Current status of breast cancer in Nepal

Giri, Mohan; Puri, Anju; Upreti, Bibhuti

doi:10.18203/2320-6012.ijrms20192547

Cited by 2 publications

(2 citation statements)

References 33 publications

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“…Though early screening of breast cancer serves as a leading role in reducing the burden of breast cancer mortality, Nepal has no national and regional breast cancer screening program [ 18 ]. Additionally, there has been no initiation of population-based breast cancer screening, [ 19 ] despite the American Cancer Society recommending that women with an average risk of breast cancer should start annual mammography screening at age 40 [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Factors associated with uptake of breast and cervical cancer screening among Nepalese women: Evidence from Nepal Demographic and Health Survey 2022

Lamichhane,

Adhikari,

Poudel

et al. 2024

PLOS Glob Public Health

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Breast cancer screening (BCS) and cervical cancer screening (CCS) are integral parts of initiatives to reduce the burden associated with these diseases. In this context, we aimed to determine factors associated with BCS and CCS uptake among Nepalese women aged 30 to 49 years using data from the Nepal Demographic Health Survey (NDHS) 2022. We performed a weighted analysis to account complex survey design of the NDHS 2022. We employed univariable and multivariable logistic regression to determine factors associated with the uptake of BCS and CCS and results were presented as crude odds ratio and adjusted odds ratio (AOR) along with 95% confidence interval (CI). The uptake of BCS and CCS among Nepalese women aged 30 to 49 years were 6.5% and 11.4% respectively. Women from Terai compared to mountain region (AOR = 0.54, 95%CI: 0.31, 0.93) and those engaged in agriculture compared to non-working (AOR = 0.59, 95%CI: 0.42, 0.82) women had lower odds of BCS uptake. Conversely, Dalit women compared to Brahmin/Chhetri (AOR = 2.08, 95%CI: 1.37, 3.16), and women with basic (AOR = 1.49, 95%CI: 1.04, 2.13), secondary (AOR = 1.96, 95%CI: 1.33, 2.88), and higher education (AOR = 2.80, 95% CI: 1.51, 5.19) compared to those with no education had higher odds of BCS uptake. Women from rural areas (AOR = 0.76, 95%CI: 0.61, 0.96), and those living in Bagmati (AOR = 2.16, 95% CI: 1.44, 3.23) and Gandaki (AOR = 2.09, 95%CI: 1.40, 3.14) provinces had higher odds of CCS uptake compared to their urban counterparts and those living in Koshi province, respectively. The odds of CCS increased with age (AOR = 1.06, 95%CI: 1.04, 1.08). Women with secondary education (AOR = 1.47, 95%CI: 1.06, 2.04) had higher odds of CCS uptake compared to those without education. Similarly, married women (AOR = 8.24, 95%CI: 1.03, 66.21), and those with health insurance (AOR = 1.41, 95%CI: 1.08, 1.83) had higher odds of CCS. In conclusion, the uptake of both BCS and CCS was relatively poor among Nepalese women indicating a need for targeted and tailored intervention to increase BCS and CCS uptake.

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Section: Introductionmentioning

confidence: 99%

Factors associated with uptake of breast and cervical cancer screening among Nepalese women: Evidence from Nepal Demographic and Health Survey 2022

Lamichhane,

Adhikari,

Poudel

et al. 2024

PLOS Glob Public Health

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“…According to GLOBOCAN 2012, an estimated 1,700 new BC cases were diagnosed in Nepal in 2012 with an age-standardized rate (ASR) of 13.7 new cases per 100,000 women, while 870 fatalities in women occurred with an ASR of 7.2 cases fatalities per 100,000 women [4]. GLOBOCAN 2018 estimates of cancer incidence and mortality, 2018 an estimated 2068 new BC cases were diagnosed in Nepal, with an ASR of fifteen cases per 100,000 women, whereas 1018 deaths occurred with an ASR of 7.6 cases per 100,000 women [8].…”

Section: Introductionmentioning

confidence: 99%

Breast self-examination: Knowledge, practice and associated factors among 20 to 49 years aged women in Butwal sub-metropolitan, Rupandehi, Nepal

Manisha

Kaphle

2023

PLoS ONE

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Background Breast cancer is the second most common cancer in the world and also among Nepalese women. Breast self-examination is an important, cheap, and easy method for early diagnosis of breast cancer which can be cured in the majority of cases if diagnosed in the early stages. In developing countries like Nepal where the awareness regarding breast cancer and breast self-examination is poor, breast cancers are diagnosed at late stages resulting in a poor prognosis of the disease. The study assessed knowledge, practice, and factors associated with breast self-examination. Methods A cross-sectional survey was carried out among 262 women in the Butwal sub-metropolitan adopting multi-stage sampling. A pre-tested structured interview schedule and an observation checklist were used to collect the data. Data was entered in EPI-data and necessary univariate, bivariate, and multivariate analyses were done in SPSS. Results The study found that more than half of the participants (55.3%) had poor knowledge of BSE. Only one-fourth (27.1%) of them were practicing BSE and among them, most of them (93.0%) had poor practice. The factors such as ethnicity from Brahmin/Chhetri [AOR = 2.099, 95% CI (1.106–3.981)], use of contraceptive devices [AOR = 9.487, 95% CI (2.166–41.558)], personal history of breast lump [AOR = 12.502, 95% CI (1.639–95.387)], family history of breast cancer [AOR = 5.729, 95% CI (1.337–97.512)], and knowledge of BSE [AOR = 4.407, 95% CI = 2.160–34.650)] were significant determinants of BSE practice among 20–49 years women. Conclusion The study concluded that most of the women had poor knowledge and practice of breast self-examination. The study also indicated the influence of ethnicity, contraceptives, personal and family history of cancer/early warning signs, and knowledge for practicing breast self-examination. There is an immediate need to increase the knowledge and practice of breast self-examination to prevent and detect breast cancer in its early stage.

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Current status of breast cancer in Nepal

Cited by 2 publications

References 33 publications

Factors associated with uptake of breast and cervical cancer screening among Nepalese women: Evidence from Nepal Demographic and Health Survey 2022

Factors associated with uptake of breast and cervical cancer screening among Nepalese women: Evidence from Nepal Demographic and Health Survey 2022

Breast self-examination: Knowledge, practice and associated factors among 20 to 49 years aged women in Butwal sub-metropolitan, Rupandehi, Nepal

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