关键词: breast cancer knowledge breast cancer screening clinical breast examination mammogram self-examination

来  源:   DOI:10.7759/cureus.56157   PDF(Pubmed)

Abstract:
OBJECTIVE: Breast cancer is one of the significant causes of mortality in India, ranking second only to cervical cancer among women. Annually, the country has witnessed the detection of 200,000 new cases, with 60% identified in the early stages. This study aimed to assess the effectiveness of a health education intervention program designed to enhance knowledge about breast cancer among women in rural Karnataka.
METHODS: A descriptive study design was employed and a total of 320 women were selected through multi-stage sampling. The educational intervention involved a PowerPoint presentation by the investigator, which was followed by group discussions that culminated with plenary sessions for clarifying the doubts of respondents. At the end of every educational session, pre-designed, pre-tested, and validated questionnaires, comprising a mix of structured and semi-structured questions, were completed by the respondents as part of the post-test.  Results: Among the participants, 44.7% were educated up to the primary level, a majority (64.1%) were employed, and most (90.3%) were married. Additionally, 56.9% reported a monthly income below 3000 Indian rupees (₹), with the majority (86.3%) falling below the poverty line (BPL) category. A statistically significant improvement (p = 0.0001) in knowledge related to breast health, breast self-examination, clinical breast examination, and mammography was observed in the post-intervention phase when compared to the pre-test. 86.2% of the respondents showed an increase in knowledge level about breast health (either from poor to moderate or from moderate to good) and the practice of breast self-examination increased from 4.7% (pre-test) to 60.3% (post-test).  Conclusion: The study demonstrated a significant enhancement in women\'s knowledge levels after implementing the health education intervention program. These findings underscore the importance of health education strategies in raising awareness of lifestyle diseases, particularly breast cancer, among women.
摘要:
目的:乳腺癌是印度死亡的重要原因之一,在女性中仅次于宫颈癌。每年,该国目睹了20万例新病例的发现,在早期阶段发现了60%。这项研究旨在评估旨在提高卡纳塔克邦农村妇女对乳腺癌知识的健康教育干预计划的有效性。
方法:采用描述性研究设计,通过多阶段抽样选择了320名女性。教育干预涉及调查员的PowerPoint演示文稿,随后进行了小组讨论,最后举行了全体会议,以澄清受访者的疑虑。在每次教育会议结束时,预先设计,预先测试,和经过验证的问卷,由结构化和半结构化问题组成,作为后测的一部分,由受访者完成。结果:在参与者中,受过小学教育的占44.7%,多数(64.1%)受雇,大多数(90.3%)已婚。此外,56.9%的人报告月收入低于3000印度卢比,大多数人(86.3%)低于贫困线(BPL)类别。与乳房健康相关的知识有统计学上的显着改善(p=0.0001),乳房自我检查,临床乳房检查,与预测试相比,在干预后阶段观察到乳房X线照相术。86.2%的受访者对乳房健康的知识水平有所提高(从差到中度或从中度到良好),乳房自我检查的实践从4.7%(测试前)增加到60.3%(测试后)。结论:实施健康教育干预方案后,女性知识水平显著提高。这些发现强调了健康教育策略在提高人们对生活方式疾病的认识方面的重要性,尤其是乳腺癌,在女性中。
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