Women’s knowledge, attitudes and practice about breast cancer screening in the region of Monastir (Tunisia)
Sana El Mhamdi A C , Ines Bouanene A , Amel Mhirsi B , Asma Sriha A , Kamel Ben Salem A and Mohamed Soussi Soltani AA Department of Epidemiology and Public Health, Faculty of Medicine, University of Monastir, Avicenne Street, 5000, Monastir, Tunisia.
B Direction of Primary Health Care, Hedi Chaker Street, Monastir, Tunisia.
C Corresponding author. Email: sanaelmhamdi@yahoo.fr
Australian Journal of Primary Health 19(1) 68-73 https://doi.org/10.1071/PY11123
Submitted: 29 September 2011 Accepted: 20 January 2012 Published: 5 March 2012
Abstract
Breast cancer remains a worldwide public health problem. In Tunisia, it is considered to be the primary women’s cancer and causes high morbidity and mortality. This study aimed to investigate female knowledge, attitudes and practice of breast cancer screening in the region of Monastir (Tunisia). We conducted a descriptive cross-sectional design exploring knowledge, attitudes and practices of women in the region of Monastir on breast cancer screening. The study was conducted in health centres of this region from 1 March 2009 to 30 June 2009. Data were collected via a structured questionnaire containing 15 items on demographic status, knowledge of risk factors and screening methods and attitudes towards the relevance and effectiveness of breast cancer screening. A scoring scheme was used to score women’s responses. A total of 900 women agreed to take part in the study. Their mean age was 41.6 ± 12.4 years and 64% did not exceed the primary level of education. According to the constructed scores, 92% of participants had poor knowledge of the specific risk factors for breast cancer and 63.2% had poor knowledge of the screening methods. Proper practice of breast cancer screening was observed in 14.3% of cases. Multiple logistic regression analysis showed that good knowledge of risk factors and screening methods, higher level of education and positive family history of breast cancer were independently correlated with breast cancer screening practice. This study revealed poor knowledge of breast cancer and the screening methods as well as low levels of practice of breast cancer screening among women in the region of Monastir. Results justify educational programs to raise women’s adherence to breast cancer screening programs in Tunisia.
Additional keywords: breast neoplasm, early detection, health knowledge attitudes and practice.
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