Knowledge of Breast Cancer Among Urban Women in the South of Peninsular Malaysia

Main Article Content

Phui Yee Lim
Azlina Yusuf

Abstract

Introduction: : Breast cancer (BC) is the most commonly diagnosed cancer globally and it is the leading cause of cancer mortality in Malaysian women. Increasing women knowledge of BC and breast self-examination (BSE) leads to increased compliance in early diagnosis and treatment. This study aims to determine the level of knowledge on BC and its association with socio-demographic characteristics among urban women. Methods: A cross-sectional study was conducted among 270 urban women in the South of Peninsular Malaysia using the adapted Breast Cancer Awareness Measure. Data were analyzed through SPSS software version 26.0. Results: Of the participants, 53.7% (n=145) had poor knowledge of BC warning signs, 50.7% (n=137) of BSE and 55.6% (n=150) of risk factors. High education was associated with better BC knowledge on warning signs (p=0.006) and risk factors (p=0.048). Chinese women have poor BC knowledge on warning signs (p=0.005) and BSE (p<0.001) than other ethnicities. Age (p=0.024) and marital status (p=0.028) were statistically significant with BC knowledge on breast self-examination (BSE) while family history of BC (p=0.019) and duration of seeking medical advice (p=0.041) were associated with BC knowledge on the risk factor. Conclusion: The findings of this study may give insight into effective health education strategies for urban women concerning breast cancer awareness.

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How to Cite
Lim, P. Y., & Yusuf, A. (2022). Knowledge of Breast Cancer Among Urban Women in the South of Peninsular Malaysia. Malaysian Journal of Medicine and Health Sciences, 18(6), 27–34. https://doi.org/10.47836/mjmhs18.6.5
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Original Articles

References

Cheng ML, Ling DY, Nanu PKP, Nording H, Lim CH. Factors influencing late stage of breast cancer at presentation in a district Hospital - Segamat Hospital, Johor. Med J Malaysia. 2015;70(3):148–52.

Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021 May 1;71(3):209–49. doi: 10.3322/caac.21660

Azizah AM, Nor Saleha IT, Nor Hashimah A, Asmah ZA, Mastulu W. MALAYSIAN NATIONAL CANCER REGISTRY REPORT 2007-2011: Malaysia, Cancer Statistics, Data And Figure. 2016.

Yusmah M, Tan YJ, Sharliza R, Norbiha AM, Mawaddah A. M. JOHOR CANCER REGISTRY REPORT 2007-2011 Johor Cancer Statistics – Data and Figure [Internet]. 2014 [cited 2019 Sep 16]. Available from: http://jknj.jknj.moh.gov.my/ncd/cancer.pdf

Agbokey F, Kudzawu E, Dzodzomenyo M, Ae-Ngibise KA, Owusu-Agyei S, Asante KP. Knowledge and Health Seeking Behaviour of Breast Cancer Patients in Ghana. Int J Breast Cancer. 2019 Apr 1;2019:1–9. doi: 10.1155/2019/5239840

Odongo J, Makumbi T, Kalungi S, Galukande M. Patient delay factors in women presenting with breast cancer in a low income country. BMC Res Notes. 2015 Dec 22;8(1):467. doi: 10.1186/s13104-015-1438-8.

Espina C, McKenzie F, Dos-Santos-Silva I. Delayed presentation and diagnosis of breast cancer in African women: a systematic review. Ann Epidemiol. 2017 Oct 1;27(10):659-671.e7. doi: 10.1016/j.annepidem.2017.09.007.

Dey S, Soliman AS, Hablas A, Seifeldein IA, Ismail K, Ramadan M, et al. Urban-rural differences in breast cancer incidence in Egypt (1999-2006). Breast. 2010;19(5):417–23. doi: 10.1016/j.breast.2010.04.005

Fei X, Wu J, Kong Z, Christakos G. Urban-rural disparity of breast cancer and socioeconomic risk factors in China. PLoS One. 2015;10(2):e0117572. doi: 10.1371/journal.pone.0117572

Paszko A, Krzyżak M, Charkiewicz AE, Ziembicka D, Żendzian-Piotrowska M, Szpak AS, et al. Inequalities in breast cancer incidence and stage distribution between urban and rural female population in Świętokrzyskie Province, Poland. Ann Agric Environ Med. 2019;26(1):159–64. doi: 10.26444/aaem/102380

Nagrani RT, Budukh A, Koyande S, Panse NS, Mhatre SS, Badwe R. Rural urban differences in breast cancer in India. In: Indian Journal of Cancer. Medknow Publications and Media Pvt. Ltd.; 2014. p. 277–81. doi: 10.4103/0019-509X.146793.

Islam RM, Bell RJ, Billah B, Hossain MB, Davis SR. Awareness of breast cancer and barriers to breast screening uptake in Bangladesh: A population based survey. Maturitas. 2016 Feb 1;84:68–74. doi: 10.1016/j.maturitas.2015.11.002

Solikhah S, Promthet S, Hurst C. Awareness level about breast cancer risk factors, barriers, attitude and breast cancer screening among Indonesian women. Asian Pacific J Cancer Prev. 2019;20(3):877–84. doi: 10.31557/APJCP.2019.20.3.877.

Cruz-Castillo AB, Hernández-Valero MA, Hovick SR, Campuzano-González ME, Karam-Calderón MA, Bustamante-Montes LP. A Study on the Knowledge, Perception, and Use of Breast Cancer Screening Methods and Quality of Care Among Women from Central Mexico. J Cancer Educ. 2015 Sep;30(3):453–9. doi: 10.1007/s13187-014-0722-y.

Dey S, Mishra A, Govil J, Dhillon PK. Breast Cancer Awareness at the Community Level among Women in Delhi, India. Asian Pac J Cancer Prev. 2015;16(13):5243–51. doi: 10.7314/apjcp.2015.16.13.5243.

World Health Organisation. Early Diagnosis and Screening [Internet]. WHO. World Health Organization; 2017 [cited 2019 Oct 14]. Available from: https://www.who.int/cancer/prevention/diagnosis-screening/en/

Al-Dubai SAR, Qureshi AM, Saif-Ali R, Ganasegeran K, Alwan MR, Hadi JIS. Awareness and knowledge of breast cancer and mammography among a group of malaysian women in shah alam. Asian Pacific J Cancer Prev. 2011;12(10):2531–8.

Linsell L, Forbes LJL, Burgess C, Kapari M, Thurnham A, Ramirez AJ. Validation of a measurement tool to assess awareness of breast cancer. Eur J Cancer. 2010 May 1;46(8):1374–81. doi: 10.1016/j.ejca.2010.02.034

Dinegde NG, Xuying L. Awareness of breast cancer among female care givers in tertiary cancer hospital, China. Asian Pacific J Cancer Prev. 2017;18(7):1977–83. doi: 10.22034/APJCP.2017.18.7.1977.

Dadzi R, Adam A. Assessment of knowledge and practice of breast self-examination among reproductive age women in Akatsi South district of Volta region of Ghana. PLoS One. 2019;14(12). doi: 10.1371/journal.pone.0226925.

Altintas Y, Bayrak M. Association of knowledge and cultural perceptions of women with delay in breast cancer diagnosis: A single center experience. Ann Med Res. 2018;1. doi: 10.5455/annalsmedres.2018.10.226

Schilling MPR, da Silva IF, Opitz SP, Borges MF de SO, Koifman S, Koifman RJ. Breast cancer awareness among women in western Amazon: A population based cross-sectional study. Asian Pacific J Cancer Prev. 2017 Mar 1;18(3):847–56. doi: 10.22034/APJCP.2017.18.3.847.

Bonsu AB, Ncama BP. Recognizing and appraising symptoms of breast cancer as a reason for delayed presentation in Ghanaian women: A qualitative study. PLoS One. 2019 Jan 1;14(1). doi: 10.1371/journal.pone.0208773

Alsaraireh A, Darawad MW. Breast cancer awareness, attitude and practices among female university students: A descriptive study from Jordan. Health Care Women Int. 2018 May 4;39(5):571–83. doi: 10.1080/07399332.2017.1368516.

Fondjo LA, Owusu-Afriyie O, Sakyi SA, Wiafe AA, Amankwaa B, Acheampong E, et al. Comparative Assessment of Knowledge, Attitudes, and Practice of Breast Self-Examination among Female Secondary and Tertiary School Students in Ghana. Int J Breast Cancer. 2018;2018:1–10. doi: 10.1155/2018/7502047

Toan DTT, Son DT, Hung LX, Minh LN, Mai D Le, Hoat LN. Knowledge, Attitude, and Practice Regarding Breast Cancer Early Detection Among Women in a Mountainous Area in Northern Vietnam. Cancer Control. 2019 Jan 23;26(1). doi:10.1177/1073274819863777.

Rahman SA, Al-Marzouki A, Otim M, Khayat NEHK, Yousef R, Rahman P. Awareness about breast cancer and breast self-examination among female students at the University of Sharjah: A cross-sectional study. Asian Pacific J Cancer Prev. 2019 Jun 1;20(6):1901–8. doi: 10.31557/APJCP.2019.20.6.1901.

ABDULLAH N, MOHAMED N. Influence of cultural practices on breast cancer risks, stage at presentation and outcome in a multi-ethnic developing country. Oncol Lett [Internet]. 2021 Nov 1 [cited 2021 Dec 22];22(5). doi: 10.3892/ol.2021.13067.

Kesion. AEON Customer Data | KESION MALAYSIA SDN. BHD. [Internet]. Kesion Malaysia Sdn. Bhd.2015 [cited 2021 Dec 20]. Available from: http://www.kesionmalaysia.com.my/customerdata/

Nwaneri, A., Osuala, E. O., Okpala, P. U., Emesowum, A., & Iheanacho, P. (2017). Knowledge and awareness of breast cancer among rural women in Umuowa Orlu Local Government Area Imo State, South East, Nigeria. Nigerian Journal of Clinical Practice, 20(4), 489–494. doi:10.4103/1119-3077.204374

Akhtari-Zavare, M., Juni, M. H., Said, S. M., Ismail, I. Z., Latiff, L. A., & Ataollahi Eshkoor, S. (2016). Result of randomized control trial to increase breast health awareness among young females in Malaysia. BMC Public Health, 16(1), 738. doi:10.1186/s12889-016-3414-1