Prevalence and determinants of breast self-examination in Karabuk, Turkey

Nazan Karahan

doi:10.17826/cumj.492127

TR EN

Karabük'te kendi kendine meme muayene sıklığı ve belirleyicileri

Öz

Amaç: Bu çalışmanın amacı kadınların kendi kendine meme muayenesi konusunda farkındalıkları ve etkileyen faktörleri değerlendirmektir.

Gereç ve Yöntem: Analitik ve tanımlayıcı katılmaya katılmayı kabul eden, yapılan bu çalışma, Karabük Üniversitesi Eğitim ve Araştırma Hastanesi’nde 15 Ekim-15 Şubat 2016 tarihleri arasında yürütülmüştür. Çalışmanın örneklemini, çalışmaya katılmaya gönüllü, anlama ve konuşma problemi bulunmayan, meme kanseri teşhisi ya da tedavisi almamış, herhangi bir meme cerrahisi geçirmemiş 483 kadın oluşturmuştur.

Bulgular: Araştırmada katılımcıların %63.8’inin kendi kendine meme muayenesini bilmesine rağmen, sadece %8.5’i düzenli ve %50.9’u bazen meme muayenesi yaptığı belirlendi. Kendi kendine muayene yapma durumu ile değişkenler arasındaki ilişki incelendiğinde, yaş, eğitim düzeyi, çalışma durumu, medeni durum, aile/aarkadaşlarda meme kanseri öyküsü açısından anlamlı bir fark gözlendi. Çalışmada yaşı genç, eğitim seviyesi yüksek, çocuk sayısı daha düşük ve çalışan kadınların kendi kendine meme muayenesini daha fazla bildiği ve uyguladığı, kendi kendine meme muayenesi yapmayan kadınların çoğunluğunun meme kanserine yakalanabileceği endişesine sahip olduğu ve memesindeki kitleyi bulamayacağını düşündüğü belirlenmiştir.

Sonuç: Bu bulgular bize, konu hakkında toplum tabanlı yaygın eğitimler yapılmasını ve bu eğitimlerde öncelikli hedef kitlenin ileri yaşta, eğitim seviyesi düşük, çocuk sayısı fazla, herhangi bir işte çalışmayan kadınlar olması gerektiğini düşündürmektedir.

Anahtar Kelimeler

kendi kendine meme muayenesi,meme kanseri,meme

Prevalence and determinants of breast self-examination in Karabuk, Turkey

Abstract

Purpose: The aim of this study was to evaluate the awareness of women about breast self-examination and to examine the factors affecting this

Materials and Methods: This was a descriptive and analytical study, conducted on female patients presenting at the Karabuk University Training and Research Hospital between 15 October 2015 and 15 February 2016. The study sample comprised 483 females willingly participating, with no cognitive problems and no diagnosis or treatment of breast cancer and no history of breast surgery.

Results: While 63.8% of the participants stated that they knew about breast self-examination, only 8.5% performed it regularly and 50.9% stated that they examined themselves occasionally. When the relationship between status of performing breast self-examination and variables were examined, a significant difference was observed in respect of age, level of education, employement, marital status, history of breast cancer in family/friends. It was determined that women of a younger age, with a higher level of education, fewer children and who were employed, had greater knowledge of breast self-examination and application rates, whereas the majority of those who did not perform breast self-examination were worried that they would get breast cancer and thought that they would not be able to detect a mass in their breast.

Conclusion: These findings indicate that there is a need for widespread community-based education and the target group for this education should primarily be older women, with low education, a greater number of children and who do not work outside the home.

Kaynakça

1. Parkin DM and Fernandez LM. Use of statistics to assess the global burden of breast cancer. Breast J. 2006;12 Suppl (1):70-80. https://doi.org/10.1111/j.1075-122X.2006.00205.x
2. Ertem G and Koçer A. Breast self-examination among nurses and midwives in Odemis health district in Turkey. Indian J Cancer.2009;46(3):208-213 https://doi.org/10.4103/0019-509X.52955
3. Koyuncu N and Uğraş GA. Kendi kendine meme muayenesi: erken tanıda ne kadar önemli?. J Breast Health. 2011;7(1):10-14. Available from: http://apbs.mersin.edu.tr/files/gulaltun/Publications_003.pdf
4. Gözüm S, Karayurt O, Kav S, Platin N. Effectiveness of peer education for breast cancer screening and health beliefs in eastern Turkey. Cancer Nurs. 2010;33(3):213–20
5. Hackshaw AK, Paul EA. Breast self-examination and death from breast cancer: a meta-analysis. Br J Cancer. 2003Apr 88(7):1047-53 https://doi.org/10.1038/sj.bjc.6600847
6. Hatefnia E, Niknami S, Bazargan M, Mahmoodi M, Lamyianm M, Alavi N . Correlates of mammography utilization among working Muslim Iranian women. Health Care Women Int. 2010;31(6):499–514https://doi.org/10.1080/07399331003725507
7. Haji-Mahmoodi M, Montazeri A, Jarvandi S, Ebrahimi M, Haghighat S, Harirchi I. Breast self-examination: knowlegde, attitudes and practices among female health care workers in Tehran, İran. Breast J. 2002; 8(4): 222-225 https://doi.org/10.1046/j.1524-4741.2002.08406
8. Lechner L, Nooijer JD, Vries HD. Breast selfexamination: longitudinal predictors of intention and subsequent behaviour. Eur J Cancer Prev. 2004; 13: 1-8.http://dx.doi.org/10.1016/j.ijnurstu.2006.02.0029.
9. Alwan NAS, Al-Diwan. JKA, Al-Attar WM, Eliessa RA. Knowledge, attitude & practice towards breast cancer & breast self examination in Kirkuk University, Iraq, Asian Pac J Reprod.2012;1(4):308-311https://doi.org/10.1016/S2305-0500(13)60098-6
10. Alam AA. Knowledge of breast cancer and its risk and protective factors among women in Riyadh. AnnSaudi Med. 2006;26(4): 272-277. https://doi.org/10.5144/0256-4947.2006.272

11. Nafissi N, Saghafinia M, Motamedi MH, Akbari ME. A survey of breast cancer knowledge and attitude in Iranian women. J Cancer Res Ther. 2012;January-March 8(1);46-49https://doi.org/10.4103/0973-1482.95173
12. Gölbaşı Z, Kutlar Z. Akdeniz H. Öğrenci hemşireler tarafından bir halk eğitim merkezinde verilen eğitimin kadınların meme kanseri/kendi kendine meme muayenesine yönelik bilgi ve uygulamalarına etkisi. J Breast Health. 2007; 3(2):53-57. Available from: http://www.thejournalofbreasthealth.com/sayilar/8/buyuk/651.pdf
13. Otaibi S. Harbi M, Kahmoas et al. General breast cancer awareness among women in riyadh city. Asian Pac J Cancer Prev. 2017; 18 (1), 159-163https://doi.org/10.22034/APJCP.2017.18.1.159
14. Taşçı A, Usta Y. Comparison of knowledge and practices of breast self examination (bse): a pilot study in Turkey. Asian Pac J Cancer Prev. 2010;11, 1417-1420.
15. Kılıç S, Uçar M, Seymen E et al. Kendi kendine meme muayenesi bilgi ve uygulamasının GATA Eğitim Hastanesinde görevli hemşire, hemşirelik öğrencileri ve hastaneye müracaat eden kadın hastalarda araştırılması. Gülhane J Med. 2006;48(4): 200-204. Available from: http://www.ejmanager.com/mnstemps/7/pdf_GMJ_320.pdf
16. Güner İÇ, Tetik A, Gönener D. Determination of women’s knowledge, attitude and behaviours about the self examination of breast. Gaziantep J Med. 2007; 55-60. Available from: http://gaziantepmedicaljournal.com/volumes/Volume13/Issue2/GMJ-2007-13-2-13.pdf
17. Yılmazel G. Determining practising of breast self-examınatıon and breast cancer rısk factors ın women aged twenty years and over living ın a rural area of Corum. J Breast Health. 2013; 9: 82-7
18. Altunkan H, Akın B ve Ege E. 20-60 Yaş arası kadınların kendi kendine meme muayenesi uygulama davranışları ve farkındalık düzeyleri. J Breast Health. 2008; 4 (2): 84-91.Available from: http://www.thejournalofbreasthealth.com/sayilar/12/buyuk/1161.pdf
19. Avcı İA. Factors associated with breast self-examination practices and beliefs in female workers at a Muslim community. Eur J Oncol Nur. 2008;12: 127–133https://doi.org/10.1016/j.ejon.2007.11.006
20. Duman NB, Büyükgönenç L, Pınar G. Health beliefs of the female academicians about breast cancer and screening tests and the affecting factors. Int J Hematol Oncol. 2013; 23 (4): 1-9. Available from: http://www.uhod.org/pdf/PDF_581.pdf
21. Khokhar A. Breast cancer in India: where do we stand and where do we go?. Asian Pac JCancer Prev. 2012;13 (10): 4861-4866. Available from: http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.1011.8860&rep=rep1&type=pdf
22. Dundar PE, Özmen D, Öztürk B et al. The knowledge and attitudes of breast self-examination and mammography in a group of women in a rural area in western Turkey. BMC Cancer. 2006; 6:1-9. https://doi.org/10.1186/1471-2407-6-43
23. Ekici E, Utkualp N. Women ınstructors behavıors towards breast cancer.J Breast Health. 2007; 3(3): 136-139. Available from: http://www.turkmedline.net/detay.html?id=555826965762d01&language=tr&mysearchvalue=311%202007%203%203
24. İlhan N, Çöl AG, Tanboğa E, Şengül A, Batmaz M. Behavior of college students in health related departments towards early diagnosis of breast cancer. J Breast Health. 2014;10: 147-153 https://doi.org/10.5152/tjbh.2014.2098
25. Petro-Nustus W, Mikhail BI. Factors associated with breast self examination among Jordanian women. Public Health Nurs. 2002;19 (4): 263-271. Available from: http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.511.2531&rep=rep1&type=pdf
26. Parsa P, Kandiah M, Rahman HA, Zulkefli M. Barriers for breast cancer screening among asian women: a mini literature review. Asian Pac J Cancer Prev. 2006 7: 509-514. Available from: http://journal.waocp.org/article_24516_9e2ea0a47e9b6932cd583c0a54666b46.pdf
27. Azaiza F, Cohen M. Health beliefs and rates of breast cancer screening among Arab women. J Womens Health. 2006;15(5): 520-530https://doi.org/10.1089/jwh.2006.15.520

Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yazarlar

Nazan Karahan
0000-0002-3546-8450
Türkiye

Yayımlanma Tarihi

30 Eylül 2019

Gönderilme Tarihi

4 Aralık 2018

Kabul Tarihi

25 Şubat 2019

Yayımlandığı Sayı

Yıl 2019 Cilt: 44 Sayı: 3

DOI

https://doi.org/10.17826/cumj.492127

IZ

https://izlik.org/JA58TC46ZP

MLA

Karahan, Nazan. “Prevalence and determinants of breast self-examination in Karabuk, Turkey”. Cukurova Medical Journal, c. 44, sy 3, Eylül 2019, ss. 1046-54, doi:10.17826/cumj.492127.