- Volume 16 Issue 17
A cross-sectional survey of 370 female teachers working at Governmental schools in Gaza city was conducted. Twenty four schools were selected randomly of all female schools of the city that included primary, preparatory and secondary. In each school all-female teachers aged 35-45 year were invited to fill out a self-administered questionnaire to investigate knowledge and behavior toward breast cancer screening. The survey revealed that more than 75% of women had never undergone clinical breast examination and 60% had never undergone mammography, whereas 62% performed breast self-examination (BSE). Women who performed BSE had significantly higher knowledge about breast cancer screening (P=0.001). Women attending CBE and mammography screening also had significantly higher knowledge (P=0.001). There were significant associations between the practices and presence of positive breast cancer family history (P=0.002) and the level of education of husbands (P=0.024). The oldest women demonstrated higher performance rates of screening methods than the youngest (P=0.001). Lack of breast screening knowledge was identified among more than one third of the women, and 24.6% of women did not know any screening method. About a half of women harboured misconceptions about breast cancer screening, including the belief that breast cancer not treatable. Women residing in Gaza city (P=0.00) and with husbands less educated were more likely to have a high level of misconceptions (P=0.01).
Breast cancer screening;behavior;knowledge;Gaza strip;women teachers
- Alharbi N, Alshammari M, Almutairi B, et al (2011). Knowledge, awareness, and practices concerning breast cancer among Kuwaiti female school teachers. Alexandria J Medicine, 48, 75-82.
- Anderson B, Yip C, Smit h R, et al (2008b). Guideline implementation for breast healthcare in low- and middle income countries: overview of the Breast Health Global Initiative Global Summit 2007. Cancer Supplement, 113, 2221-43. https://doi.org/10.1002/cncr.23844
- Azaiza F, Cohen M, Awad M, Daoud F (2010). Factors associated with low screening for breast cancer in the palestinian authority. Cancer, 116, 4646-55. https://doi.org/10.1002/cncr.25378
- Alwan N, Al-Attar W, Eliessa R, et al (2009). Knowledge, attitude and practice regarding breast cancerand breast selfexamination amonga sample of the educated population in Iraq. East Mediterranean Health J,18. 4
- Bener A, El Ayoubi HR, Moore A, et al (2009). Do we need to maximize the breast cancer screening awareness? Experience with an endogamous society with high fertility. Asian Pac J Cancer Prev, 10, 599-604.
- Bray F, Carron P, Parkin D (2004). The changing global patterns of female breast cancer incidence and mortality. Breast Cancer Research, 6, 229-39. https://doi.org/10.1186/bcr932
- Dandash K, Al Mohaimeed A (2007). Knowledge, attitudes and practices surrounding breast cancer and screening in female teachers of buraidah, Saudi Arabia. Int J Health Sciences, 1, 1.
- El Saghir S, Khalil K, Eid T, El Kinge R, et al (2010). Trends in epidemiology and management of breast cancer in developing Arab Countries: a literature and registry analysis. International Journal for Surgery, 5, 225-33.
- Harford J, Azavedo E, Fis chietto M Guideline implementation for Healthcare in Low- and Middle-Income Countries. Breast Healthcare Program Resource Allocation. Cancer Supplement, 113, 8.
- Husseni A, Abu-Rmeileh N, Mikki N, et al (2009): Cardiovascular diseases, diabetes mellitus, and cancer in the occupied Palestinian territory, Lancet, 373, 1041-49. https://doi.org/10.1016/S0140-6736(09)60109-4
- Jemal A, Bray F, Center MM, Ferlay J, et al (2011). Global cancer statistics. Cancer J Clinicia, 61, 69-90. https://doi.org/10.3322/caac.20107
- Karabani G, Lim NJ, Hewison J, et al (2011). Culture, attitude and knowledge about breast cancer and preventive measures: a qualitative study of south Asian Breast Cancer Patients in the UK. Asian Pac J Cancer Prev, 12. ???
- Ka war, L (2012). Barriers to breast cancer screening participation among Jordanian and Palestinian American women. Eur J Oncology Nursing, 17, 88-94.
- McPherson K, Steel C, Dixon J (2000). ABC of breast diseases. breast cancer epidemiology, risk factors and genetics. BMJ, 321, 624-8. https://doi.org/10.1136/bmj.321.7261.624
- Miller A (2010). Screening for breast cancer in eastern mediterranean region. East Mediterranean Health J, 16, 10. https://doi.org/10.26719/2010.16.1.10
- National Breast Cancer coalition, NBCC. (2011). Ending breast cancer: a baseline progress report, breast cancer deadline 2020. Washington.
- Parsa P, Kandiah M, Zulkefi NAM, et al (2008). Knowledge and behaviour regarding breast cancer screening among female teachers in Selangor. Malaysia. Asian Pac J Cancer Prev, 9, 221-7.
- Shaheen R, Slanetz PJ, Raza S, Rozen MP (2011). Barriers and opportunities of early detection of breast cancer. The breast, 20, 30-34.
- Sim HL, Seah M, Tan SM (2009). Breast cancer knowledge and screening practices: a survey of 1000 Asian women. Singapore Med J, 50, 132-8.
- Temiz M, Aslan A, Inand T, et al (2008). Knowledge, attitudes, and behaviors of female teachers related to breast cancer and breast examination in southern Turkey. Breast Care, 3, 55-60. https://doi.org/10.1159/000114173
- World Health Organization (2002). National cancer control plan, policies and managerial guidelines. WHO, Geneva.
- World Health Organization- regional office for the Eastern Mediterranean (2006). Guideline for the Early Detection and Screening of Breast Cancer, technical publication series (30), Cairo.
- World Health Organization (2010). Global Status Report on non-Communicable diseases. Geneva.