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Need improve prevention of breast cancer in rural areas
Genova Eguruze Genova

Last modified: 2016-11-09

Abstract


Introduction: The incidence of breast cancer in European countries is growing steadily, which is due to demographic trends of the aging population. This is the most common malignancy among women in the world. The high percentage of late diagnoses, high mortality and low five-year survival for our country, confirmed the need for prophylactic examinations and early diagnosis of breast cancer.


Objective: To analyze health knowledge and behavior of women in rural areas on the prevention of breast cancer.


Material and Methods: Conducted a direct anonymous questionning with a personally  developed card of questionnaire. Surveyed 1,102 women in the age 20-65, residents of the districts of Varna, Dobrich, Silistra and Shumen. About 1/3 of them live in the rural areas. The study covers the period from January 2013 to March 2015 and were used documentary, sociological and statistical methods.


Results: It was discovered that there is an important difference in awareness among women for annual medical check-ups (χ2 = 90,62; p <0.001), with women from the cities are more informed (85.50%) compared to those in rural areas (59.50 %). Women of the cities more often initiate visits to the doctor for prophylaction of the breast (54.90%). Depending on the type of the populated area, those surveyed in the cities were more frequently conducted mammography studies (30.20%) compared to respondents from the villages of 19,80% (χ2 = 12,88; p <0.001). Nearly half (49.60%) of respondents indicated that they had difficulties in conducting preventive examinations of the breast. The results show that respondents from rural areas to 57.40% do not know breast self- examination. Urban residents are much more informed about the risk factors associated with breast cancer.


Conclusions: The remoteness of the rural areas from the cities and difficulties that dwell therein meet focuses on seeking solutions to address the problems. The weak information affect active participation of women from the villages in prevention of breast cancer. Organizing mobile groups of multidisciplinary teams would lead to positive results in this regard.