Exploring the Influencing Factors on Breast Self-Examination Among Myanmar Women: A Qualitative Study
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Introduction: Breast self-examination (BSE) is the most sensitive and cost-effective method to diagnose breast cancer at an early stage in healthcare resources' limited setting. However, the practice of BSE is low in Myanmar. Although various international studies were conducted to clarify the influencing factors in irregular BSE practice, there is a range of different factors and the answer is not yet clear. Hence, this study is aimed to explore the influencing factors on the practice of breast self-examination among Myanmar women.
Methods: A qualitative exploratory-descriptive study was conducted on eight women through in-depth semi-structured interviews between February 2020 and March 2020. The samples were women who lived in the rural area of Myanmar and purposive sampling technique was used. Data were analyzed using Colaizzi's method, which consisted of seven stages.
Results: Four themes emerged as the results of the in-depth interview, namely knowledge of breast cancer, knowledge regarding breast self-examination, barriers to performing regular BSE and ways to improve BSE practice.
Conclusion: This study showed that the women were inadequate in knowledge and practice regarding BSE and breast cancer. Some barriers of BSE practice are rooted in the inadequate skill of BSE and the women's attitude. Greater understanding about breast cancer and improving the confidence of women in BSE will lead to better prognosis. Hence, healthcare authorities and providers should encourage a formal health education program and the results from this study hope to be useful in future rural health education programs of BSE practice.
Abolfotouh, M. A. et al. (2015) ‘Using the health belief model to predict breast self examination among Saudi women', BMC Public Health. BioMed Central, 15(1), p. 1163.
Abolfotouh, M. A., BaniMustafa, A. A. and Mahfouz, A. A. (2015) ‘Using the health belief model to predict breast self examination among Saudi women', BMC Public Health, 15(1). doi: 10.1186/s12889-015-2510-y.
Ahmed, A., Zahid, I. and Ladiwala, Z. F. R. (2018) ‘Breast self "‘ examination awareness and practices in young women in developing countries : A survey of female students in Karachi , Pakistan', Journal of Education and Health Promotion, 7, pp. 1–9. doi: 10.4103/jehp.jehp.
Al-Sakkaf, K. A. and Basaleem, H. O. (2016) ‘Breast cancer knowledge, perception and breast self-examination practices among Yemeni Women: an application of the health belief model', Asian Pacific Journal of Cancer Prevention. West Asia Organization for Cancer Prevention (WAOCP), 17(3), pp. 1463–1467.
American Cancer Society (2017) About Breast Cancer: Breast Cancer Basics.
Febriyanti, N. M. A. et al. (2018) ‘The determinants of early breast cancer detection via breast self-examination (BSE) in Denpasar, Bali', Age (years), 35(57), pp. 31–67.
Hanson, V. F., van Wyk, B. and Adejumo, O. (2016) ‘Breast self-examination knowledge and practice among women in a rural community in south-west Nigeria: a qualitative approach', Midirs Midwifery Digest, 26(4), pp. 525–530.
Hassan, L. M., Mahmoud, N. and Miller, A. B. (2015) ‘Evaluation of effect of self-examination and physical examination on breast cancer', The Breast, 24, pp. 487–490. doi: 10.1016/j.breast.2015.04.011.
International Agency for Research on Cancer (2018) Myanmar Data Fact Sheet. doi: https://gco.iarc.fr/today/fact-sheets-populations.
Khiyali, Z. et al. (2017) ‘Educational intervention on breast self-examination behavior in women referred to health centers: Application of health belief model', Asian Pacific journal of cancer prevention: APJCP. Shahid Beheshti University of Medical Sciences, 18(10), p. 2833.
Masoudiyekta, L. et al. (2018) ‘Effect of education based on health belief model on the behavior of breast cancer screening in women', Asia-Pacific journal of oncology nursing. Wolters Kluwer--Medknow Publications, 5(1), p. 114.
Ministry of Health and Sports (2017) Traning Of Trainer Manual For Package of Essential Non-Communicable Disease Interventions (PEN), Ministry of Health and Sports, Myanmar. Nay Pyi Taw: Ministry of Health and Sports, Myanmar. doi: 10.1017/CBO9781107415324.004.
Ministry of Health and Sports (2019) ‘Breast Self-examination'. Nay Pyi Taw: Ministry of Health and Sports, Myanmar.
Mohamed, H. A. E. A., Ibrahim, Y. M. and Lamadah, S. M. (2016) ‘Application of the Health Belief Model for Breast Cancer Screening and Implementation of Breast Self-Examination Educational Program for Female Students of Selected Medical and Non-Medical Faculties at Umm al Qura University', Life Science Journal, 13(5), pp. 21–33. doi: 10.7537/marslsj13051603.Key.
Morrow, R., Rodriguez, A. and King, N. (2015) ‘Colaizzi's descriptive phenomenological method', The psychologist. The British Psychological Society, 28(8), pp. 643–644.
Radecka, B. and Litwiniuk, M. (2016) ‘Breast cancer in young women', Ginekologia Polska, 87(9), pp. 659–663. doi: 10.5603/GP.2016.0062.
Schwab, F. D. et al. (2015) ‘Self-detection and clinical breast examination: Comparison of the two "classical” physical examination methods for the diagnosis of breast cancer', The Breast, 24(1). doi: 10.1016/j.breast.2014.11.008.
Tiwari, A. and Naik, M. (2018) ‘Effectiveness of structured teaching program on knowledge and practice regarding breast self-examination among college girls in a selected college of Bhilai , Chhattisgarh , India', International Journal of Community Medicine and Public Health, 5(9), pp. 4028–4036.
Vasishta, S. et al. (2018) ‘Awareness about breast cancer and outcome of teaching on breast self examination in female degree college students', Indian Journal of Medical Specialities. Elsevier, 9(2), pp. 56–59.
Win, T. et al. (2019) A gap between knowledge and practice: Breast cancer knowledge and practice of breast self-examination (BSE) in community.
World health organization (2018) WHO | Breast cancer, WHO. World Health Organization.
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