The practice of breast self-examination and associated factors among female healthcare professionals working in selected hospitals in Kigali, Rwanda: A Cross Section Study

Abstract

Background Breast self-examination is considered one of the main screening methods in detecting earlier stages of breast cancer. It is a useful technique if practiced every month by women above 20 years since globally breast cancer among women contributed to 685,000 deaths in 2020. However, the practice of breast self-examination among healthcare professionals is low in many developing countries. Therefore, this research was intended to measure the level of breast self-examination practice and determine associated factors among female healthcare professionals working in selected hospitals in Kigali, Rwanda.Methods A cross-sectional study was conducted among 221 randomly selected female healthcare professionals in four district hospitals in Kigali, Rwanda. A self-administered structured questionnaire was used as data collection instrument. The predictor variables were socio-demographic and obstetrics variables, knowledge on breast cancer and breast self-examination, attitude towards breast cancer and breast self-examination. Sample statistics such as frequencies, proportions and mean were used to recapitulate the findings in univariate analysis. Multiple logistic regression analysis was employed to identify statistically significant variables that predict breast self-examination practice. Adjusted odds ratio and 95% confidence level were reported. P-value < 0.05 was used to declare statistical significance.Results Breast self-examination was practiced by 43.5% of female healthcare professionals. This prevalence is low compared to other studies. Attitude towards breast self-examination and breast cancer was the only predictor variable that was significantly associated with breast self-examination practice [AOR = 1.032; 95% CI (1.001, 1.065), p-value = 0.042]. However, number of pregnancy and number of children were not significantly associated with BSE practice in the multi-variate analysis. In addition, knowledge and attitude were linearly correlated with r = 0.186, p = 0.005.Conclusions The breast self-examination practice was found to be low. Attitude toward breast cancer and breast self-examination was positively associated with BSE practice. Moreover, attitude and knowledge were linearly associated. This suggests the need for continuous medical education on breast self-examination and breast cancer to increase the knowledge & BSE practice level of female healthcare professionals.