ArticleJournal of global oncology2017
Breast Cancer Knowledge, Behaviors, and Preferences in Malawi: Implications for Early Detection Interventions From a Discrete Choice Experiment.
Article in Journal of global oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Attributes Used for Cancer Screening Discrete Choice Experiments: A Systematic Review.The patient · 2022Pooled it
- Benefits of breast self-examinations for medically underserved populations: A systematic review.Women's health (London, England)Pooled it
- Explaining disparities in oncology health systems delays and stage at diagnosis between men and women in Botswana: A cohort study.PloS one · 2019Trial
- Confusion Arising from too many Messages in Health Awareness Campaigns in Rural Communities in Malawi.Journal of community health · 2026Article
- Factors Contributing to Late Breast Cancer Diagnosis: A Qualitative Study on the Patient's Perspective in Tanzania.BMC women's health · 2025Article
- Preferences for clinical trial participation among people who use drugs in rural Oregon and Appalachian Ohio.Drug and alcohol dependence · 2025Article
- Empowering early detection: a pioneering breast health training course for healthcare workers in Malawi.BMJ global health · 2025Article
- Preferences for long-acting injectable HIV pre-exposure prophylaxis service delivery among male and female sex workers in Uganda: A discrete choice experiment.PLOS global public health · 2025Article
- Access to and Utilization of Endocrine Therapy Among Breast Cancer Survivors in Botswana.JCO global oncology · 2024Article
- What Breast Cancer Screening Program do Rural Women Prefer? A Discrete Choice Experiment in Jiangsu, China.The patient · 2024Article
- An examination of variables associated with breast cancer early detection behaviors of women.African health sciences · 2022Article
- Implementation and Evaluation of Educational Videos to Improve Cancer Knowledge and Patient Empowerment.JCO global oncology · 2022Article
- "Some They Need Male, Some They Need Female": A Gendered Approach for Breast Cancer Detection in Uganda.Frontiers in global women's health · 2022Article
- Cancer du sein chez les Rwandaises en âge de procréer du district sud de Kayonza : facteurs influençant les pratiques de dépistage.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2021Article
- Factors influencing breast cancer screening practices among women of reproductive age in South Kayonza District, Rwanda.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2021Article
- Article
- Preferences for Pre-exposure Prophylaxis Service Delivery Among Female Sex Workers in Malawi: A Discrete Choice Experiment.AIDS and behavior · 2020Review
- Population preferences for breast cancer screening policies: Discrete choice experiment in Belarus.PloS one · 2019Article
- Knowledge and Source of Information About Early Detection Techniques of Breast Cancer Among Women in Iran: A Systematic Review.Journal of cancer prevention · 2018Article
- Experiences and perceptions regarding clinical breast exam screening by trained laywomen in Malawi.Cancer causes & control : CCC · 2017Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
purposeBreast cancer is the most common female cancer in Africa and leading cause of death resulting from cancer; however, many countries lack early detection services. In Malawi, women are frequently diagnosed with large tumors after long symptomatic periods. Little is known about local cancer knowledge.
methodsWe administered a cross-sectional survey with a discrete choice experiment to a random sample in urban and rural areas of Lilongwe district. Bivariable and multivariable analyses determined factors associated with knowledge. Preference utilities for early detection interventions were estimated using a hierarchical Bayesian model in Sawtooth software.
resultsOf 213 women recruited, fewer than half were aware of breast cancer. In multivariable analysis, electricity at home and knowing someone with cancer increased the odds of awareness. Women were more knowledgeable about symptoms than treatment or risk factors; more than 60% erroneously believed local misconceptions. Seventeen percent were aware of breast self-examination, and 20% were aware of clinical breast examination (CBE); few reported either behavior. Common barriers included not knowing where to access CBE and transportation difficulties. Discrete choice experiment results indicated the detection strategy (breast health awareness, CBE, or both) was the most important attribute of an intervention, followed by the encounter setting and travel time.
conclusionAddressing misconceptions in health messages and engaging survivors to promote early detection may help improve breast cancer knowledge in Malawi. Program designs accounting for women's preferences should provide breast health education and CBEs in convenient settings to address transportation barriers, particularly for women with low socioeconomic position.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.