{"title":"Assessment of Knowledge, Attitude, and Screening practices for breast cancer among women in Odisha: A community-based study","authors":"Saumyasree Pradhan , Srinivas Bishoyi , Soumalaya Ghosh , Manjunatha Vk , Sushil Kumar Rathore , Mukesh Kumar Sahoo , Hemeswari Bhuyan , Amitosh Dandsena , Jyoti Rath , Jyoti Ranjan Mohanty , Paramjot Panda","doi":"10.1016/j.cegh.2025.102171","DOIUrl":null,"url":null,"abstract":"<div><h3>Problem considered</h3><div>Breast cancer is the most commonly diagnosed cancer and the second leading cause of cancer-related deaths worldwide. In developing countries such as India, women's knowledge of breast cancer screening remains limited. This study investigated women's knowledge of breast cancer and their screening uptake behaviour in eastern India.</div></div><div><h3>Methods</h3><div>A community-based cross-sectional survey was conducted among 1506 women aged 18 years and above in urban and rural areas of Odisha, India. Data were collected through a structured questionnaire and analysed using SPSS version 23. Descriptive statistics were used to examine socio-demographic characteristics, knowledge, attitudes, and practices. Knowledge scores were generated to assess awareness of breast cancer, breast self-examination (BSE), and mammography.</div></div><div><h3>Results</h3><div>Among the participants, 1158 women demonstrated a medium level of overall cancer knowledge (mean score 1.00, SD 0.01). Higher knowledge scores were observed among married women, those with a graduate degree, and those from smaller families. Dependent women showed comparatively higher knowledge than employed or self-employed participants. Knowledge of BSE and mammography was poorer among women from medium- and low-income households. Most participants reported neither performing BSE nor undergoing mammography. The main reasons for not engaging in screening included lack of awareness, absence of a doctor's referral, perceived youthfulness, limited time during free screening opportunities, and unavailability of facilities.</div></div><div><h3>Conclusion</h3><div>Knowledge and practice of breast cancer screening among women in Odisha remain inadequate. Awareness campaigns and improved accessibility of screening services are urgently required to overcome barriers and promote early detection.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"36 ","pages":"Article 102171"},"PeriodicalIF":1.7000,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Epidemiology and Global Health","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2213398425002611","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Problem considered
Breast cancer is the most commonly diagnosed cancer and the second leading cause of cancer-related deaths worldwide. In developing countries such as India, women's knowledge of breast cancer screening remains limited. This study investigated women's knowledge of breast cancer and their screening uptake behaviour in eastern India.
Methods
A community-based cross-sectional survey was conducted among 1506 women aged 18 years and above in urban and rural areas of Odisha, India. Data were collected through a structured questionnaire and analysed using SPSS version 23. Descriptive statistics were used to examine socio-demographic characteristics, knowledge, attitudes, and practices. Knowledge scores were generated to assess awareness of breast cancer, breast self-examination (BSE), and mammography.
Results
Among the participants, 1158 women demonstrated a medium level of overall cancer knowledge (mean score 1.00, SD 0.01). Higher knowledge scores were observed among married women, those with a graduate degree, and those from smaller families. Dependent women showed comparatively higher knowledge than employed or self-employed participants. Knowledge of BSE and mammography was poorer among women from medium- and low-income households. Most participants reported neither performing BSE nor undergoing mammography. The main reasons for not engaging in screening included lack of awareness, absence of a doctor's referral, perceived youthfulness, limited time during free screening opportunities, and unavailability of facilities.
Conclusion
Knowledge and practice of breast cancer screening among women in Odisha remain inadequate. Awareness campaigns and improved accessibility of screening services are urgently required to overcome barriers and promote early detection.
乳腺癌是最常见的癌症,也是全球癌症相关死亡的第二大原因。在印度等发展中国家,妇女对乳腺癌筛查的了解仍然有限。本研究调查了印度东部妇女对乳腺癌的认识和她们的筛查吸收行为。方法以社区为基础,对印度奥里萨邦城乡1506名18岁及以上妇女进行横断面调查。通过结构化问卷收集数据,并使用SPSS version 23进行分析。描述性统计用于检验社会人口特征、知识、态度和实践。知识得分是用来评估人们对乳腺癌、乳房自检(BSE)和乳房x光检查的认识。结果在参与者中,1158名女性表现出中等水平的总体癌症知识(平均得分1.00,SD 0.01)。在已婚女性、拥有研究生学位的女性和家庭规模较小的女性中,知识得分较高。依赖家庭的女性比受雇或自雇的参与者表现出相对更高的知识水平。来自中低收入家庭的妇女对疯牛病和乳房x光检查的了解较差。大多数参与者报告既没有做过疯牛病,也没有做过乳房x光检查。不参与筛查的主要原因包括缺乏意识、没有医生推荐、认为年轻、免费筛查机会有限以及设施缺乏。结论奥里萨邦妇女对乳腺癌筛查的认识和实践仍然不足。迫切需要开展提高认识运动和改善筛查服务的可及性,以克服障碍并促进早期发现。
期刊介绍:
Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.