Psychosocial Problems of Rural Indian Women Practising Breast Self-Examination - a Community-Based Study from Southern India

Overview

Journal Breast Cancer (Dove Med Press)

Publisher Dove Medical Press

Date 2023 Apr 24

PMID 37091352

Authors

Pabithadevi Balaiah Mehanathan

Alex Arthur Edwards Dennison

Amudha Vikramathithan Panchapooranam

Sunitha Kandasamy

Padmavathi Subbiah

Lakshmikandhan Velappan

Shantaraman Kalyanaraman

Affiliations

Soon will be listed here.

Abstract

Introduction: Globally, breast cancer affects 2.5 million people annually. Younger women with advanced-stage cancers had a lower survival rate, but early detection enhanced survival chances by 27 to 47%. Breast self-examination (BSE) has led to early detection and higher rates of benign biopsies. Studies evaluating the psychosocial impact of BSE are few in India which has been attempted in the present study.

Methods: The community-based descriptive cross-sectional study was conducted among rural women aged 30 years and above, who have done BSE at least once without present or prior breast abnormalities in the field practice area of Model Rural Health Research Unit, Tirunelveli. The research questionnaire was developed based on the findings of focus group discussion (FGD) on the same objective in the study area.

Results: Among 379 participants, 146 (38.5%) felt confident in their BSE knowledge, 28.2% (n=107) and 5.5% (n=21) of the respondents experienced anxiety and depression while practising BSE, respectively. There is a significant difference between the mean anxiety levels (-value=0.002) and depression (-value=0.013) of individuals who have detected anomalies during BSE and those who have not.

Conclusion: Regular counselling has to improve knowledge about BSE, like the timing and method of examination, and decreases the anxiety and depression level.

References

Erblich J, Bovbjerg D, Valdimarsdottir H . Psychological distress, health beliefs, and frequency of breast self-examination. J Behav Med. 2000; 23(3):277-92. DOI: 10.1023/a:1005510109233. View

Erbay Dundar P, Ozmen D, Ozturk B, Haspolat G, Akyildiz F, Coban S . 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; 6:43. PMC: 1403793. DOI: 10.1186/1471-2407-6-43. View

Gupta R, Gupta S, Mehrotra R, Sodhani P . Risk factors of breast cancer and breast self-examination in early detection: systematic review of awareness among Indian women in community and health care professionals. J Public Health (Oxf). 2019; 42(1):118-131. DOI: 10.1093/pubmed/fdy228. View

Houssami N, Ciatto S, Martinelli F, Bonardi R, Duffy S . Early detection of second breast cancers improves prognosis in breast cancer survivors. Ann Oncol. 2009; 20(9):1505-1510. DOI: 10.1093/annonc/mdp037. View

Millar M, Millar K . Negative affective consequences of thinking about disease detection behaviors. Health Psychol. 1995; 14(2):141-6. DOI: 10.1037//0278-6133.14.2.141. View

Siddharth R, Gupta D, Narang R, Singh P . Knowledge, attitude and practice about breast cancer and breast self-examination among women seeking out-patient care in a teaching hospital in central India. Indian J Cancer. 2017; 53(2):226-229. DOI: 10.4103/0019-509X.197710. View

Nystrom L . How effective is screening for breast cancer?. BMJ. 2000; 321(7262):647-8. PMC: 1118537. DOI: 10.1136/bmj.321.7262.647. View

Nelson H, Tyne K, Naik A, Bougatsos C, Chan B, Humphrey L . Screening for breast cancer: an update for the U.S. Preventive Services Task Force. Ann Intern Med. 2009; 151(10):727-37, W237-42. PMC: 2972726. DOI: 10.7326/0003-4819-151-10-200911170-00009. View

Tavafian S, Hasani L, Aghamolaei T, Zare S, Gregory D . Prediction of breast self-examination in a sample of Iranian women: an application of the Health Belief Model. BMC Womens Health. 2009; 9:37. PMC: 2806255. DOI: 10.1186/1472-6874-9-37. View

10.

Baburajan C, Pushparani M, Lawenya M, Lukose L, Johnson A . Are rural women aware of breast cancer and do they practice breast self-examination? A cross-sectional study in a rural hospital in South India. Indian J Cancer. 2021; 59(3):354-359. DOI: 10.4103/ijc.IJC_799_19. View

11.

Park M, Park E, Choi K, Jun J, Lee H . Sociodemographic gradients in breast and cervical cancer screening in Korea: the Korean National Cancer Screening Survey (KNCSS) 2005-2009. BMC Cancer. 2011; 11:257. PMC: 3144456. DOI: 10.1186/1471-2407-11-257. View

12.

Malvia S, Bagadi S, Dubey U, Saxena S . Epidemiology of breast cancer in Indian women. Asia Pac J Clin Oncol. 2017; 13(4):289-295. DOI: 10.1111/ajco.12661. View

13.

Kumarasamy H, Veerakumar A, Subhathra S, Suga Y, Murugaraj R . Determinants of Awareness and Practice of Breast Self Examination Among Rural Women in Trichy, Tamil Nadu. J Midlife Health. 2017; 8(2):84-88. PMC: 5496285. DOI: 10.4103/jmh.JMH_79_16. View

14.

Ghahramanian A, Rahmani A, Mirza Aghazadeh A, Mehr L . Relationships of Fear of Breast Cancer and Fatalism with Screening Behavior in Women Referred to Health Centers of Tabriz in Iran. Asian Pac J Cancer Prev. 2016; 17(9):4427-4432. View

15.

Akhigbe A, Omuemu V . Knowledge, attitudes and practice of breast cancer screening among female health workers in a Nigerian urban city. BMC Cancer. 2009; 9:203. PMC: 2709903. DOI: 10.1186/1471-2407-9-203. View

16.

Baxter N . Preventive health care, 2001 update: should women be routinely taught breast self-examination to screen for breast cancer?. CMAJ. 2001; 164(13):1837-46. PMC: 81191. View