval, CI: 1.54– 12.78]; <em>p</em> = 0.0026).The proportion of timely return in the navigated group was 90.1% and 77.8% for the non-navigated group (OR: 2.85 [95% CI: 0.34–24.30], <em>p</em> = 0.34). The mean time to return in the non-navigated and navigated group was 7.33 days and 8.33 days, respectively (<em>p</em> = 0.67).<br /><strong>Conclusion:</strong> There was an increase in the proportion of patients who returned for follow-up following abnormal clinical breast examination finding after implementation of the breast navigation programme at AKUH-N.


2018 ◽  
Vol 27 (12) ◽  
pp. 2855-2861 ◽  
Author(s):  
Tarryn Shaw ◽  
Diana Ishak ◽  
Désirée Lie ◽  
Sapna Menon ◽  
Eliza Courtney ◽  
...  

2015 ◽  
Vol 11 (01) ◽  
pp. 34
Author(s):  
Nienke A de Glas ◽  
Gerrit-Jan Liefers ◽  
◽  

As populations of developed countries are aging, the number of older women with breast cancer will strongly increase. Randomized controlled trials in breast cancer screening rarely included patients over the age of 68. As a consequence, there is no solid evidence for beneficial effects of breast cancer screening in older women. In a recent observational study, we showed that the implementation of screening in women aged 70–75 in the Netherlands resulted in a strong increase of the incidence of early-stage breast cancer, while the incidence of advanced stage breast cancer barely decreased. Hence, current data do not support population-based screening in women over the age of 70.


2020 ◽  
Author(s):  
Rodrigo Goncalves ◽  
Maria Carolina Formigoni ◽  
José Maria Soares ◽  
Edmund Chada Baracat ◽  
José Roberto Filassi

The incidence and mortality of breast cancer are rising in the whole world in the past few decades, adding up to a total of around two million new cases and 620,000 deaths in 2018. Unlike what occurs in developed countries, most of the cases diagnosed in the developing world are already in advanced stages and also in women younger than 50 years old. As most screening programs suggest annual mammograms starting at the age of 50, we can infer that a considerable portion of the new breast cancer cases is missed with this strategy. Here, we will propose the adoption of an alternative hierarchical patient flow, with the creation of a diagnostic fast track with referral to timely treatment, promoting better resources reallocation favoring the least advantaged strata of the population, which is not only ethically acceptable but also a way of promoting social justice.


Author(s):  
Jonathan O’Hara ◽  
Crystal McPhee ◽  
Sarity Dodson ◽  
Annie Cooper ◽  
Carol Wildey ◽  
...  

This study explored the association between health literacy, barriers to breast cancer screening, and breast screening participation for women from culturally and linguistically diverse (CALD) backgrounds. English-, Arabic- and Italian-speaking women (n = 317) between the ages of 50 to 74 in North West Melbourne, Australia were recruited to complete a survey exploring health literacy, barriers to breast cancer screening, and self-reported screening participation. A total of 219 women (69%) reported having a breast screen within the past two years. Results revealed that health literacy was not associated with screening participation. Instead, emotional barriers were a significant factor in the self-reported uptake of screening. Three health literacy domains were related to lower emotional breast screening barriers, feeling understood and supported by healthcare providers, social support for health and understanding health information well enough to know what to do. Compared with English- and Italian-speaking women, Arabic-speaking women reported more emotional barriers to screening and greater challenges in understanding health information well enough to know what to do. Interventions that can improve breast screening participation rates should aim to reduce emotional barriers to breast screening, particularly for Arabic-speaking women.


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