Reasons for Reluctance to Mammogram Examination among Women Attending Early Detection Clinics for Breast Cancer in Mosul
Iraqi Postgraduate Medical Journal,
2022, Volume 21, Issue 3, Pages 349-354
Cancer is the greatest cause of mortality in the world; Breast cancer claimed the lives of 2.26 million worldwide.
To determine the reasons for reluctance to examine the mammogram among women attending early detection clinics for breast cancer in the city of Mosul / Iraq
A cross-sectional study was carried out between January 2018 and December 2020. It was carried out in early detection clinics in Mosul's two major hospitals. Females who were diagnosed as breast cancer participants were included in the study.
A Total of 384 women were diagnosed with breast cancer, (mean age 52.96 ±12.4 years) and the women are reluctance to examine the mammogram was 72.76 %. Reasons were unavailability of x-rays at 25.45%, fear at 20.43% and not knowing about a mammogram at 15.77%. There were 16.62%, 32.29%, and 17.18% of patients with stage-III breast cancer, 5.2%, 10.41%, 8.59% stage-II and 0.26%, 1.3%, 2.34% Stage-I who was discovered in the years 2018, 2019 and 2020 respectively. The percentage of cases with stage-IV decreased from 2% in 2018 to 1.3% in 2020.
Unavailability of x-rays, fear and not knowing about mammography, were among the most important reasons for women reluctance to examine the mammogram. As well as the increase in the percentage of women who underwent examination in the second year of activating the early detection program for breast cancer, it was noted that the stage of the disease discovered in women gradually decreased during the research years.
There is an urgent need for more efforts to improve the early detection program for breast cancer and to classify women at risk of developing breast cancer according to risk factors.
- Alwan NA, Tawfeeq FN, Mallah NA. Demographic and clinical profiles of female patients diagnosed with breast cancer in Iraq. Journal of Contemporary Medical Sciences. 2019;5:14-9.
- Mutar MT, Goyani MS, Had AM, Mahmood AS. Pattern of presentation of patients with breast cancer in Iraq in 2018: A cross-sectional study. Journal of global oncology. 2019;5:1-6.
- Ginsburg O, Yip CH, Brooks A, Cabanes A, Caleffi M, Dunstan Yataco JA, et al. Breast cancer early detection: A phased approach to implementation. Cancer. 2020;126:2379-93.
- Birnbaum JK, Duggan C, Anderson BO, Etzioni R. Early detection and treatment strategies for breast cancer in low-income and upper middle-income countries: a modelling study. The Lancet Global Health. 2018;6:e885-e93.
- Holst‐Hansson A, Idvall E, Bolmsjö I, Wennick A. The narrow treatment road to survival: Everyday life perspectives of women with breast cancer from Iraq and the former Yugoslavia undergoing radiation therapy in Sweden. European journal of cancer care. 2018;27(2):e12825.
- Al-Gburi AS, Alwan NA, Al-Tameemi EAK, Al-Dabbagh WH. Opportunistic Screening for Early Detection of Breast Cancer in Iraq. International Medical Journal. 2021;28:28-32.
- Hussain AM, Lafta RK. Cancer Trends in Iraq 2000–2016. Oman medical journal. 2021;36:e219.
- Yahyaa BT. Woman’s Knowledge about Breast Cancer in Al-Ramadi City, Iraq. Annals of the Romanian Society for Cell Biology. 2021:4901-10.
- Sun Y-S, Zhao Z, Yang Z-N, Xu F, Lu H-J, Zhu Z-Y, et al. Risk factors and preventions of breast cancer. International journal of biological sciences. 2017;13:1387.
10. Waks AG, Winer EP. Breast cancer treatment: a review. Jama. 2019;321:288-300.
11. Sajida Khamis A, Hala SA-W. Assessment Of Breast Cancer Early Detection Program's Activities In Primary Health Care Centers In Baghdad City. Evaluation of the effectiveness of the early detection program for breast cancer in primary health care centers in the city of Baghdad. kufa Journal for Nursing sciences. 2013;3:29-40.
12. Kang C, LeRoith D, Gallagher EJ. Diabetes, obesity, and breast cancer. Endocrinology. 2018;159:3801-12.
13. Mariotto AB, Etzioni R, Hurlbert M, Penberthy L, Mayer M. Estimation of the number of women living with metastatic breast cancer in the United States. Cancer Epidemiology and Prevention Biomarkers. 2017;26:809-15.
14. Nair N, Shet T, Parmar V, Havaldar R, Gupta S, Budrukkar A, et al. Breast cancer in a tertiary cancer center in India-An audit, with outcome analysis. Indian journal of cancer. 2018;55:16.
15. Baran P, Pacile S, Nesterets YI, Mayo S, Dullin C, Dreossi D, et al. Optimization of propagation-based x-ray phase-contrast tomography for breast cancer imaging. Physics in Medicine & Biology. 2017;62:2315.
16. Swainston J, Chapman B, Grunfeld EA, Derakshan N. COVID-19 lockdown and its adverse impact on psychological health in breast cancer. Frontiers in psychology. 2020;11:2033.
- Soran A, Gimbel M, Diego E. Breast cancer diagnosis, treatment and follow-up during COVID-19 pandemic. European journal of breast health. 2020;16:86.
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