Breast cancer awareness among Afghan refugee women in Turkey

Kizilkaya, Mehmet; Kilic, Sarah; Bozkurt, Mehmet Abdussamet; Sibic, Osman; Ohri, Nisha; Faggen, Meredith; Warren, Laura; Wong, Julia S.; Punglia, Rinaa S.; Bellon, Jennifer R.; Haffty, Bruce G.; Sayan, Mutlay

doi:10.1016/j.eclinm.2022.101459

Cited by 7 publications

(10 citation statements)

References 28 publications

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“…Another important takeaway from the results of our study and the aforementioned reviews is the significant association between BCa awareness and the level of education or age [ 49 , 50 ]. Smaller original studies from Bangladesh [ 51 ], Afghanistan [ 52 ], and Nepal [ 53 ], also highlight the dire need for interventions to improve the situation in South Asia, though a consolidated review is absent from the literature.…”

Section: Discussionmentioning

confidence: 99%

Awareness regarding breast cancer amongst women in Pakistan: A systematic review and meta-analysis

Abdul Rehman,

Tahir,

Ghulam Hussain

et al. 2024

PLoS ONE

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Background Breast cancer (BCa) is the most common cause of cancer death in Pakistan. In 2019, Pakistan saw the highest global BCa-associated death rate. But do Pakistani women know about the various aspects of BCa? And how prevalent are BCa screening methods amongst Pakistani females? These questions formed the basis for our study. Methods We conducted this review in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. On September 1, 2023, we searched PubMed, Embase, Scopus, and Google Scholar, and performed a citation search to search for eligible studies published in 2010 or after, using the following terms: “breast cancer” and “Pakistan”. Observational studies that evaluated BCa awareness and/or practice amongst Pakistani females who were not associated with medicine were eligible. We used the National Institutes of Health quality assessment tool to assess the risk of bias. We conducted a proportion meta-analysis to calculate pooled prevalences for variables. Results Responses from 9766 Pakistani women across 18 included studies showed alarmingly low levels of BCa knowledge: risk factors, 42.7% (95% CI: 34.1%-51.4%); symptoms, 41.8% (95% CI: 26.2%-57.5%); diagnostic modalities, 36.3% (95% CI: 23.1%-49.4%); treatments, 46.6% (95% CI: 13.5%-79.8%). Prevalence of breast self-examination (BSE) and ever having undergone a clinical breast exam (CBE) was 28.7% (95% CI: 17.9%-39.6%) and 15.3% (95 CI: 11.2%-19.4%), respectively. BCa knowledge was significantly associated with better educational status, age, and socioeconomic status. Conclusion On average, only two in five Pakistani women are aware of one or more risk factors, symptoms, or diagnostic modalities. Approximately one in two women know about possible BCa treatment. Less than one in three women practice regular BSE, and less than one in five women have ever undergone a CBE.

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Section: Discussionmentioning

confidence: 99%

Awareness regarding breast cancer amongst women in Pakistan: A systematic review and meta-analysis

Abdul Rehman,

Tahir,

Ghulam Hussain

et al. 2024

PLoS ONE

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“…Access to health care, an important determinant of cancer outcomes, is unfortunately limited or negatively impacted by conflict and displacement in many parts of the Middle East, 21–23 which could result in delayed diagnosis and consequently, higher mortality rates. Lastly, cultural and societal barriers, including stigma around cancer and lack of awareness about the importance of early detection, can delay diagnosis and lead to higher rates of advanced disease at presentation 8,24 . Taken together, these factors elucidate the complexity of addressing the burden of prostate cancer in the Middle East, necessitating tailored, region‐specific solutions that account for these unique challenges.…”

Section: Discussionmentioning

confidence: 99%

“…Lastly, cultural and societal barriers, including stigma around cancer and lack of awareness about the importance of early detection, can delay diagnosis and lead to higher rates of advanced disease at presentation. 8 , 24 Taken together, these factors elucidate the complexity of addressing the burden of prostate cancer in the Middle East, necessitating tailored, region‐specific solutions that account for these unique challenges.…”

Section: Discussionmentioning

confidence: 99%

Burden of prostate cancer in the Middle East: A comparative analysis based on global cancer observatory data

Kearney,

Chen,

Mula‐Hussain

et al. 2023

Cancer Medicine

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BackgroundProstate cancer represents a significant global health issue, yet our understanding of its impact in the Middle East remains limited. This study aimed to assess the incidence and mortality of prostate cancer in the Middle East, and compare these rates to those in Europe and North America.Materials and MethodsWe utilized the 2020 Global Cancer Observatory data, compiling incidence and mortality rates of prostate cancer in 20 Middle Eastern countries. We calculated mortality‐to‐incidence ratios (MIR) and compared the age‐standardized incidence rate (ASIR) and MIR between the Middle East and the combined regions of North America and Europe. The countries were further stratified based on the Human Development Index (HDI) and income level for additional analysis.ResultsIn 2020, the Middle East documented an estimated 51,649 new prostate cancer diagnoses, accounting for 3.7% of global cases. Despite a significantly lower ASIR in the Middle East compared with Europe and North America (10.50 vs. 21.50, p = 0.0087), the region had a higher MIR (12.35 vs. 3.00, p = 0.0476). When stratified based on HDI or income levels, there was no significant difference in MIRs; however, a significant trend of increasing MIR with decreasing HDI (p = 0.028) and income levels (p = 0.016) was observed.ConclusionsDespite a lower incidence, our analysis showed a significantly higher MIR for prostate cancer in the Middle East compared with Europe and North America. These findings underscore the unique challenges posed by prostate cancer in the Middle East and emphasize the necessity of tailored strategies to address this pressing public health issue.

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“…We recently completed the first-ever quantitative evaluation of breast cancer (BC) awareness among Afghan refugee women. 20 This study identified dismally low rates of BC awareness among a cohort of over four hundred Afghan refugee women. For example, of 11 different warning signs of BC, such as a breast lump or pain in the breast, 80–90 percent of respondents were unaware that the finding was a warning sign of cancer.…”

Section: Introductionmentioning

confidence: 90%

Effectiveness of a telehealth patient education intervention for breast cancer awareness and screening uptake among Afghan refugee women: a cross-sectional survey and feasibility study

Kizilkaya¹,

Kilic²,

Dagistanli³

et al. 2023

eClinicalMedicine

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Breast cancer awareness among Afghan refugee women in Turkey

Cited by 7 publications

References 28 publications

Awareness regarding breast cancer amongst women in Pakistan: A systematic review and meta-analysis

Awareness regarding breast cancer amongst women in Pakistan: A systematic review and meta-analysis

Burden of prostate cancer in the Middle East: A comparative analysis based on global cancer observatory data

Effectiveness of a telehealth patient education intervention for breast cancer awareness and screening uptake among Afghan refugee women: a cross-sectional survey and feasibility study

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