Socio-Economic Status and Clinical Breast Examination Screening Uptake: Findings from the First Cohort Study among Iranian Kurdish Women

Jalilian, Farzad; Jerome-D’Emilia, Bonnie; Najafi, Farid; Pasdar, Yahya; Amini, Mahin; Kargar, Mehdi; Moradinazar, Mehdi; Pirouzeh, Razieh; Karimi, Negar; Hosseini, Seyyed Nasrollah; Mirzaei-Alavijeh, Mehdi

doi:10.31557/apjcp.2022.23.5.1555

Cited by 1 publication

(1 citation statement)

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“…Being ever pregnant is a positive predictor of participation in breast cancer screening [ 36 ]. The positive relationship between pregnancy and CBE uptake might be due to the frequent utilisation of maternal health care services and therefore exposing them to receive CBE [ 37 ]. Therefore, we recommend the integration of CBE into routine antenatal care services in healthcare facilities to further expose more reproductive-age women in Lesotho to CBE.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with the uptake of clinical breast examination among women of reproductive age in Lesotho: analysis of a national survey

et al. 2023

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Background In low-resource settings with weak health systems, the WHO recommends clinical breast examination (CBE) as the most cost-effective breast screening modality for women. Evidence shows that biennial CBE leads to significant downstaging of breast cancer in all women. Breast cancer is the second most common cancer among women in Lesotho with a weaker healthcare system and a low breast cancer screening rate. This study investigated the prevalence and factors associated with the uptake of CBE among women of reproductive age in Lesotho. Methods This study used cross-sectional data from the 2014 Lesotho Demographic and Health Survey. A sample of 6584 reproductive-age women was included in this study. We conducted both descriptive and multivariable logistic regression analyses. The study results were presented in frequencies, percentages, and adjusted odds ratios (aOR) with their corresponding confidence intervals (CIs). Results The prevalence of CBE uptake was 9.73% (95% CI: 8.91, 10.61). Women who were covered by health insurance (aOR = 2.31, 95% CI [1.37, 3.88]), those who were pregnant (aOR = 2.34, 95% CI [1.64, 3.35]), those who had one to three children (aOR = 1.81, 95% CI [1.29,2.52]), and women who frequently read newspapers or magazines (aOR = 1.33, 95% CI [1.02,1.72]) were more likely to undergo CBE than their counterparts. Women who were aware of breast cancer (aOR = 2.54, 95% CI [1.63,3.97]), those who have ever had breast self-examination (BSE) within the last 12 months prior to the study (aOR = 5.30, 95% CI [4.35,6.46]), and those who visited the health facility in the last 12 months prior to the study (aOR = 1.57, 95% CI [1.27,1.95]) were also more likely to undergo CBE than their counterparts. Women residing in the Qacha’s-nek region (aOR = 0.42, 95% CI [0.26,0.67]) were less likely to undergo CBE than those in the Botha-bothe region. Conclusion The study found a low prevalence of CBE uptake among reproductive-age women in Lesotho. Factors associated with CBE uptake include health insurance coverage, being pregnant, those who had one to three children, exposure to media, breast cancer awareness, ever had BSE, and those who visited a health facility. To increase CBE uptake, these factors should be considered when designing cancer screening interventions and policies in order to help reduce the burden of breast cancer in Lesotho.

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Section: Discussionmentioning

confidence: 99%