Abstract:

Breast cancer is the second common cancer after cancer of the cervix in women in Zambia. Although screening methods for breast cancer such as mammography has been shown to reduce mortality from breast cancer in developing countries where it is commonly used, the World Health Organisation (WHO) does not recommend it for use in developing countries because of it has cost implications. Instead, WHO recommends an alternative screening method called Breast Self-Examination for all women in the reproductive age group (15-49). The purpose of the study was to compare breast cancer knowledge, attitude and use of Breast Self-Examination among female student nurses in the reproductive age group (15-49). The study site was St. lukes nursing school Rufunsa district of the Lusaka province in Zambia. A total of 50 female student nurses participated in the study.

Keywords: Breast cancer, Breast Self-Examination practice, Breast cancer knowledge, student nurses in year 2 & 3, Mammography.

References:

[1]. Abdel-Fattah, M., et al, (2000). Breast self-examination practice and its impact on breast cancer diagnosis in Alexandria, Egypt. Eastern Mediterranean Health Journal. Volume 4. No. 2. PP 34-40.

[2]. Akhtar, S.S., et al, (1993). Cancer in Libya- A Retrospective Study 1981-1985. African Journal of Medicine and Medical Sciences. Vol .22. No 1, PP 17-

[3]. American Cancer Society (1999). Cancer Related Check- Ups; Atlanta G.A.

[4]. Amir, H., et al, (1994). A Comparative Study of Carcinoma Of The breast in African Population; East African Journal, Volume 71. No. 4, PP 215-218

[5]. Amir, J.T., et al, (1998). Breast Cancer and Risk Factors in an African Population: A Case Referent Study. East Africa Medical Journal. Volume 75. No. 5, PP 268-270.

[6]. Anim, J.T., (1993). Breast cancer in Sub Sahara African Women. African Journal of Medicine and Medical Sciences. No 1. PP 5-10

[7]. Attai, A.K., et al, (1997). Effects of Educational Film on Health Belief Model and Breast Self-Examination practice. Eastern Mediterranean Health Journal. Volume 3. No. 3. PP 435-443.

[8]. Bailey, K., (2000). The Nurse’s Role in Promoting Breast Awareness. Nursing Standards. Vol.14. No. 30. PP 34-36.

[9]. Bell, R., et al, (1997). The Impact of Wellness: Guide on Hispanic Women’s Well Being. Related Mediating Role of Enculturation; Health Education and Behaviour; Volume 24. No. 3. PP 326-343.

[10].  Berkow, R., (1997). The Merck Manual of Medical Information. Merck Research Laboratories. Whitehouse Station. New Jersey. PP 796, 1096-1107.

[11].  Budden, L., (1995). Young Women’s Breast Self-Examination and Practice. Journal of Community Health Nursing. Vol. 12. No. 1, PP23-32.

[12].  Cancer Diseases Hospital, (2017) PIM. Report. 1^st quarter 2017, Lusaka, Zambia

[13].  Cancer Registry, (2003). Cancer Annual Report. University Teaching Hospital. Lusaka. PP 1-30 Care. Mosby Company. Chicago.

[14].  Central Stastical Office, (2002-2003). Demographic and Health Survey Report. Lusaka. PP 29-45

[15].  Central Statistical Office, (2003). Zambia 2000 Census of Population and Housing Summary Report. Lusaka. PP 28-35

[16].  Champion, V.L., (1995). Results of a Nurse-delivered intervention on Proficiency and Nodule detection with breast self-examination. Oncology Nursing Forum. Vol.22. No 5. PP 819-824.

[17].  Chee, H.L, et al., (2003). Factors Related to the Practice of BSE and Pap smear Screening among Malaysian Women Workers in the Selected Electronics Factories. BMC Women’s Health. Vol. 3. PP3.

[18].  Dorsay, R.H., et al., (2001) Breast Self-Examination. Improving Competence and Frequency in a Classroom Setting. American Journal of Public Health. Vol. 78. No. 5, PP520-522

[19].  Epstein, S. S., et al (1998). The Breast Cancer Prevention Program. Macmillan, New York, 1998.

[20].  Epstein, S. S., et al (2001). Dangers and Unreliability of Mammography: Breast Examination is a Safe, Effective and Practical Alternative. International Journal of Health Sciences. vol.31 No. 3 PP 605-615

[21].  Gastrin, G., et al. (1994). Incidence and mortality from Breast cancer in the Mama program for Breast Screening in Finland, 1973-1983, No 73. pp 2168-2174.

[22].  Gotzsche, P. C. et al (2000). Is screening for breast cancer with mammography justifiable? Lancet 355: 129- 134.

[23].  Government Republic of Zambia, (2000). National Gender Policy Report .Lusaka. PP 38-49.

[24].  Harkness, G.A. et al (1996). Medical surgical Nursing. Total Patient

[25].  Heitkemper, L.C., (1996). Medical Surgical Nursing: Assessment and Management of Clinical Problems. Mosby Company. Chicago. PP 1548-1549.

[26].  Hill, D. et al, (1988) Self-examination of the Breast: Is it Beneficial? Meta-Analysis of Studies Investigating BSE and the Extent of Disease in Patients with Breast Cancer. British Medical Journal. PP 271-297.

[27].  Janda, M., et al, (2000). Australian Women’s Attitude towards and Knowledge of Breast self-examination. Journal of Cancer Education. Volume 15. No. 2. PP 91-94.

[28].  Janda, M., et al, (2000). Australian Women’s Attitude towards and Knowledge of Breast self-examination. Journal of Cancer Education. Volume 15. No. 2. PP 91-94.

[29].  Kartz, L., et al, (1981). The Epidemiological Review of Breast Cancer in Israel. Israel Journal of Medical Sciences. Vol 19. No 9, PP 810-815.

[30].  Kartz, L., et al, (1981). The Epidemiological Review of Breast Cancer in Israel. Israel Journal of Medical Sciences. Vol 19. No 9, PP 810-815.

[31].  Knobf, T.M., (1990). Early-Stage Breast Cancer. The Options. American Journal of Nursing. PP 28-29.

[32].  Knobf, T.M., (1990). Early-Stage Breast Cancer. The Options. American Journal of Nursing. PP 28-29.

[33].  Ko, C., et al, (2000). Fillipina American Women’s breast cancer knowledge, attitude and screening behaviour. BMC Public Health. Volume 3. PP 27

[34].  Ko, C., et al, (2000). Fillipina American Women’s breast cancer knowledge, attitude and screening behaviour. BMC Public Health. Volume 3. PP 27

[35].  Leight, S. B., et al, (2000). The effect of structured training on breast self- examination search behaviors as measured using biomedical instrumentation. Nursing Research. Vol. 49 No 5.pp 283- 289.

[36].  Leight, S. B., et al, (2000). The effect of structured training on breast self- examination search behaviors as measured using biomedical instrumentation. Nursing Research. Vol. 49 No 5.pp 283- 289.

[37].  Leslie, N.S., et al, (2003). Knowledge, Attitude, Practice Surrounding Breast Cancer Screening in Educated Appalachian Women. Oncology Nursing Forum. Vol. 30. No. 4. PP659-667.

[38].  Leslie, N.S., et al, (2003). Knowledge, Attitude, Practice Surrounding Breast Cancer Screening in Educated Appalachian Women. Oncology Nursing Forum. Vol. 30. No. 4. PP659-667.

[39].  Lewis, S.M., et al, (1996) Medical surgical Nursing. Assessment and Management of Clinical Problems. C.V. Mosby. Chicago.

[40].  Lewis, S.M., et al, (1996) Medical surgical Nursing. Assessment and Management of Clinical Problems. C.V. Mosby. Chicago.

[41].  Mahajan, B., (997). Methods in Biostatstics for Medical Students and Researchers. Medical Publishers. Calcutta. PP 97-98

[42].  McDonald, P. A., et al, (1999). Perceptions and knowledge of Breast Cancer among African-American women residing in Public Housing, Ethnic Dis. Vol. 9. No 1. PP81-93.

[43].  McMahon, E., et al., (1993). Diseases. Causes and Complications. Assessment Findings. Nursing Diagnoses and Interventions. Patient Teaching and Current Therapy. Springhouse. Pennsylvania. PP 276-278.

[44].  Meissner, H.I., (1992). How Resources of Health Information Relate to Knowledge and Use of Cancer Screening Exams. Journal of Community Health. Vol. 17. No. 3, PP 153-165.

[45].  Mukupo, (2006) SBE, RURAL & URBAN WOMEN, LUSAKA ZAMBIA.

[46].  Nzarubara, R.G., (1999). Control of breast Cancer Using Health Education. East African Journal of community Medicine. Vol. 76. No. 12, PP 661-663.

[47].  Orem, D., (1999). Nursing Concepts of Practice. Mosby Co. St. Louis.

[48].  Orzturic, M., et al, (1999). The practice of BSE among women in Gullistan District of Isparta. Eastern Journal of Medicine. Vol. 4. No. 2 PP 47-50.

[49].  Park, K., (2002). Park’s Textbook of Preventive and Social Medicine. M/s Banarsidas Bhanot Publishers. Jabalpur. PP 291-292

[50].  Patistea, E., et al, (1992). Breast self-Examination: Knowledge and behaviour of Greek female health care Professionals Working in Primary Health Care Centres. Cancer Nursing. Vol. 15. No. 6. PP 415-442.

[51].  Patton, Q. M., (1990). Qualitative Evaluation and Research Methods. Sage Publication International. London.

[52].  Peragallo, N.P., et al, (1998). Breast Care among Latino Immigrant Women in the United States. Health Care for Women International. Vol. 19. PP 101-108.

[53].  Peragallo, N.P., et al, (2000). Acculturation and Breast Self-Examination among Immigrant Latin Women in the USA. International Council Review. Vol. 47. No. 1. PP 38-45.

[54].  Persson, K., et al, (1995). Breast Self-Examination among Swedish Women: A survey of Frequency, Knowledge and Attitudes. Journal of Cancer Education. Vol.10. No3. PP 163-167

[55].  Polit, D., (1995). Nursing Research. Principles and Methods. J.B. Lippincott Company. Philadelphia

[56].  Polit, D., et al (1999). Nursing Research. Principles and Methods. J. B. Lippincott Company. Philadelphia.

[57].  Powel, E., et al, (1987). The Diagnosis and Detection of Breast Disease. Mosby Co. Chicago. PP 71-75

[58].  Price, J.H., (1992). Urban Black Women’s Perceptions of Breast Cancer and Mammography. Journal of Community Medicine. Vol. 17. No. 4, PP 191-203.

[59].  Quinn, F.M., (1997). The Principles and Practice of Nurse Education. Stanley Thornes Publishers Ltd. London.

[60].  Sadler, G.R., et al (2001). Korean Women; Breast Cancer Knowledge, Attitude and Behaviours. BMC Public Health. Vol. 1. No. 7. PP1471-2458.

[61].  Sample. (n.d.). The American Heritage® New Dictionary of Cultural Literacy, Third Edition. Retrieved June 4, 2017 from Dictionary.com website http://www.dictionary.com/browse/sample

[62].  Smeltzer, C.S., et al, (2000). Textbook of Medical Surgical Nursing. Philadelphia. Toronto. PP 1268-1268

[63].  Smigel, K. (1993). Perception of risk heightens stress of breast cancer. Journal of National. Cancer Institute. Vol. 85. No 7. PP 525- 526

[64].  Steinberger, C., (1994). Breast Self-Examination: How Nurses can influence Performance. Medical Surgical Nursing. Vol. 3. No.5.PP 367-371

[65].  Utilisation and Associated Factors. American Journal of Public Health. Vol.79. No. 11. PP1499-1501.

[66].  Van Loon, J.M., et al, (1994). Socio economic Status and Breast Cancer Incidence: A Prospective Cohort Study. International Journal of Epidemiology. Vol. 23.No 5. PP 899-905.

[67].  Virobiof, D.A., et al, (2001). Cancer Incidence in South Africa. Journal of Clinical Oncology. Vol. 19. (18 Supplement) PP 1255-1275.

[68].  Worden, J. K., et al, (1990). A community-wide program in breast self-examination. Preventive Medicine. Vol. 19. PP 254- 269.

[69].  Zapka, J.K., et al, (1989). Breast Cancer Screening by Mammography.

[70].  Zapka, J.K., et al, (1992). Changes in Mammography Use: Economic, Need and Service Factors. American Journal of Public Health. Vol. 82. No. 10, PP 1345-1355.