Self-Efficacy and Perceived Barriers as Determinants of Breast Self-Examination Among Female Nonmedical Students of the University of Ghana

Boafo, Isaac Mensah; Tetteh, Peace Mamle

doi:10.1177/0272684x19885501

Cited by 6 publications

(12 citation statements)

References 27 publications

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“…25 Since the role of cancer fear in screening uptake is not crystal clear, future longitudinal studies can further examine the impact of cancer fear on screening behavior among older women. Consistent with previous studies, 22,25,31,33,35,47,54,55 our study further confirms that self-efficacy is a significant factor in BCS uptake.…”

Section: Discussionsupporting

confidence: 92%

“…Besides fear about BC, perceived self-efficacy has been identified to influence BCS behaviors. [30][31][32] A high level of self-efficacy is reported to influence BCS behavior while a low level of self-efficacy is associated with poor or non-completion of BCS. 22,[30][31][32] Perceived self-efficacy has been conceptualized as the individuals' beliefs in their abilities to accomplish given outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…[30][31][32] A high level of self-efficacy is reported to influence BCS behavior while a low level of self-efficacy is associated with poor or non-completion of BCS. 22,[30][31][32] Perceived self-efficacy has been conceptualized as the individuals' beliefs in their abilities to accomplish given outcomes. 32 Therefore, self-efficacy can enhance women's confidence to take necessary preventive health actions to improve their overall well-being.…”

Section: Introductionmentioning

confidence: 99%

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Association of Sociodemographic Factors, Breast Cancer Fear, and Perceived Self-Efficacy With Breast Cancer Screening Behaviors Among Middle-Aged Nigerian Women

Ezema

Igbokwe

Iwuagwu

et al. 2021

Breast Cancer�(Auckl)

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Introduction: Breast cancer (BC) is a major public health problem among women. However, BC screening uptake is abysmally low among Nigerian women. This study evaluated the association of BC fear and perceived self-efficacy with BC screening (clinical breast exam [CBE] and mammography) among middle-aged Nigerian women. Methods: A community-based cross-sectional study was conducted among middle-aged women in Enugu State, southeast Nigeria. The data were collected between September 2019 and February 2020. The BC screening uptake, fear, and self-efficacy were assessed using the validated Breast Cancer Screening Questionnaire (BCSQ), Champion Breast Cancer Fear Scale (CBCFS), and Champion’s Mammography Self-Efficacy Scale (CMSES). Data were analyzed using frequencies and percentages, chi-square test, and univariate analysis of variance. Bivariate and multivariable logistic regression models were used to examine independent associations between selected sociodemographic factors, cancer fear, perceived self-efficacy, and BC screening. Results: The mean age of the participants was 55.3 years (SD: 5.75). More than half of the women (51%) reported having a BC screening in the past 12 months. However, only 12.5% and 16.9% reported having a CBE or mammogram in the past 12 months. The prevalence of a high, moderate, and low level of fear was 68%, 22.3%, and 9.8%, respectively. The prevalence of a high, moderate, and low self-efficacy level was 50.6%, 37.5%, and 12.0%, respectively. The multivariable logistics regression analysis showed that women aged 50-59 years and 60-64 years were 3.5 times (adjusted odds ratio [AOR] = 3.50, 95% confidence interval [CI]: 2.07-5.89, P < .0001), and 5.92 times (AOR = 5.92 95% CI: 2.63-13.35, P < .0001), respectively, more likely to perform mammogram than those aged 40-49 years. Women with a high level of self-efficacy were 2.68 times (AOR = 2.68, 95% CI: 1.15-6.26, P < .0001) more likely to use mammographic screening than those with low self-efficacy. Although not statistically significant, women with a moderate level of BC fear were 0.56 times less likely to use mammogram than women with a low level of BC fear. Conclusion: A low proportion of women underwent CBE or mammography. Women had a high level of BC fear and a moderate level of self-efficacy for BC screening. The findings emphasize the need for health educational and psychosocial interventions that improve self-efficacy and promote regular BC screening among middle-aged women.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Association of Sociodemographic Factors, Breast Cancer Fear, and Perceived Self-Efficacy With Breast Cancer Screening Behaviors Among Middle-Aged Nigerian Women

Ezema

Igbokwe

Iwuagwu

et al. 2021

Breast Cancer�(Auckl)

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“…Two of the studies were nationwide. Three studies [ 32 , 35 , 36 ] assessed women’s knowledge and practices on BSE, CBE, and mammography while six studies focused on only BSE [ 26 , 28 , 30 , 31 , 34 , 37 ]. Two studies focused on BSE and CBE [ 27 , 33 ] while one study focused on only mammography [ 29 ] (Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…Half ( n = 99) attributed their knowledge to health care providers. Boafo (2019) [ 26 ] Greater Accra region: University community setting. Cross-sectional study Examined the factors which influence the performance of BSE among female undergraduate students at the University of Ghana.…”

Section: Resultsmentioning

confidence: 99%

Mapping evidence on knowledge of breast cancer screening and its uptake among women in Ghana: a scoping review

Afaya

Seidu

Sang

et al. 2022

BMC Health Serv Res

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Introduction Female breast cancer is currently the most commonly diagnosed cancer globally with an estimated 2.3 million new cases in 2020. Due to its rising frequency and high mortality rate in both high- and low-income countries, breast cancer has become a global public health issue. This review sought to map literature to present evidence on knowledge of breast cancer screening and its uptake among women in Ghana. Methods Five databases (PubMed, CINAHL, PsycINFO, Web of Science, and EMBASE) were searched to identify relevant published studies between January 2012 and August 2021 on knowledge of breast cancer screening and its uptake among women. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews and the six-stage model by Arksey and O’Malley were used to select and report findings. Results Of the 65 articles retrieved, 14 records were included for synthesis. The review revealed varied knowledge levels and practices of breast cancer screening among women across a few regions in Ghana. The knowledge level of women on breast cancer screening was high, especially in breast cancer screening practice. Breast cancer screening practice among women was observed to be low and the most identified barriers were lack of technique to practice breast self-examination, having no breast problem, lack of awareness of breast cancer screening, and not having breast cancer risk. The results further showed that good knowledge of breast cancer screening, higher educational level, increasing age, physician recommendation, and household monthly income were enabling factors for breast cancer screening uptake. Conclusion This review showed varied discrepancies in breast cancer screening uptake across the regions in Ghana. Despite the benefits of breast cancer screening, the utilization of the screening methods across the regions is very low due to some varied barriers from the different regions. To increase the uptake of breast cancer screening, health workers could employ various strategies such as community education and sensitization on the importance of breast cancer screening.

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What makes women receptive to breast self-examination, animation, or simulation? – a comparative study

Idrees,

Mayilvaganan,

Mishra

et al. 2023

Annals of Medicine &Amp; Surgery

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Background: Breast self-examination (BSE) plays an important role in the early diagnosis of breast cancer in India owing to the stigma attached to cancer. The authors compared the efficacies of animation video versus simulation techniques in BSE. Methods: Women with no previous history of conditions affecting the breasts were included in this prospective observational study and divided into an animation or simulation arm. The latter was further divided into three subgroups as per the simulation models used : the German (Delta Healthcare), British (Health Edco), and Indian (low-cost, validated) models used for teaching BSE. The hybrid animation video had a 9 min runtime with a lecture on BSE and a virtual character performing BSE. In both the arms, participants filled in a validated modified patient satisfaction questionnaire. Results: A total of 500 women participated. The mean age of the participants in the animation video arm was 20.21±3.88 years and 19.34±2.27, 22.94±9.6, and 18.97±1.31(20.41±5.99) years in the Indian, German, and British simulation models arm, respectively. The age difference between the two arms was statistically significant (P<0.05). Both animation video and simulation models were found to be useful by the participants. The participants’ response to animation video being a better organized tool for learning BSE was statistically significant (90.48±7.98 vs. 84.02±15.09 P≤0.001) when compared to simulation models. The younger women (≤20 years) found these tools significantly more useful than those aged >20 years. Conclusions: All models had good efficiency and utility as learning tools for BSE. However, large studies in BSE set up with combination models are needed.

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Self-Efficacy and Perceived Barriers as Determinants of Breast Self-Examination Among Female Nonmedical Students of the University of Ghana

Cited by 6 publications

References 27 publications

Association of Sociodemographic Factors, Breast Cancer Fear, and Perceived Self-Efficacy With Breast Cancer Screening Behaviors Among Middle-Aged Nigerian Women

Association of Sociodemographic Factors, Breast Cancer Fear, and Perceived Self-Efficacy With Breast Cancer Screening Behaviors Among Middle-Aged Nigerian Women

Mapping evidence on knowledge of breast cancer screening and its uptake among women in Ghana: a scoping review

What makes women receptive to breast self-examination, animation, or simulation? – a comparative study

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