Health Education in Preventing Breast Cancer among Rural Women of Pakistan: A Quasi-Experimental Study

Rabia Zaheer, Kainat Fatima
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Abstract

Background: Breast Carcinoma (BC) is the most prevalent cancer among females of Pakistan. Pakistan is a low-middle-income country and breast self-examination (BSE) is an inexpensive and feasible method for early detection of any changes in breast tissue. Our study aimed to empower the rural women to be self-aware and self-detect initial stage of possible breast cancer and enable them to seeking healthcare on time. Methods: This was a quasi-experimental study with women given health education about breast self-examination in rural settings of Islamabad, Pakistan. The pre and post intervention difference in knowledge and practices were tested through paired t-test. Results: During the pre-test, the knowledge (16.4%) and practice (16.7%) of BSE in women was low. Following intervention during the post-test, the knowledge of women about BSE increased to 99.4%, (t=21.585, p=0.000) and 56.7%, (t=11.613, p=0.000) of them practiced BSE in the previous month. Conclusion: In a country with high burden of breast cancer, women residing in rural areas and under low income quintile, breast self-examination can prove an effective strategy in addressing high prevalence of breast cancer among Pakistani females.
巴基斯坦农村妇女预防乳腺癌的健康教育:一项准实验研究
背景:乳腺癌(BC)是巴基斯坦女性中最常见的癌症。巴基斯坦是一个中低收入国家,乳房自我检查(BSE)是一种廉价和可行的方法,可以早期发现乳房组织的任何变化。我们的研究旨在增强农村妇女对可能的乳腺癌的自我意识和自我检测,使她们能够及时就医。方法:采用准实验研究方法,对巴基斯坦伊斯兰堡农村妇女进行乳房自检健康教育。干预前后在知识和实践方面的差异采用配对t检验。结果:前测期间,女性对疯牛病的认知(16.4%)和实践(16.7%)较低。经干预后,妇女对疯牛病的知识知知率提高到99.4% (t=21.585, p=0.000),前一个月患过疯牛病的妇女提高到56.7% (t=11.613, p=0.000)。结论:在一个乳腺癌负担高的国家,居住在农村地区和低收入五分之一的妇女,乳房自我检查可以证明是解决巴基斯坦女性乳腺癌高患病率的有效策略。
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