Breast Cancer Screening Practices Amongst Female Students in Pakistan: Breast cancer screening practices

Ismail Anwar Khokhar; Mohammad Musa Asif; Muhammad  Mashhood; Mominah Zulfiqar; Minahil Ismail; Ayesha  Asjad

doi:10.54393/pbmj.v5i6.523

Authors

Ismail Anwar Khokhar University Institute of Physical Therapy, The University of Lahore, Pakistan
Mohammad Musa Asif University Institute of Physical Therapy, The University of Lahore, Pakistan
Muhammad Mashhood University Institute of Physical Therapy, The University of Lahore, Pakistan
Mominah Zulfiqar University Institute of Physical Therapy, The University of Lahore, Pakistan
Minahil Ismail University Institute of Physical Therapy, The University of Lahore, Pakistan
Ayesha Asjad Medicare Polyclinic, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pbmj.v5i6.523

Keywords:

Breast Cancer, Breast Self-Examination, clinical breast examination, Mammography

Abstract

Cancer is currently responsible for around 6 million deaths worldwide. Cancer-related deaths are predicted to rise to 74% in the next several years which is alarming for the developing countries. Breast cancer is one of the most common cancers in women and is also the leading cause mortality. Objective: The purpose of this study was to determine the practices opted by Pakistani women about breast self and clinical Examination and screening modalities. Methods: Total 453 selected female University students using the "Epitool" online sample calculation website with a 95% confidence interval and a 5% margin of error were selected. All girls between the age of 18-55 years who were currently enrolled in one of the study programs and could complete the English questionnaire were included in the study. The Breast Cancer Investigation Questionnaire (BCIQ) was used in study. SPSS version 25.0 was used to analyze the data. Results: The respondents' mean age was 22.87± 4.67 years. The prevalence of knowledge of breast cancer screening techniques was high 341 (75.3%), 245(53.3%) and 273 (60%), respectively, for breast self-examination, clinical breast examination, and mammography. However, only 345 (75.1%), 303 (36.9%), and 255 (56.2%) knew BSE, CBE, and mammography are helpful in breast cancer diagnosis respectively. Conclusion: Even though many females were aware of breast cancer and self-examination, the number of women who do BSE was alarmingly low.

References

Edgar L, Glackin M, Hughes C, Rogers KM. Factors influencing participation in breast cancer screening. British Journal of Nursing. 2013 Sep; 22(17):1021-6. doi: 10.12968/bjon.2013.22.17.1021.

Gilani SI, Khurram M, Mazhar T, Mir ST, Ali S, Tariq S, Malik AZ. Knowledge, attitude and practice of a Pakistani female cohort towards breast cancer. JPMA. The Journal of the Pakistan Medical Association. 2010 Mar; 60(3):205.

Zaheer S, Shah N, Maqbool SA, Soomro NM. Estimates of past and future time trends in age-specific breast cancer incidence among women in Karachi, Pakistan: 2004-2025. BMC Public Health. 2019 Dec; 19(1):1-9. doi: 10.1186/s12889-019-7330-z.

Sun YS, Zhao Z, Yang ZN, Xu F, Lu HJ, Zhu ZY, et al. Risk Factors and Preventions of Breast Cancer. International journal of biological sciences. 2017 Nov; 13(11):1387-1397. doi: 10.7150/ijbs.21635.

Wang K, Li F, Chen L, Lai YM, Zhang X, Li HY. Change in risk of breast cancer after receiving hormone replacement therapy by considering effect-modifiers: a systematic review and dose-response meta-analysis of prospective studies. Oncotarget. 2017 Aug; 8(46):81109-81124. doi: 10.18632/oncotarget.20154.

Aurin J, Thorlacius H, Butt ST. Age at first childbirth and breast cancer survival: a prospective cohort study. BMC Resarch Notes. 2020 Jan; 13(1):9. doi: 10.1186/s13104-019-4864-1.

Niehoff NM, Nichols HB, Zhao S, White AJ, Sandler DP. Adult Physical Activity and Breast Cancer Risk in Women with a Family History of Breast Cancer. Cancer Epidemiol Biomarkers Prevention. 2019 Jan; 28(1):51-58. doi: 10.1158/1055-9965.EPI-18-0674.

Picon-Ruiz M, Morata-Tarifa C, Valle-Goffin JJ, Friedman ER, Slingerland JM. Obesity and adverse breast cancer risk and outcome: Mechanistic insights and strategies for intervention. CA Cancer J Clin. 2017 Sep; 67(5):378-397. doi: 10.3322/caac.21405.

Wang L. Early Diagnosis of Breast Cancer. Sensors (Basel). 2017 Jul; 17(7):1572. doi: 10.3390/s17071572.

Saeed S, Asim M, Sohail MM. Fears and barriers: problems in breast cancer diagnosis and treatment in Pakistan. BMC Womens Health. 2021 Apr; 21(1):151. doi: 10.1186/s12905-021-01293-6.

Ferioli M, Zauli G, Martelli AM, Vitale M, McCubrey JA, Ultimo S, et al. Impact of physical exercise in cancer survivors during and after antineoplastic treatments. Oncotarget. 2018 Feb; 9(17):14005-14034. doi: 10.18632/oncotarget.24456.

Schmidt T, van Mackelenbergh M, Wesch D, Mundhenke C. Physical activity influences the immune system of breast cancer patients. Journal of Cancer Research and Therapeutics. 2017 Jul;13(3):392-8. DOI: 10.4103/0973-1482.150356

Bartlett DB, Willis LH, Slentz CA, Hoselton A, Kelly L, Huebner JL, et al. Ten weeks of high-intensity interval walk training is associated with reduced disease activity and improved innate immune function in older adults with rheumatoid arthritis: a pilot study. Arthritis research & therapy. 2018 Jun; 20(1):127. doi: 10.1186/s13075-018-1624-x.

Campbell JP, Turner JE. Debunking the Myth of Exercise-Induced Immune Suppression: Redefining the Impact of Exercise on Immunological Health Across the Lifespan. Frontiers in immunology. 2018 Apr; 9:648. doi: 10.3389/fimmu.2018.00648.

Kamińska M, Sygit K, Budny A, Surdyka D, Kukiełka-Budny B, Burdan F. Primary and secondary prevention of breast cancer. Annals of Agricultural and environmental Medicine. 2017 Jun; 24(4):549-53.doi.org/10.26444/aaem/75943

Barzaman K, Karami J, Zarei Z, Hosseinzadeh A, Kazemi MH, Moradi-Kalbolandi S, et al. Breast cancer: Biology, biomarkers, and treatments. International immunopharmacology. 2020 Jul; 84:106535. doi: 10.1016/j.intimp.2020.106535.

Barzaman K, Moradi-Kalbolandi S, Hosseinzadeh A, Kazemi MH, Khorramdelazad H, Safari E, et al. Breast cancer immunotherapy: Current and novel approaches. International Immunopharmacology. 2021 Sep; 98:107886. doi.org/10.1016/j.intimp.2021.107886

Henriques B, Mendes F, Martins D. Immunotherapy in breast cancer: when, how, and what challenges?. Biomedicines. 2021 Nov; 9(11):1687. doi.org/10.3390/biomedicines9111687

Pudkasam S, Tangalakis K, Chinlumprasert N, Apostolopoulos V, Stojanovska L. Breast cancer and exercise: The role of adiposity and immune markers. Maturitas. 2017 Nov; 105:16-22. doi: 10.1016/j.maturitas.2017.04.022.

Choudhury R, Pujadas-Botey A, Wheeler L, Marlett N, Estey A. The standardised cancer booklet and beyond: Patient perspectives on patient education for breast cancer care. Health Education Journal. 2020 Oct;79(6):712-23. doi.org/10.1177/0017896920911690

Sergeant E. Epitools Epidemiological Calculators: Ausvet; 2018 [18 september 2021]. Available from: http://epitools.ausvet.com.au.

Mundial AM. World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013 Nov; 310(20):2191-4. doi: 10.1001/jama.2013.281053.

Madubogwu CI, Egwuonwu AO, Madubogwu NU, Njelita IA. Breast cancer screening practices amongst female tertiary health worker in Nnewi. Journal of cancer research and therapeutics. 2017 Apr-Jun; 13(2):268-275. doi: 10.4103/0973-1482.188433.

Noreen M, Murad S, Furqan M, Sultan A, Bloodsworth P. Knowledge and awareness about breast cancer and its early symptoms among medical and non-medical students of Southern Punjab, Pakistan. Asian Pacific Journal of Cancer Prevention. 2015 Mar; 16(3):979-84. doi: 10.7314/apjcp.2015.16.3.979.

Arif S, Baloch Q, Zaheer F, Agheem R, Ariff M, Ahmed M. The adequate breast cancer knowledge assessment: A cross-sectional study done among nonmedical women of Karachi. J Educ Health Promot. 2018 Dec;7:169. doi: 10.4103/jehp.jehp_177_18