Perception, intention and barriers to breast self-examination practice among reproductive age women attending maternal and child health services at Dilla public health facilities; Dilla, Ethiopia 2024:- a qualitative study

Q2 Nursing

International Journal of Africa Nursing Sciences Pub Date : 2025-01-01 DOI:10.1016/j.ijans.2025.100901

Hana Bekele Hailu , Semarya Berhe Lemlem , Bazie Mekonnen , Tigistu Gebreyohannis Gebretensaye

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Abstract

Background

The primary goal of breast self-examination (BSE) is to detect breast cancer at an early stage, which is crucial in reducing its morbidity. However, in low-income countries, many women do not perform BSE due to factors such as lack of knowledge and misconceptions about the practice.

Objective

This study aimed to explore the perceptions, intentions, and barriers to BSE among women of reproductive age at Dilla public health facilities.

Methods

A qualitative, exploratory study was conducted from February 26 to March 22, 2024, involving women attending maternal and child health services at Dilla public health facilities. Participants were purposively selected, and data were collected through semi-structured in-depth interviews until saturation was reached, with 24 participants interviewed. Each interview lasted 20–30 min. Atlas ti 9 software was used for data analysis.

Results

Three main themes emerged: perception, intention, and barriers to BSE. Many women had no intention to practice BSE, believing it was unnecessary. Women who recognized the benefits of BSE for early breast cancer detection were more likely to practice it. Barriers included lack of knowledge about BSE and breast cancer, as well as religious and traditional beliefs that hindered practice.

Conclusion

Women who underestimated the importance of BSE were less likely to intend to practice SBE. Personal beliefs, lack of knowledge, and religious and cultural factors mentioned as barriers to Breast self-examination practice among reproductive age women.

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在迪拉公共卫生机构接受妇幼保健服务的育龄妇女对乳房自我检查的认识、意图和障碍；迪拉，埃塞俄比亚2024:-一项定性研究

背景乳房自我检查（BSE）的主要目的是在早期发现乳腺癌，这对降低其发病率至关重要。然而，在低收入国家，由于缺乏知识和对这种做法的误解等因素，许多妇女不做疯牛病手术。目的探讨迪拉市公共卫生机构育龄妇女对疯牛病的认知、意图和障碍。方法于2024年2月26日至3月22日对在迪拉市公共卫生机构妇幼保健服务的妇女进行定性、探索性研究。有目的地选择参与者，通过半结构化的深度访谈收集数据，直到达到饱和，采访了24名参与者。每次访谈持续20-30分钟。采用Atlas ti - 9软件进行数据分析。结果出现了三个主要主题：感知、意图和对疯牛病的障碍。许多女性并不打算患上疯牛病，认为这是不必要的。认识到疯牛病对早期乳腺癌检测的好处的妇女更有可能实践它。障碍包括缺乏对疯牛病和乳腺癌的了解，以及阻碍实践的宗教和传统信仰。结论低估了疯牛病重要性的妇女不太可能实施SBE。个人信仰、缺乏知识以及宗教和文化因素被认为是育龄妇女乳房自我检查的障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Africa Nursing Sciences Nursing-Nursing (all)

CiteScore

2.40

自引率

0.00%

发文量

114

审稿时长

21 weeks

期刊介绍： International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.