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Kadınların Meme Kanseri Önleme Davranışları: Kesitsel Bir Çalışma

Yıl 2024, Sayı: 9, 21 - 29, 30.08.2024
https://doi.org/10.58252/artukluhealth.1522519

Öz

Giriş: Dünya genelinde kadınlar arasında en sık rastlanan kanser türü meme kanseridir. Meme kanserinin erken tespiti, kanser tedavisinde büyük bir rol oynamaktadır. Bu çalışmanın amacı, bir üniversitede akademik ve idari personel olarak çalışan kadınların meme kanseri önleme davranışlarını etkileyen faktörleri belirlemektir.
Yöntem: Bu kesitsel çalışma, 430 kadın ile gerçekleştirildi. Veriler, çevrimiçi bir anket (Google Forms) aracılığıyla 26 Mayıs 2022 ile 18 Temmuz 2022 tarihleri arasında toplandı. Anket, bireylerin tanımlayıcı özelliklerine ilişkin bir form ve Kadınların Meme Kanseri Önleme Davranışlarını Etkileyen Faktörleri Belirleme Ölçeği’ni içermektedir.
Bulgular: Kadınların Meme Kanseri Önleme Davranışlarını Etkileyen Faktörleri Belirleme Ölçeği toplam puan ortalaması 117.02±17.51 olarak bulundu. Ölçekten alınabilecek minimum puanın 33 ve maksimum puanın 165 olduğu göz önüne alındığında, kadınların meme kanseri önleme davranışlarının orta düzeyin üzerinde olduğu söylenebilir. Meme kanserini önleme davranışlarını etkileyen faktörler arasında yaş, ilk doğum yaşı, eğitim düzeyi, alkol tüketimi, beden kitle indeksi, menopoz durumu, östrojen hormonu içeren tedavi alma, göğüs bölgesine radyoterapi uygulanması, kendisinde kanser öyküsü, ailesinde meme kanseri öyküsü, meme kanserinden korunmaya yönelik eğitim alma ve kendi kendine meme muayenesi yapma yer almaktadır.
Sonuç: Çalışmaya katılan kadınların meme kanseri önleme davranışları orta düzeyin üzerinde olmasına rağmen yeterli değildir. Meme kanserini önlemeye yönelik olumlu davranışların geliştirilmesi için sağlık profesyonelleri, kadınların bilgi ihtiyaçlarını belirlemeli ve bu ihtiyaçlara uygun eğitim ve danışmanlık sağlamalıdır.

Etik Beyan

Etik onay, veri toplama öncesinde Uludağ Üniversitesi Bursa Sağlık Araştırmaları ve Yayınları Etik Kurulu (Tarih: 27.04.2022, Sayı: 2022/04) Söz konusu anketi kullanmak için ölçeği geliştiren ilgili kişiden izin alınmış ve anket temin edilmiştir. Çalışmaya katılan tüm katılımcılardan bilgilendirilmiş onam alınmıştır. İnsan katılımcıları içeren tüm prosedürler, araştırma komitelerinin yanı sıra 1964 Helsinki Deklarasyonu ve sonraki değişikliklere veya benzer etik kurallara, ilgili kurumsal ve ulusal etik standartlara uygun olarak yürütülmüştür.

Kaynakça

  • Abdelaziz, A., Shawki, M., Shaaban, A., Albarouki, S., Rachid, A., Alsalhani, O., and Jomaa, M. (2020). Breast cancer awareness among Egyptian women and the impact of caring for patients with breast cancer on family caregivers’ knowledge and behaviour. Research in Oncology, 17(1), 1–8. https://doi.org/10.21608/resoncol.2020.42340.1114
  • Abeje, S., Seme, A., and Tibelt, A. (2019). Factors associated with breast cancer screening awareness and practices of women in Addis Ababa, Ethiopia. BMC Women’s Health, 19(4), 1–8. https://doi.org/10.1186/s12905-018-0695-9
  • Abo Al-Shiekh, S. S., Ibrahim, M. A., and Alajerami, Y. S. (2021). Breast cancer knowledge and practice of breast self-examination among female university students, Gaza. The Scientific World Journal, 2021, 1–7. https://doi.org/10.1155/2021/6640324
  • Assefa, A. A., Abera, G., and Geta, M. (2021). Breast cancer screening practice and associated factors among women aged 20–70 years in urban settings of SNNPR, Ethiopia. Breast Cancer: Targets and Therapy, 13, 9–19. https://doi.org/10.2147/BCTT.S286441
  • Bertoni, N., de Souza, M. C., Crocamo, S., Szklo, M., and de Almeida, L. M. (2019). Is a family history of the breast cancer related to women’s cancer prevention behaviors? International Journal of Behavioral Medicine, 26, 85–90. https://doi.org/10.1007/s12529-018-9737-9
  • Chan, D. S. M., Vieira, A. R., Aune, D., Bandera, E. V., Greenwood, D. C., McTiernan, A., Navarro Rosenblatt, D., Thune, I., Vieira, R., and Norat, T. (2014). Body mass index and survival in women with breast cancer—Systematic literature review and meta-analysis of 82 follow-up studies. Annals of Oncology, 25, 1901–1914. https://doi.org/10.1093/annonc/mdu042
  • Che Mohamed, N., Moey, S.-F., and Lim, B. C. (2019). Validity and reliability of health belief model questionnaire for promoting breast self-examination and screening mammogram for early cancer detection. Asian Pacific Journal of Cancer Prevention, 20(9), 2865–2873. https://doi.org/10.31557/APJCP.2019.20.9.2865
  • Dagne, A. H., Ayele, A. D., and Assefa, E. M. (2019). Assessment of breast self- examination practice and associated factors among female workers in Debre Tabor Town public health facilities, North West Ethiopia, 2018: Cross-sectional study. Plos One, 14(8), e0221356. https://doi.org/10.1371/journal.pone.0221356
  • Dong, J. Y., and Qin, L. Q. (2020). Education level and breast cancer incidence: A meta-analysis of cohort studies. Menopause, 27(1), 113–118. https://doi.org/10.1097/GME.0000000000001425
  • Emami, L., Ghahramanian, A., Rahmani, A., Mirza Aghazadeh, A., Onyeka, T. C., and Nabighadim, A. (2021). Beliefs, fear and awareness of women about breast cancer: Effects on mammography screening practices. Nursing Open, 8, 890–899. https://doi.org/10.1002/nop2.696
  • Fondjo, L. A., Owusu-Afriyie, O., Sakyi, S. A., Wiafe, A. A., Amankwaa, B., Acheampong, E., Ephraim, R. K. D., and Owiredu, W. K. B. A. (2018). Comparative assessment of knowledge, attitudes, and practice of breast self-examination among female secondary and tertiary school students in Ghana. International Journal of Breast Cancer, 2018, 1–10. https://doi.org/10.1155/2018/7502047
  • Gül, S., and Büyükbayram, Z. (2022). Identification of women’s breast cancer prevention behaviors and the associated factors: The case of the southeastern Anatolia Region. Health Care for Women International, 1–17. https://doi.org/10.1080/07399332.2021.2021914
  • Hashemi, S. H. B., Karimi, S., and Mahboobi, H. (2014). Lifestyle changes for prevention of breast cancer. Electronic Physician, 6(3), 894–905. https://doi.org/10.14661/2014.894-905
  • Hoseini, Z. S., Tavakoli Ghouchani, H., Mohaddes Hakak, H., Lashkardoost, H., Khankolabi, M., Mehri, A., and Salari, E. (2019). Effect of awareness and perceived self-efficacy on breast cancer preventive behaviors in women; A case study of Neyshabur city. Journal of Education and Community Health, 6(1), 33–39. https://doi.org/10.29252/jech.6.1.33
  • Jabeen, Z., Shah, N., Ahmer, Z., Khan, S., Khan, A. H., and Khan, M. (2021). Effect of health education on awareness and practices of breast self-examination among females attending a charitable hospital at North Karachi. Journal of the Pakistan Medical Association, 71(9). https://doi.org/10.47391/JPMA.04-564
  • Khazaee-Pool, M., Majlessi, F., Montazeri, A., Pashaei, T., Gholami, A., and Ponnet, K. (2016). Development and psychometric testing of a new instrument to measure factors influencing women’s breast cancer prevention behaviors (ASSISTS). BMC Women’s Health, 16(40), 1–13. https://doi.org/10.1186/s12905-016-0318-2
  • Kolak, A., Kamińska, M., Sygit, K., Budny, A., Surdyka, D., Kukiełka-Budny, B., and Burdan, F. (2017). Primary and secondary prevention of breast cancer. Annals of Agricultural and Environmental Medicine, 24(4), 549–553. https://doi.org/10.26444/aaem/75943
  • Shaikh, H., Bradhurst, P., Ma, L. X., Tan, S. Y. C., Egger, S. J., and Vardy, J. L. (2020). Body weight management in overweight and obese breast cancer survivors. Cochrane Database of Systematic Reviews, 12, CD012110. https://doi.org/10.1002/14651858.CD012110.pub2
  • Shalihin, M. S. E., Ramlee, N. A., Azhar, A., Mohd Zaki, A. A. F., Md Nor, A., and Md Aris, M. A. (2021). Knowledge, attitude and practice of public on breast cancer screening: A systematic review. Borneo Journal of Medical Sciences, 15(3), 13–24. https://doi.org/10.51200/bjms.vi.2839
  • Shallo, S. A., and Boru, J. D. (2019). Breast self-examination practice and associated factors among female healthcare workers in West Shoa Zone, Western Ethiopia 2019: A cross-sectional study. BMC Research Notes, 12(637), 1–6. https://doi.org/10.1186/s13104-019-4676-3
  • Tarı Selçuk, K., Avcı, D., Yılmaz Dündar, G., and Mercan, Y. (2020). Breast cancer screening behaviors in women aged 40 years and over in a semi-urban region in Turkey: Relationships with health beliefs. Healthcare, 8(171), 1–10. https://doi.org/10.3390/healthcare8020171
  • Toan, D. T. T., Son, D. T., Hung, L. X., Minh, L. N., Mai, D. L., and Hoat, L. N. (2019). Knowledge, attitude, and practice regarding breast cancer early detection among women in a mountainous area in Northern Vietnam. Cancer Control, 26, 1–5. https://doi.org/10.1177/1073274819863777
  • Turan, Z., and Yiğit, F. (2021). Validity and reliability study of the Scale of Factors Affecting Women’s Breast Cancer Prevention Behaviors. Kocaeli Medical Journal, 10(3), 407–420. https://doi.org/10.5505/ktd.2021.77598 WHO. (2020, March). Global Cancer Observatory. https://gco.iarc.fr/today/home
  • Wu, Z., Liu, Y., Li, X., Song, B., Ni, C., and Lin, F. (2019). Factors associated with breast cancer screening participation among women in mainland China: A systematic review. BMJ Open, 9, e028705. https://doi.org/10.1136/bmjopen-2018-028705

Breast Cancer Prevention Behaviors Among Women: A Cross-Sectional Study

Yıl 2024, Sayı: 9, 21 - 29, 30.08.2024
https://doi.org/10.58252/artukluhealth.1522519

Öz

Introduction: The most commonly encountered type of cancer among women worldwide is breast cancer. Early detection of breast cancer plays a major role in cancer treatment. This study aimed to determine the factors affecting breast cancer prevention behaviors among women working as the academic and administrative staff of a university.
Methods: This cross-sectional study was conducted with 430 women. The data were collected via an online survey (Google Forms) between May 26, 2022, and July 18, 2022. The questionnaire included a form regarding the descriptive characteristics of individuals and a Scale of Factors Affecting Women’s Breast Cancer Prevention Behaviors.
Results: The women’s mean total Scale of Factors Affecting Women’s Breast Cancer Prevention Behaviors score was 117.02±17.51. Considering that the minimum score that can be obtained on the scale was 33 and the maximum score was 165, it can be interpreted that the breast cancer prevention behaviors of women were above the moderate level. The factors affecting behaviors to prevent breast cancer were age, age at first birth, education level, alcohol consumption, body mass index, menopause, receiving a treatment containing estrogen hormone, radiotherapy to the chest area, having a cancer history, having a family history of breast cancer, receiving education on prevention of breast cancer, and performing breast self-examination.
Conclusion: Although the breast cancer prevention behaviors of the women who participated in this study were above the moderate level, they were not sufficient. To develop positive behaviors to prevent breast cancer, health professionals should identify women’s information needs and provide training and counseling in line with these needs.

Etik Beyan

Ethical approval was obtained from the Health Research and Publication Ethics Committee of Bursa Uludag University (Date: 27.04.2022, REF: 2022/04) before data collection. Permission to use the aforementioned questionnaire was obtained from the respective individual who developed the scale. Informed consent was collected from all participants in the study. All procedures involving human participants were conducted in line with the ethical standards of the relevant institutional and national research committees, as well as the 1964 Helsinki Declaration and its subsequent amendments or similar ethical guidelines.

Kaynakça

  • Abdelaziz, A., Shawki, M., Shaaban, A., Albarouki, S., Rachid, A., Alsalhani, O., and Jomaa, M. (2020). Breast cancer awareness among Egyptian women and the impact of caring for patients with breast cancer on family caregivers’ knowledge and behaviour. Research in Oncology, 17(1), 1–8. https://doi.org/10.21608/resoncol.2020.42340.1114
  • Abeje, S., Seme, A., and Tibelt, A. (2019). Factors associated with breast cancer screening awareness and practices of women in Addis Ababa, Ethiopia. BMC Women’s Health, 19(4), 1–8. https://doi.org/10.1186/s12905-018-0695-9
  • Abo Al-Shiekh, S. S., Ibrahim, M. A., and Alajerami, Y. S. (2021). Breast cancer knowledge and practice of breast self-examination among female university students, Gaza. The Scientific World Journal, 2021, 1–7. https://doi.org/10.1155/2021/6640324
  • Assefa, A. A., Abera, G., and Geta, M. (2021). Breast cancer screening practice and associated factors among women aged 20–70 years in urban settings of SNNPR, Ethiopia. Breast Cancer: Targets and Therapy, 13, 9–19. https://doi.org/10.2147/BCTT.S286441
  • Bertoni, N., de Souza, M. C., Crocamo, S., Szklo, M., and de Almeida, L. M. (2019). Is a family history of the breast cancer related to women’s cancer prevention behaviors? International Journal of Behavioral Medicine, 26, 85–90. https://doi.org/10.1007/s12529-018-9737-9
  • Chan, D. S. M., Vieira, A. R., Aune, D., Bandera, E. V., Greenwood, D. C., McTiernan, A., Navarro Rosenblatt, D., Thune, I., Vieira, R., and Norat, T. (2014). Body mass index and survival in women with breast cancer—Systematic literature review and meta-analysis of 82 follow-up studies. Annals of Oncology, 25, 1901–1914. https://doi.org/10.1093/annonc/mdu042
  • Che Mohamed, N., Moey, S.-F., and Lim, B. C. (2019). Validity and reliability of health belief model questionnaire for promoting breast self-examination and screening mammogram for early cancer detection. Asian Pacific Journal of Cancer Prevention, 20(9), 2865–2873. https://doi.org/10.31557/APJCP.2019.20.9.2865
  • Dagne, A. H., Ayele, A. D., and Assefa, E. M. (2019). Assessment of breast self- examination practice and associated factors among female workers in Debre Tabor Town public health facilities, North West Ethiopia, 2018: Cross-sectional study. Plos One, 14(8), e0221356. https://doi.org/10.1371/journal.pone.0221356
  • Dong, J. Y., and Qin, L. Q. (2020). Education level and breast cancer incidence: A meta-analysis of cohort studies. Menopause, 27(1), 113–118. https://doi.org/10.1097/GME.0000000000001425
  • Emami, L., Ghahramanian, A., Rahmani, A., Mirza Aghazadeh, A., Onyeka, T. C., and Nabighadim, A. (2021). Beliefs, fear and awareness of women about breast cancer: Effects on mammography screening practices. Nursing Open, 8, 890–899. https://doi.org/10.1002/nop2.696
  • Fondjo, L. A., Owusu-Afriyie, O., Sakyi, S. A., Wiafe, A. A., Amankwaa, B., Acheampong, E., Ephraim, R. K. D., and Owiredu, W. K. B. A. (2018). Comparative assessment of knowledge, attitudes, and practice of breast self-examination among female secondary and tertiary school students in Ghana. International Journal of Breast Cancer, 2018, 1–10. https://doi.org/10.1155/2018/7502047
  • Gül, S., and Büyükbayram, Z. (2022). Identification of women’s breast cancer prevention behaviors and the associated factors: The case of the southeastern Anatolia Region. Health Care for Women International, 1–17. https://doi.org/10.1080/07399332.2021.2021914
  • Hashemi, S. H. B., Karimi, S., and Mahboobi, H. (2014). Lifestyle changes for prevention of breast cancer. Electronic Physician, 6(3), 894–905. https://doi.org/10.14661/2014.894-905
  • Hoseini, Z. S., Tavakoli Ghouchani, H., Mohaddes Hakak, H., Lashkardoost, H., Khankolabi, M., Mehri, A., and Salari, E. (2019). Effect of awareness and perceived self-efficacy on breast cancer preventive behaviors in women; A case study of Neyshabur city. Journal of Education and Community Health, 6(1), 33–39. https://doi.org/10.29252/jech.6.1.33
  • Jabeen, Z., Shah, N., Ahmer, Z., Khan, S., Khan, A. H., and Khan, M. (2021). Effect of health education on awareness and practices of breast self-examination among females attending a charitable hospital at North Karachi. Journal of the Pakistan Medical Association, 71(9). https://doi.org/10.47391/JPMA.04-564
  • Khazaee-Pool, M., Majlessi, F., Montazeri, A., Pashaei, T., Gholami, A., and Ponnet, K. (2016). Development and psychometric testing of a new instrument to measure factors influencing women’s breast cancer prevention behaviors (ASSISTS). BMC Women’s Health, 16(40), 1–13. https://doi.org/10.1186/s12905-016-0318-2
  • Kolak, A., Kamińska, M., Sygit, K., Budny, A., Surdyka, D., Kukiełka-Budny, B., and Burdan, F. (2017). Primary and secondary prevention of breast cancer. Annals of Agricultural and Environmental Medicine, 24(4), 549–553. https://doi.org/10.26444/aaem/75943
  • Shaikh, H., Bradhurst, P., Ma, L. X., Tan, S. Y. C., Egger, S. J., and Vardy, J. L. (2020). Body weight management in overweight and obese breast cancer survivors. Cochrane Database of Systematic Reviews, 12, CD012110. https://doi.org/10.1002/14651858.CD012110.pub2
  • Shalihin, M. S. E., Ramlee, N. A., Azhar, A., Mohd Zaki, A. A. F., Md Nor, A., and Md Aris, M. A. (2021). Knowledge, attitude and practice of public on breast cancer screening: A systematic review. Borneo Journal of Medical Sciences, 15(3), 13–24. https://doi.org/10.51200/bjms.vi.2839
  • Shallo, S. A., and Boru, J. D. (2019). Breast self-examination practice and associated factors among female healthcare workers in West Shoa Zone, Western Ethiopia 2019: A cross-sectional study. BMC Research Notes, 12(637), 1–6. https://doi.org/10.1186/s13104-019-4676-3
  • Tarı Selçuk, K., Avcı, D., Yılmaz Dündar, G., and Mercan, Y. (2020). Breast cancer screening behaviors in women aged 40 years and over in a semi-urban region in Turkey: Relationships with health beliefs. Healthcare, 8(171), 1–10. https://doi.org/10.3390/healthcare8020171
  • Toan, D. T. T., Son, D. T., Hung, L. X., Minh, L. N., Mai, D. L., and Hoat, L. N. (2019). Knowledge, attitude, and practice regarding breast cancer early detection among women in a mountainous area in Northern Vietnam. Cancer Control, 26, 1–5. https://doi.org/10.1177/1073274819863777
  • Turan, Z., and Yiğit, F. (2021). Validity and reliability study of the Scale of Factors Affecting Women’s Breast Cancer Prevention Behaviors. Kocaeli Medical Journal, 10(3), 407–420. https://doi.org/10.5505/ktd.2021.77598 WHO. (2020, March). Global Cancer Observatory. https://gco.iarc.fr/today/home
  • Wu, Z., Liu, Y., Li, X., Song, B., Ni, C., and Lin, F. (2019). Factors associated with breast cancer screening participation among women in mainland China: A systematic review. BMJ Open, 9, e028705. https://doi.org/10.1136/bmjopen-2018-028705
Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Cerrahi Hastalıklar Hemşireliği, Dahili Hastalıklar Hemşireliği
Bölüm Araştırma Makalesi
Yazarlar

Derya Akça Doğan 0000-0001-7040-2732

Ayşe Serpici 0000-0002-6789-5027

Yayımlanma Tarihi 30 Ağustos 2024
Gönderilme Tarihi 25 Temmuz 2024
Kabul Tarihi 25 Ağustos 2024
Yayımlandığı Sayı Yıl 2024 Sayı: 9

Kaynak Göster

APA Akça Doğan, D., & Serpici, A. (2024). Breast Cancer Prevention Behaviors Among Women: A Cross-Sectional Study. Artuklu Health(9), 21-29. https://doi.org/10.58252/artukluhealth.1522519

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