Ethiopian women's breast cancer self-examination practices and associated factors. A systematic review and meta-analysis |
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| Institution: | 1. Department of Public Health, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia;2. Amhara Regional Health Bureau CDC Project Zonal Monitoring and Evaluation Officer, Dessie, Ethiopia;3. Department of Public Health College of Health Sciences, Debre Berhan University, Debre Berhan Ethiopia;1. HCA Florida Brandon Hospital Department of Internal Medicine, 119 Oakfield Drive, Brandon, FL 33511, USA;2. University of Kansas School of Medicine Department of Population Health, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA;3. University of Kansas Cancer Center, 4000 Cambridge Street, Kansas City, KS 66160, USA;1. Section of Hematology-Oncology, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA;2. Texas Children’s Cancer and Hematology Centers, Texas Children’s Hospital, Houston, TX, USA;3. Center for Epidemiology and Population Health, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA;4. Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, TN, USA;1. Department of Urology, New York University Grossman School of Medicine, New York, NY, United States;2. Department of Urology, SUNY Downstate Health Sciences Campus, Brooklyn, NY, United States;3. Department of Population Health, New York University Grossman School of Medicine, New York, NY, United States;4. Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, United States;5. Department of Urology, University of North Carolina, Chapel Hill, NC, United States;6. VA NY Harbor Healthcare System, United States;7. Department of Surgery, Urology Service; Memorial Sloan Kettering Cancer Center;1. Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia;2. BreastScreen South Australia, Adelaide, South Australia, Australia;1. Community Medicine, Pramukhswami Medical College, Gokal Nagar, Karamsad 388325 Anand, Gujarat, India;2. Medical Graduate Pramukhswami Medical College, Gokal Nagar, Karamsad 388325 Anand, Gujarat, India;3. Extension Programmes Department, H M Patel Center for Medical Care and Education, India;1. Department of Gynaecology and Obstetrics, St. Joseph Hospital, Dresden, Germany;2. Radiotherapy Centre, Addis Ababa University, Addis Ababa, Ethiopia;3. School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia;4. Institute of Medical Epidemiology, Biostatistics, and Informatics, Faculty of Medicine, Martin-Luther-University Halle-Wittenberg, Halle, Saale, Germany;5. Surveillance and Health Services Research, American Cancer Society, Atlanta, USA;6. Department of Surgery, Hospital Martha-Maria Halle-Dölau, Halle, Saale, Germany;7. Department of Gynaecology, Martin-Luther-University Halle-Wittenberg, Halle, Saale, Germany;8. Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine Carl Gustav Carus, Dresden, Germany |
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| Abstract: | BackgroundBreast neoplasm is the most frequently diagnosed and the leading cause of cancer death in the vast majority of the countries. Breast cancer self-examination is a check-up of a woman does at home to look for changes or problems in the breast tissue. The benefit of early recognition is for early treatment that is more effective, higher long-term survival rates and better quality of life. The aim of this review was to determine the pooled prevalence of breast cancer self-examination practice and identify its associated factors among Ethiopian women.MethodsGoogle Scholar, PubMed, Science Direct, web of science, and Cochrane Library were used for search of articles. This review includes thirty four articles conducted in Ethiopia between 2011 and 2020. The review contains 14,908 women to determine the ever pooled prevalence of breast cancer self-examination practice. Health workers and students made up 28.35% of the total participants. Data were extracted using a standardized data extraction format prepared in Microsoft Excel and analyzed with Stata 14. To assess heterogeneity I2 test were used. A random effect meta-analysis model was used to estimate the pooled breast cancer self-examination (BCSE) practice of Ethiopian women. Moreover associated factors were also assessed.ResultsIn Ethiopian women, the overall ever and regular pooled breast cancer self-examination practice was 36% (95% CI: 28, 43) and 16% (95% CI: 28, 43) respectively. The ever pooled prevalence for health workers or students was 53% (95% CI: 41, 65), whereas for other participants it was 25% (95% CI: 19, 30). Good knowledge about breast self-examination (AOR: 3.69: 95% CI: 2.70, 5.05), positive attitude towards BCSE (AOR: 2.72: 95% CI: 1.74, 4.24), Getting to know people with breast cancer(AOR: 2.77: 95% CI: 1.51, 5.09), family history of breast cancer (AOR: 2.49: 95% CI: 1.60, 3.88) and personal history of breast cancer (AOR: 2.26: 95% CI: 1.70, 3.01) were associated factors to BCSE practice among Ethiopian women. All of the studies included in this review were conducted in a cross-sectional design was a limitation of this review and meta-analysis.ConclusionThis review and meta-analysis showed the ever and regular pooled prevalence of BCSE among Ethiopian women. More than one third of Ethiopian women ever practiced BCSE. We recommend that awareness creation should be perform in order to tackle the risk of breast cancer. |
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| Keywords: | Breast cancer Breast self-examination Ethiopia Women |
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