Main Article Content
Mammography, Knowledge, Attitude, Practice, Iraq
Background: A low-dose X-ray mammogram is considered the most useful tool for detecting early-stage breast cancer among women. Both mortality and morbidity prove to be reduced when cancer is detected early, before any signs and symptoms appear. This study aims to determine the knowledge level, attitude, and practice of women at general hospitals/consulting clinics in Baghdad city in 2017.
Methods: This cross-sectional study was conducted on a sample of 657 women in general hospitals/consulting clinics in Baghdad. The women were selected as an improbability sample. Their average age was between 20 and 59 years. Data collection extended from 1st April to the end of July 2017. A pre-tested questionnaire was adopted and filled through a face-to-face interview. Data were analyzed using descriptive and analytical statistics.
Results: The sociodemographic features of the participant women showed a mean age of 37.6 ± 11.3 years with a majority of them (71.1%) having no education and 34.6% being of high social class. More than half of the women (61.2%) had heard of mammography, and this is significantly related to age and social class (< 0.001). Only 7.6% had adequate knowledge on mammography according to the American Cancer Society (ACS) recommendations, and the women with adequate practice of mammography had higher knowledge scores than those with inadequate practice.
Conclusion: The study results suggested that the practice of breast cancer screening or mammography was inadequate in a majority of the participants and needs to be improved.
Keywords: Mammography, Knowledge, Attitude, Practice, Iraq
2. Bassey RB, Irurhe NK, Olowoyeye A, Adeyomoye AA, Onajole AT. Knowledge, attitude and practice of breast self examination among nursing students in Lagos University Teaching
Hospital, Nigeria. Educational Research J. 2011;2(6):1232–36. 3. American Cancer Society. Cancer Facts and Figures 2005. [http://www.cancer.org].
4. Tieng'O JG, Pengpid S, Skaal L, Peltzer K. Knowledge, attitude and practice of breast cancer examination among women attending a health facility in Gaborone, Botswana. Gender and Behaviour. 2011;9(1):3513–27.
5. Lawson HW, Henson R, Bobo JK, Kaeser MR. Implementing recommendations for the early detection of breast and cervical cancer among low-income women. MMWR. 2000;49(2):35–55.
6. Uwuseba L. Knowledge, attitudes, and behaviors of African American women regarding breast cancer screening: [dissertation on the Internet]. College of Health Sciences: Walden University; 2010.; Available from: ProQuest Dissertations and Thesis (AAT 3433761).
7. Dellie ST, Neguse TM, Demissie M, Rao D. Knowledge about breast cancer, risk factors, breast screening method and practice of breast screening among female healthcare professionals working in governmental hospitals, Addis Ababa, Ethiopia. J Pharm Biol Sci. 2012;2(1):05–12.
8. Seely J, Alhassan T. Screening for breast cancer in 2018—what should we be doing today? Curr. Oncol. [Internet]. 2018 Jun14 [cited 2020 Oct 21];250:S115–S124. Available fromhttps://current-oncology.com/index.php/oncology/article/view/3770
9. Montazeri A, Vahdaninia M, Harirchi I, Harirchi AM, Sajadian A, Khaleghi F, et al. Breast cancer in Iran: Need for greater women awareness of warning signs and effective screening methods. Asia Pac Fam Med. 2008;7(1):6–13. 10. Ahmed AM, Farghaly S, Darwish E. Knowledge, attitude, and practice of breast cancer screening among women visiting primary health care centers in Dubai. EJCM.2010;28(4):21–38.
11. Smith RA, Cokkinides V, Brooks D, et al. Cancer Screening in the United States, 2010: A review of current American cancer society guidelines and issues in cancer screening. CA Cancer J Clin. 2010;60(2):99–119.
12. Heidari Z, Mahmoudzadeh-Sagheb H, Sakhavar N. Breast cancer screening knowledge and practice among women in Southeast of Iran. Acta Medica Iranica. 2008;46(4):321–28.
13. Oche MO, Ayodele SO, Umar AS. Breast cancer and mammography: Current Knowledge, attitudes, and practices of female health workers in a tertiary health institution in Northern Nigeria. Public Health Res. 2012;2(5):114–119. 14. Akhigbe AO, Omuemu VO. Knowledge, attitudes, and practice of breast cancer screening among female health workers in a Nigerian Urban City. BMC Cancer. 2009;9(1): 203–208.
15. Smith RA, Saslow D, Sawyer KA, Costanza ME, Evans WP, Foster RS, et al. American Cancer Society guidelines for breast cancer screening update. Cancer J Clin. 2003;53(3):141–169.
16. Osime OC, Okojie O, Aigbekaen ET, Aigbekaen IJ. Knowledge attitude and practice about breast cancer among civil servants in Benin City, Nigeria. Ann. Afri. Med. 2008;7(4):192–197.
17. Al-Naggar RA, Bobryshev Y. Practice and barriers of mammography among Malaysian women in the general population. Asian Pacific J Cancer Prev. 2012;13(8):3595–3600.
18. Amin TT, Al Mulhim AR, Al Meqihwi A. Breast Cancer Knowledge, risk factors, and screening among adult Saudi Women in a primary health care setting. Asian Pac J Cancer Prev. 2009;10(1):133–138.
19. Parsa P, Kandiah M. Predictors of adherence to clinical breast examination and mammography screening among Malaysian women. Asian Pac J Cancer Prev. 2010;11(3):681–8.
20. Khalili AF, Shahnazi M. Clinical breast exam and mammography in women referred to health centers in Tabriz, Iran. JCS. 2011;l6(4):34–42.
21. Obajimi MO, Ajayi IO, Oluwasola AO, Adedokun BO, Adeniji-Sofoluwe AT, Mosuro OA, et al. Level of awareness of mammography among women attending outpatient clinics in a teaching hospital in Ibadan, South-West Nigeria. BMC Public Health. 2013;13(1):40–46.
22. Othman AK, Kiviniemi MB, Wu YW, Lally R. Influence of demographic factors, knowledge, and beliefs on Jordanian Women’s intention to undergo mammography screening. J Nurs. Scholarsh. 2012;44(1):19–26.
23. Klug SJ, Hetzer M, Blettner M. Screening for breast and cervical cancer in a large German city: Participation, motivation, and knowledge of risk factors. Eur J Public Health. 2005;15(1):70–77. 24. Schwartz K, Fakhouri M, Bartoces M, Monsur J, Younis A. Mammography Screening among Arab American Women in Metropolitan Detroit. J Immigr Minor Health. 2008;10(6):541–9. 25. El Asmar M, Bechnak A, Fares J, Al Oweini D, Al Razim, A, El Achkar, A, Tamim, H. Knowledge, attitudes and practices regarding breast cancer amongst Lebanese females in Beirut. Asian Pac J Cancer Prev. 2018;19(3):625–631. DOI: 10.22034/APJCP.2018.19.3.625
26. Maxwell AE, Bastani R, Warda US. Breast cancer screening and related attitudes among Filipino-American women. Cancer Epidemiol Biomarkers Prev. 1997;6(9):719–26.
27. Maxwell AE, Bastani R, Warda US. demographic predictors of cancer screening among Filipino and Korean immigrants in the United States. Am J Prev Med. 2000;18(1):62–68.
28. Secginli S, Nahcivan N. Factors associated with breast cancer screening behaviors in a sample of Turkish women: A questionnaire survey. Int J Nursing Studies. 2006;43(2):161–71