“…The study findings indicated that the decision to remove both breasts through preventive bilateral mastectomy among high-risk individuals transcended social and spiritual boundaries. The findings from Aduayi et al (20) and those of the current study are consistent with the notions of the original HBM. Cues to Action.…”
Section: Constructs Of the Health Belief Modelsupporting
confidence: 92%
“…In the present study, the desire to survive was judged by the study participants to be more beneficial than any barriers, including stigma, and other unwarranted side effects of treatment. This finding is consistent with findings from a mixed method study conducted by Aduayi et al (20) to explore whether women in some rural and urban communities in Southwestern Nigeria would accept preventive bilateral mastectomy. The study findings indicated that the decision to remove both breasts through preventive bilateral mastectomy among high-risk individuals transcended social and spiritual boundaries.…”
Section: Constructs Of the Health Belief Modelsupporting
Objectives: Globally, breast cancer is the commonest cancer in women. Empirical literature indicate that it is the second cause of cancer-related mortality in high-resource regions, while it is the most common cause of cancer-related deaths among women in poor-resource regions. This study presents the suitability of the health belief model (HBM) as a framework for carrying out a comprehensive assessment of women with late-stage breast cancer in Nigeria. Materials and Methods: This qualitative study employed interpretive description as its methodological approach, while the HBM was the conceptual framework. Two institutional review boards granted approval to conduct the study. Thirty women with advanced breast cancer were recruited for the study using purposeful sampling techniques. Components of the original HBM were identified to carry out the investigation. Data analysis was inductive. Results: Findings indicated that the participants viewed breast cancer as a definite threat- both as a spiritual attack – an arrow shot by the enemy, and as a killer disease. Many of their perceptions appeared to be culturally based, while others were based on their individual experiences. They perceived some benefits to both traditional and medical treatment options. Conclusions: Interventions that address people’s cultural and individual perceptions enables a comprehensive assessment of the patients with breast cancer, which can improve the treatment outcomes and survival rates of disease.
“…The study findings indicated that the decision to remove both breasts through preventive bilateral mastectomy among high-risk individuals transcended social and spiritual boundaries. The findings from Aduayi et al (20) and those of the current study are consistent with the notions of the original HBM. Cues to Action.…”
Section: Constructs Of the Health Belief Modelsupporting
confidence: 92%
“…In the present study, the desire to survive was judged by the study participants to be more beneficial than any barriers, including stigma, and other unwarranted side effects of treatment. This finding is consistent with findings from a mixed method study conducted by Aduayi et al (20) to explore whether women in some rural and urban communities in Southwestern Nigeria would accept preventive bilateral mastectomy. The study findings indicated that the decision to remove both breasts through preventive bilateral mastectomy among high-risk individuals transcended social and spiritual boundaries.…”
Section: Constructs Of the Health Belief Modelsupporting
Objectives: Globally, breast cancer is the commonest cancer in women. Empirical literature indicate that it is the second cause of cancer-related mortality in high-resource regions, while it is the most common cause of cancer-related deaths among women in poor-resource regions. This study presents the suitability of the health belief model (HBM) as a framework for carrying out a comprehensive assessment of women with late-stage breast cancer in Nigeria. Materials and Methods: This qualitative study employed interpretive description as its methodological approach, while the HBM was the conceptual framework. Two institutional review boards granted approval to conduct the study. Thirty women with advanced breast cancer were recruited for the study using purposeful sampling techniques. Components of the original HBM were identified to carry out the investigation. Data analysis was inductive. Results: Findings indicated that the participants viewed breast cancer as a definite threat- both as a spiritual attack – an arrow shot by the enemy, and as a killer disease. Many of their perceptions appeared to be culturally based, while others were based on their individual experiences. They perceived some benefits to both traditional and medical treatment options. Conclusions: Interventions that address people’s cultural and individual perceptions enables a comprehensive assessment of the patients with breast cancer, which can improve the treatment outcomes and survival rates of disease.
“…Reasons adduced for that include poor knowledge of breast cancer risk factors, signs and symptoms [22,23]; lack of awareness coupled with poor attitude to preventive practice [24][25][26][27][28] and late presentation at an advanced stage of the disease [29,30]. Lack of effective national screening programmes against a backdrop of poor socioeconomic status also contribute to the breast cancer burden in resource constrained settings.…”
Early diagnosis and treatment achieved through Mammographic screening plays a key role in the reduction of breast related morbidities and mortalities in middle and low income countries. This study highlights the spectrum of digital mammography findings in a tertiary health institution in Ado-Ekiti, South western Nigeria. A cross-sectional descriptive study of clients who presented for digital mammography at a newly equipped hospital was conducted within a year. The mammograms were reviewed by two radiologists and overall imaging findings were classified using the American College of Radiology Breast Imaging Reporting and Data System (ACR-BIRADS). Data analysis was done using SPSS version 20.0. A total of 154 clients with age range of 37 to 85 years (mean age of 51± 9.6years) underwent mammography during the study period. There was one male and 153 females out of which 69(45.1%) were postmenopausal while 84(54.9%) were premenopausal. Major clinical indications for mammography included routine breast cancer screening (N= 59, 38.3%), breast lump (N= 43, 27.9%) and breast pain (N=34, 22.1%). Mammograms were normal in 37(24.0%), inconclusive in 51(33.1%) and abnormal in 66(42.9%) clients. Abnormal mammographic findings included various forms of calcifications (N=56, 36.4%), breast opacities/masses (N=42, 27.3%), axillary lymphadenopathy (N=14, 9.0%), focal glandular asymmetry (N=10, 6.5%) and architectural distortion (N=6, 3.9%). About 55(35.7%) patients underwent additional imaging with ultrasonography, out of which 32(58.2%) had positive sonographic findings. The use of ultrasonography for additional imaging in cases of inconclusive mammograms improves the diagnostic yield. A greater proportion of the clients had mammography done for diagnostic reasons rather than screening purposes. Hence there is the need for increased awareness of screening mammography among the women in resource constrained settings.
“…When women present to health facilities late and at advanced stages of the disease, little or no benefit is derived from any form of therapy. [5,6] In contrast, breast cancer patients from developed nations present earlier, and a significant proportion are detected by screening mammography. The aim of the study is to assess the level of awareness, determine the attitude and document breast cancer screening practices among females presenting for breast imaging services at our health care facility.…”
Breast cancer is a leading cause of cancer deaths among women in many parts of the world and screening practices play a vital role in its prevention and early detection. This study sought to assess the level of awareness, determine the attitude and document breast cancer screening practices among respondents. A cross-sectional descriptive survey of 150 respondents was conducted at the Department of Radiology of a tertiary health facility in Ado-Ekiti, Nigeria. The study population consisted of female patients referred for breast imaging. A structured questionnaire was used for data collection. The data was analysed using SPSS version 16, Chicago USA Inc. Respondents presented for breast imaging due to breast related complaints (75.2%) as opposed to routine medical screening for breast cancer (24.8%). A total of 43 (28.7%) respondents had breast ultrasound scan done previously, 105 (70%) had practiced breast self examination (BSE) before, while 54 (36%) had clinical breast examination (CBE) done previously. Among those aged 40 years and above (n=67, 44.7%) only 18 (26.9%) had a previous mammographic screening. Overall attitude to BSE was good (56%) but attitude to CBE was negative (69.3%). Respondents' occupation was found to have a significant association with attitude towards BSE (p=0.001). The logistic regression analysis of predictors of awareness of mammography showed that women aged 40 years and above are more likely to be aware of mammography as a screening tool for breast cancer (OR=3.05,P= 0.012; 95%CI 1.28-7.27). There is a need for increased awareness and adoption of breast cancer screening practices in our environment in order to engender a reduction in breast cancer morbidity and mortality.
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