Non realisation of breast self-examination in Tunja, Colombia
Abstract
Objective. To identify sociocultural and psychosocial factors that determine non realisation of Breast Self-Examination (BSE) in women resident in Tunja, Colombia.
Materials and methods. A nested case-control study was carried with 218 cases and 225 controls. The sample was selected by statified random sample. Assessment was made of sociocultural factors, knowledge and BSE practice.
Results. Mean age 32.9 years (SD = 9.44), 58.7% with steady partner, 42.4% work, 25.6% incomplete secondary, 23.5% smokers, 21.5% uses hormonal methods, 10.6% have a family history of breast carcinoma, 10.2% attend promotion and prevention programs, 7.2% have history of breast disease. The factors that were significantly associated with non-practice of the BSE were not having received information about BSE (OR = 14.08); non attendance at Promotion and Prevention programs (OR = 9.21), low levels of knowledge about breast cancer (OR = 8.96), BSE was not considered important (OR = 8.71); not having family support (OR = 3.18); not recognizing breastfeeding as a protective factor in breast cancer (OR = 2.46 ), no physical activity (OR = 2.38) not completed high school (OR = 1.94), not using contraception (OR = 2.27); not attending the review consultation BSE (OR = 1.97 ) subsidized or linked health-regime (OR = 1.77), less than 3 years use of planning methods (OR = 1.94), no record of abortion (OR = 1.92), not in work (OR = 1 , 47).
Conclusion. We found risk factors that are susceptible to educational intervention which could substantially improve the cover of Health Promotion and Disease Prevention programs and adherence to the practice of BSE.
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