Backgrounds and aims Breast cancer is a major public health problem. In Tunisia, breast cancer is the first leading cause of cancer-related deaths. Different organizations and professionals advise women to learn how to perform breast self-examination (BSE) so that they can detect the slightest change as soon as it intervenes. Objective This study aims to determine the prevalence of women performing breast self-examination and to evaluate their practices. Materials and Methods A cross-sectional descriptive study was performed about women's knowledge, attitude and practice of breast cancer screening and breast self-examination. The study was conducted in the Reproductive Health Center of Sousse spread over a period of 2 months (February, March 2018). Self administered questionnaires were distributed to women. Results The mean age of the participants was 34 years with extremes ranging from 18 to 64 years. 47% of women surveyed have already performed breast self examination at least once during the last year. 14% of participants practiced breast cancer screening less than once a year. The first source of learning for breast cancer screening was health professionals in 27% of cases. The score of the practice of women surveyed was average; mostly, women have intermediate results for the technique of self-examination breast. No woman had a score of 15/15. Conclusions A better education of the practice of self-examination is essential in order to improve the screening program for breast cancer. The role of the gynecologist, general practitioner or midwife is therefore essential in education and training. Key messages A better education of the practice of self-examination is essential in order to improve the screening program for breast cancer. The role of the gynecologist, general practitioner or midwife is therefore essential in education and training.
Le cancer du sein est le cancer féminin le plus fréquent. Plusieurs stratégies de traitement sont utilisées : la chimiothérapie, la radiothérapie, la chirurgie et enfin l´hormonothérapie. Chacun de ces traitements est susceptible d´altérer la sexualité des patientes à court ou à long terme. L´objectif de notre étude est d´évaluer la sexualité des femmes atteintes d'un cancer du sein après traitement. Un devis descriptif quantitatif a été réalisé auprès de 100 patientes suivies pour un cancer mammaire non métastasique en activité sexuelle, rencontrées à la consultation de gynécologie de l´hôpital Farhat Hached de Sousse. La collecte des données a été réalisé par une fiche de renseignement et à l´aide de deux échelles validées : RSS (Relation Ship and Sexuality) et BESAA (Body EsteemScale For Adolescents and Adults) afin d´évaluer la sexualité et l´image du corps. La moyenne d´âge était 53,8 ans. Environ la moitié des patientes (48%), avaient une vie sexuelle altérée par la maladie. La fréquence des rapports, le désir sexuel et la capacité d´atteindre l´orgasme a été diminué respectivement chez 65, 45 et 54 patientes. Le score global des 3 dimensions de l´image du corps était de 49,4. Les femmes âgées entre 35 et 39 ans développaient significativement plus de peur du rapport sexuel (p=0,002) et moindre de fréquence sexuelle (p=0,004). Une formation adéquate et accentuée sur la prise en charge des femmes ayant un cancer ainsi que leurs problèmes sexuels et un travail multidisciplinaire permettent d´améliorer l´état psychologique des femmes.
Introduction In Tunisia sexuality education is a subject that is little discussed in institutions and schools, hence its marginal place in the school curriculum and even if it is addressed, it mainly concerns reproduction and risk prevention. The purpose of this study was to evaluate the knowledge, attitudes, and behaviors of law university students regarding sexually transmitted diseases. Methods A cross-sectional survey was conducted among 300 law school students in Sousse, Tunisia. The instruments used for assessment was a pretested questionnaire contained questions evaluating knowledge and attitude towards STD and AIDS. Questions had multiple responses from which each respondent was asked to select the most appropriate one. Results Our sample consisted of 300 students, the majority were female (75.3%). The mean age was 22.30 years old. More than 75% of surveyed students did not discuss the subject of sexuality with their parents. The main sources of information for the students were the internet 48.3% followed by media 47% and friends 20%; health professional represents only 10.3%. Concerning the identification of risky sexual behavior 56.6% of the students identified multiple partner's sex and 45.7% the non-use of the condom. AIDS comes first among the STD cited by the majority of students surveyed (92%) followed by syphilis (6%). Despite that the majority of our participants knew the signs of STD; such as genital ulcer, urethral / vaginal discharge. False beliefs persist such as chest pain (13.3%) and headache (13.1%). 60.7% f our student reported genital cancers as complication to STD, 32.7% infertility. Some minorities (2.7%) thought that STD could be complicated by blindness. Conclusions Despite the high prevalence of STD among young adults, most students knew very little about those infections. Implementing sexual educational programs and measuring their effectiveness should be a priority. Key messages There is a huge lack of knowledge about sexually Transmitted diseases among Tunisian college students. Implementing sexual educational programs and measuring their effectiveness should be a priority.
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