Breast Cancer Knowledge and Mammography Uptake among Women Aged 40 Years and Above in Calabar Municipality, Nigeria
Grace Okaliwe
Department of Public Health, University of Calabar, Calabar Nigeria.
Glory Mbe Egom Nja *
Department of Public Health, University of Calabar, Calabar Nigeria.
Isaac Olushola Ogunkola
Department of Public Health, University of Calabar, Calabar Nigeria.
Regina Idu Ejemot-Nwadiaro
Department of Public Health, University of Calabar, Calabar Nigeria.
Don Eliseo Lucero-Prisno III
Department of Global Health and Development, London School of Hygiene and Tropical Medicine, United Kingdom.
*Author to whom correspondence should be addressed.
Abstract
Background: Breast cancer is the commonest cancer among women globally. Early screening remains a critical approach to reducing morbidity and mortality. Mammography, one of such screening tools, is vital in improving outcomes and survival. However, poor knowledge and ignorance have been touted as major barriers to health services uptake in Low/Middle-income countries. This study therefore determined breast cancer knowledge and mammography uptake among women aged ≥40 years in Calabar Municipality.
Methods: A cross-sectional study design was used to elicit information from 365 women that were randomly selected using a semi-structured questionnaire. Data analysis was carried out using SPSS version 20. The results were descriptively presented by frequencies and percentages. Pearson Chi-Square (ꭓ2) analysis was performed to detect the association between variables at 5% level of significance (p-value of ≤ 0.05).
Results: Majority of the 365 study participants 121 (33.3%) were aged between 40 – 44 years and had attained tertiary level of education 231 (63.2%). Most of the respondents had low knowledge score 214 (58.6%) of breast cancer and mammography. Only 36 (9.9%) of the respondents have had mammography out of which most 22 (61.0%) used it only once. Knowledge level of breast cancer and mammography was statistically significantly associated with uptake (p = .00001). Conversely knowledge of breast cancer and mammography was not statistically significantly associated with educational attainment (p = .54).
Conclusions: Knowledge level of breast cancer and uptake of mammography among women aged ≥40 in Calabar Municipality was very poor. The need to increase awareness about breast cancer and breast cancer screening are highly advocated.
Keywords: Breast cancer, mammography, knowledge, uptake, women ≥ 40 years, calabar