Breast Self Examination Practice And Associated Factors Among Women Seeking Care In Public Health Centers Of Addis Ababa Ethiopia 2016

Background: Breast cancer is the most common cancer among women of developed andrndeveloping countries. Among the screening methods, breast self-examination is the physicalrnexamination of the women’s breasts that is conducted by oneself that is easy, safe and requiresrnno cost or specific equipment. However, in resource limited countries like Ethiopia, the figurernappears to be much less. Therefore, Breast self-examination should be encouraged as earlyrndetection means of breast cancer in order to avert the related morbidities and mortalities.rnObjective: To assess the practice of Breast self-examination and its associated factors amongrnwomen seeking care in public health centers of Addis Ababa.rnMethod: An institution based cross-sectional study design on sample size of 422 was used torncollect data from March 01-30, 2016. A simple random sampling technique was employed forrnthe selection of Health centers and then informants were selected by using systematic randomrnsampling method. Epi data version 3.5 and SPSS version 22 was used for data entry and analysisrnrespectively. Moreover, Logistic regression analysis was fitted and odds ratios with 95%rnConfidence intervals were computed and p values less than 0.05 were considered significant.rnResult: There were 403 respondents, which gives a 95.5% response rate from the expected 422.rnBelow one fourth 18.6% of the respondents regularly practiced BSE. The most common reasonrnfor not practicing BSE was “I don’t have breast problem” 92(36.9%). Regarding the questionsrndesigned to assess BSE knowledge of the respondents, 239(59.3%) of the participants werernfound knowledgeable. Two hundred fourty four (60.5%) of the women were found tornhave good attitude towards BSE. The odds of women to practice BSE who arerncohabiting with their partner were 0.4 times lower than those who are not. On thernother hand the likelihood of practicing BSE is 3 times higher among women whornhave good attitude towards BSE [AOR=3.1 (0.12, 0.78)]. There was also significantrnassociation between good practicing of BSE and ever being examined by a healthrnprofessional [AOR=5.22(2.62, 10.41)] and having ever discussed the importance withrnother people [AOR=2.95(1.43,6.08)].rnConclusion: this study revealed low level of BSE practice. In order to improve women’s healthrnseeking behavior and screening practice, it is vital to initiate interventions that seek to providernhealth education, and to encourage preventive practice.rnKeywords: breast self-examination, breast cancer, knowledge, perception, screening.

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