ArticleBMJ open2020
Prevalence and determinants of breast cancer screening in four sub-Saharan African countries: a population-based study.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 3 of them syntheses that pooled it.
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Who cites it
55 citing papers in PubMed, 3 syntheses or guidelines pooled it, 76 citations in OpenAlex.
- Prevalence and multilevel factors associated with clinical breast examination uptake among women in sub-Saharan Africa: a systematic review and meta-analysis.Frontiers in oncology · 2026Pooled it
- Advancing Mammographic Screening Among Underserved Groups: A Systematic Review and Meta-Analysis of Intervention Strategies to Increase Breast Cancer Screening Uptake.Public health reviews · 2025Pooled it
- Barriers and enablers of breast cancer screening among women in East Africa: a systematic review.BMC public health · 2023Pooled it
- Review
- Effectiveness of health education interventions on breast cancer literacy and breast screening uptake in sub-Saharan Africa: a systematic review protocol.Systematic reviews · 2026Article
- KNOWLEDGE AND PREVALENCE OF THE ADOPTION OF BREAST CANCER SCREENING PRACTICES AMONG FEMALE LAW STUDENTS OF OSUN STATE UNIVERSITY, NIGERIA.Annals of Ibadan postgraduate medicine · 2026Article
- Clinical Breast Examination Uptake among Reproductive Aged Women in Zambia: Evidence from the 2024 Zambia Demographic and Health Survey.Research square · 2026Article
- Association between mass media exposure and cervical cancer screening uptake among women aged 30-49 years in four sub-Saharan African countries: a pooled analysis of demographic and health surveys.BMC women's health · 2025Article
- Internet use and uptake of clinical breast examination among Kenyan women of reproductive age.Scientific reports · 2025Article
- Breast cancer screening uptake and its associated factors among women in Ghana: evidence from the 2022 Demographic and Health Survey.Archives of public health = Archives belges de sante publique · 2025Article
- The use of standardised tools to measure post-mastectomy quality of life among women in Africa: a scoping review.BMC women's health · 2025Article
- Factors Determining Women's Attitudes and Knowledge Toward Breast Cancer Screening: A Systematic Review.Healthcare (Basel, Switzerland) · 2025Review
- A Bayesian Logistic Regression Approach to Investigating the Determinants Associated with Never Having Been Screened for Cervical Cancer Amongst Child-Bearing-Age Women in Jordan.International journal of environmental research and public health · 2025Article
- Investigating the Factors Influencing Traditional Male Circumcision and Its Contribution to HIV Transmission Amongst Men in Lesotho: A Multilevel Binary Logistic Regression Approach.International journal of environmental research and public health · 2025Article
- Determinants of chronic non-communicable disease screening among adults in Ghana.Health promotion international · 2025Article
- Unlocking insights: exploring mammography beliefs among Teshie community mothers - a qualitative exploratory descriptive study.BMJ open · 2025Article
- A Life course approach to investigate breast cancer and migration in the greater Paris area: the SENOVIE study protocol.BMJ open · 2025Observational
- Prevalence and determinants of pregnancy termination for childbearing women using the modified Poisson regression model: a cross-sectional study of the Tanzania Demographic and Health Survey (TDHS) 2022.BMC public health · 2025Article
- Factors influencing clinical breast cancer screening: A cross-sectional study among Islamic women in Kumasi Metropolis of Ghana.PloS one · 2025Article
- Factors associated with the uptake of clinical breast examination for early detection of breast cancer: interaction analysis of the 2022 Tanzania Demographic and Health Survey and Malaria Indicator Survey.BMJ public health · 2025Article
Corrections and comments
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Authors and funding
13 authors at 4 institutions in 2 countries.
Funding
Abstract
objectivesBreast cancer is the most prevalent cancer and the second leading cause of cancer-related deaths among women after cervical cancer in much of sub-Saharan Africa. This study aims to examine the prevalence and sociodemographic-socioeconomic factors associated with breast cancer screening among women of reproductive age in sub-Saharan Africa.
designA weighted population-based cross-sectional study using Demographic and Health Surveys (DHS) data. We used all available data on breast cancer screening from the DHS for four sub-Saharan African countries (Burkina Faso, Ivory Coast, Kenya and Namibia). Breast cancer screening was the outcome of interest for this study. Multivariable Poisson regression was used to identify independent factors associated with breast cancer screening.
settingFour countries participating in the DHS from 2010 to 2014 with data on breast cancer screening.
participantsWomen of reproductive age 15-49 years (N=39 646).
resultsThe overall prevalence of breast cancer screening was only 12.9% during the study period, ranging from 5.2% in Ivory Coast to 23.1% in Namibia. Factors associated with breast cancer screening were secondary/higher education with adjusted prevalence ratio (adjusted PR)=2.33 (95% CI: 2.05 to 2.66) compared with no education; older participants, 35-49 years (adjusted PR=1.73, 95% CI : 1.56 to 1.91) compared with younger participants 15-24 years; health insurance coverage (adjusted PR=1.57, 95% CI: 1.47 to 1.68) compared with those with no health insurance and highest socioeconomic status (adjusted PR=1.33, 95% CI : 1.19 to 1.49) compared with lowest socioeconomic status.
conclusionDespite high breast cancer mortality rates in sub-Saharan Africa, the prevalence of breast cancer screening is substantially low and varies gradually across countries and in relation to factors such as education, age, health insurance coverage and household wealth index level. These results highlight the need for increased efforts to improve the uptake of breast cancer screening in sub-Saharan Africa.
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