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  • br Women who had not been consistently

    2020-08-18


    Women who had not been consistently living in the selected commu-nities for at least six months were not allowed to participate in the study. 2.1.5. Data collection method
    Data were obtained using semi-structured interviewer guided questionnaire developed by reviewing extant literatures on breast cancer awareness, knowledge and screening. Data were collected on socio-demographic characteristics of the respondents, awareness and knowledge on breast cancer/screening and practices of breast cancer screening. The questionnaire was translated to Yoruba language and back translated to English language for Yoruba speaking respondents. The back translation was neccessary to preserve the original meanings of the questions asked. The questionnaire was pre-tested among 50 women at Oke-Elerin CMS 121 in Ogbomoso North LGA. Ambiguous questions observed during pre-testing were either re-phrased or re-moved. Ten clinical students of Bowen University Teaching Hospital, Ogbomoso were trained and they assisted in data collection.
    The data were field-edited daily and Statistical Package for Social Sciences (SPSS) version 21 was used for analysis. Descriptive statistics was carried out. Chi-square test was used to compare categorical vari-ables and a stepwise logistic regression model was built to identify factors which were significantly associated with breast cancer screening practices. Independent variables in the model were selected based on whether they were significant at bi-variate level and/or on whether they had been reported in literatures as significant predictors of uptake of breast cancer screening. The level of statistical significance was set at p-value < 0.05. Potential confounders such as age and level of educa-tion of respondents were controlled for by analysing the variables in different categories. Adjusted odds ratio (aOR) and 95% confidence interval (C.I) were obtained to identify predictors of breast cancer screening practices among our respondents.
    2.2. Key variables and measurements
    2.2.1. Respondents’ awareness about breast cancer and screening methods Respondents were asked if they had heard about breast cancer and breast cancer screening methods. The response to each of the questions was “Yes” or “No”. Those whose responses were “Yes” to either one or
    both questions were further asked the sources of their information.
    2.2.2. Respondents’ knowledge on breast cancer
    Four questions were asked on common symptoms of breast cancer, four questions on common risk factors and three questions on its pre-vention. The responses were scored; correct answers attracted two points while wrong answers attracted zero point. Respondents were rated over a total score of 22points.Those who scored less than 12points were classified as having poor knowledge.
    2.2.3. Respondents breast cancer screening practices
    Respondents who had ever carried out either SBE or CBE or both were deemed to have been practising breast cancer screening.
    2.2.4. Ethical consideration
    Ethical approval for anaerobic study was sought from the Bowen
    Table 1
    Socio-demographic characteristics of respondents.
    Variable Frequency Percent
    Single/Never married
    No formal education
    Christianity
    Traditional 3 0.9
    Yoruba
    Table 2
    Selected breast cancer risks factors among respondents.
    Variable Frequency Percent
    Currently still experiencing menstrual flow 69.9
    Yes
    Yes
    Ever smoked cigarette 3 0.9
    Yes
    Currently smoking 0.0
    Yes
    Had relative who died of breast cancer 8.1
    University Teaching Hospital’s Research and Ethics Committee. Permissions to conduct the study were obtained from leaders of the various communities used for the study. Written consents were  Journal of Cancer Policy 20 (2019) 100179
    Table 3
    Awareness, knowledge and practice of respondents on Breast cancer.
    Variable Frequency Percent
    Yes
    Ever heard of breast examination 122 36.7
    Yes
    Confident of knowing what to look for during self-breast examination (n = 122)
    Health worker 90
    Overall knowledge on breast cancer 38.9
    Ever had clinical breast examination 31.6
    Findings from the last clinical breast examination (n = 105) 94.3
    Nothing 99
    Other methods of breast cancer screening known 5.4
    Breast ultrasound 18
    Mammography 9 2.7
    obtained from all respondents. Participation of women was voluntary and confidentiality of their responses was guaranteed by making the questionnaire anonymous. Also, data obtained were saved in a pass-worded computer. Eligible respondents who had never gone for screening were counselled to do so at the Bowen University Teaching Hospital, Ogbomoso.