Evidence map›Paper›PMID 30755192›Full record

ArticleBMC public health2019

Breast Cancer knowledge, perceptions and practices in a rural Community in Coastal Kenya.

Shahin Sayed, Anthony K Ngugi, Megan R Mahoney, Jaameeta Kurji, Zohray M Talib, Sarah B Macfarlane, Theresa A Wynn, Mansoor Saleh, Amyn Lakhani, Esther Nderitu and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 9 institutions in 3 countries.

Shahin SayedDepartment of Pathology, Faculty of Health Sciences - East Africa, Aga, Khan University Nairobi, 3rd Parklands Avenue, P.O. Box 30270-00100, Nairobi, Kenya. shaheen.sayed@aku.edu.ORCID http://orcid.org/0000-0002-3472-511X
Anthony K NgugiCentre for Population, Faculty of Health Sciences - East Africa, Aga Khan University, Nairobi, 3rd Parklands Avenue, P.O. Box 30270-00100, Nairobi, Kenya.
Megan R MahoneyDepartment of Medicine General Medicines Discipline Stanford, University, Palo Alto-C, 291 Campus Dr.Palo Alto, California, CA, 94305, USA.
Jaameeta KurjiUniversity of Ottawa, School of Epidemiology, Public Health & Preventive Medicine, Alta Vista Campus 600 Peter Morand Crescent,Ottawa, Ontario, K1G 5Z3, Canada.
Zohray M TalibDepartment of Medicine and of Health Policy and Management, The George Washington University (GWU) Medical School, Ross Hall, 2300 Eye Street, Washington D.C., NW, 20037, USA.
Sarah B MacfarlaneDepartment of Epidemiology and Biostatistics, School of Medicine, University of California San Francisco, San Francisco, Mission Hall: Global Health & Clinical Sciences Building 550 16th Street, 2nd Floor Box #0560, San Francisco, CA, 94158-2549, USA.
Theresa A WynnUniversity of Alabama at Birmingham, School of Medicine, Division of Preventive Medicine, University of Alabama, Medical Towers, MT-621. 1720 2nd Ave South, Birmingham, AL, 35294-4410, USA.
Mansoor SalehDepartment of Medicine, University of Alabama Comprehensive Cancer Center, Birmingham, Alabama, USA Wallace Tumor Institute, WTI 202. 1720 2nd Ave South, Birmingham, AL, 35294-3300, USA.
Amyn LakhaniMombasa Research Office, Faculty of Health Sciences - East Africa, Aga Khan University, 3rd Parklands Avenue, P.O. Box 30270-00100, Nairobi, Kenya.
Esther NderituSchool of Nursing and Midwifery, Aga Khan University Nairobi Kenya, 3rd Parklands Avenue, P.O. Box 30270-00100, Nairobi, Kenya.
Felix AgoiMombasa Research Office, Faculty of Health Sciences - East Africa, Aga Khan University, 3rd Parklands Avenue, P.O. Box 30270-00100, Nairobi, Kenya.
Zul PremjiDepartment of Pathology, Faculty of Health Sciences - East Africa, Aga, Khan University Nairobi, 3rd Parklands Avenue, P.O. Box 30270-00100, Nairobi, Kenya.
Jo Anne ZujewskiJZ Oncology, JZ Oncology , 4525 North Chelsea Lane, Bethesda, MD, 20814, USA.
Zahir MolooDepartment of Pathology, Faculty of Health Sciences - East Africa, Aga, Khan University Nairobi, 3rd Parklands Avenue, P.O. Box 30270-00100, Nairobi, Kenya.
Aga Khan University Nairobi · KEAga Khan University Hospital Nairobi · KEGeorge Washington University · USPalo Alto University · USUniversity of Alabama · USUniversity of Alabama at Birmingham · USUniversity of California, San Francisco · USUniversity of Ottawa · CAZSX Medical (United States) · US

Funding

University Research Council, Aga Khan University 142007EA
6 · The paper itself

Abstract

backgroundData on breast healthcare knowledge, perceptions and practice among women in rural Kenya is limited. Furthermore, the role of the male head of household in influencing a woman's breast health seeking behavior is also not known. The aim of this study was to assess the knowledge, perceptions and practice of breast cancer among women, male heads of households, opinion leaders and healthcare providers within a rural community in Kenya. Our secondary objective was to explore the role of male heads of households in influencing a woman's breast health seeking behavior.

methodsThis was a mixed method cross-sectional study, conducted between Sept 1st 2015 Sept 30th 2016. We administered surveys to women and male heads of households. Outcomes of interest were analysed in Stata ver 13 and tabulated against gender. We conducted six focus group discussions (FGDs) and 22 key informant interviews (KIIs) with opinion leaders and health care providers, respectively. Elements of the Rapid Assessment Process (RAP) were used to guide analysis of the FGDs and the KIIs.

resultsA total of 442 women and 237 male heads of households participated in the survey. Although more than 80% of respondents had heard of breast cancer, fewer than 10% of women and male heads of households had knowledge of 2 or more of its risk factors. More than 85% of both men and women perceived breast cancer as a very serious illness. Over 90% of respondents would visit a health facility for a breast lump. Variable recognition of signs of breast cancer, limited decision- autonomy for women, a preference for traditional healers, lack of trust in the health care system, inadequate access to services, limited early-detection services were the six themes that emerged from the FGDs and the KIIs. There were discrepancies between the qualitative and quantitative data for the perceived role of the male head of household as a barrier to seeking breast health care.

conclusionsDetermining level of breast cancer knowledge, the characteristics of breast health seeking behavior and the perceived barriers to accessing breast health are the first steps in establishing locally relevant intervention programs.

Indexed as

Health Knowledge, Attitudes, PracticeRural PopulationAdolescentAdultBreast NeoplasmsCross-Sectional StudiesFamily CharacteristicsFemaleFocus GroupsHealth Services AccessibilityHumansKenyaMaleMiddle AgedPatient Acceptance of Health CareRoleAttitudesBarriersBreast cancerBreast health careKenyaKnowledgeMale heads of households

Identifiers

PMID30755192
PMCPMC6373063
OpenAlexW2931328271

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.