Evidence map›Paper›PMID 35449048›Full record

ArticleBMC public health2022

Women's awareness of breast cancer symptoms: a national cross-sectional study from Palestine.

Mohamedraed Elshami, Ibrahim Al-Slaibi, Roba Jamal Ghithan, Mohammed Alser, Nouran Ramzi Shurrab, Islam Osama Ismail, Ibtisam Ismail Mahfouz, Aseel AbdulQader Fannon, Malak Ayman Qawasmi, Mona Radi Hawa and 23 more

Abstract read
In one paragraph

Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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

19 citing papers in PubMed.

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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

33 authors.

Mohamedraed ElshamiDivision of Surgical Oncology, Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA. mohamedraed.elshami@gmail.com.
Ibrahim Al-SlaibiAlmakassed Hospital, Jerusalem, Palestine.
Roba Jamal GhithanFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Mohammed AlserMinistry of Health, Gaza, Palestine.
Nouran Ramzi ShurrabFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Islam Osama IsmailFaculty of Medicine, Al Azhar University-Gaza, Gaza, Palestine.
Ibtisam Ismail MahfouzFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Aseel AbdulQader FannonFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Malak Ayman QawasmiDepartment of Medical Laboratory Sciences, Hebron University, Hebron, Palestine.
Mona Radi HawaTulkarem Governmental Hospital, Tulkarem, Palestine.
Narmeen GiacamanFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Manar AhmaroFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Heba Mahmoud OkshiyaAl-Shifa Hospital, Gaza, Palestine.
Rula Khader ZaatrehCaritas Baby Hospital, Bethlehem, Palestine.
Wafa Aqel AbuKhalilFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Faten Darwish UsrofDepartment of Medical Laboratory Sciences, Faculty of Sciences, Islamic University of Gaza, Gaza, Palestine.
Noor Khairi MelhimDepartment of Pharmacy, An-Najah National University, Nablus, Palestine.
Ruba Jamal MadbouhFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Hala Jamal Abu HziemaFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Raghad Abed-Allateef LahloohFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Sara Nawaf UbaiatFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Nour Ali JaffalFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Reem Khaled AlawnaFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Salsabeel Naeem AbedFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Bessan Nimer AbuzahraFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Aya Jawad Abu KwaikFaculty of Dentistry, Al-Quds University, Jerusalem, Palestine.
Mays Hafez DodinFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Raghad Othman TahaFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Dina Mohammed AlashqarFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Roaa Abd-Alfattah MobarakFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Tasneem SmeratFaculty of Medicine and Health Sciences, Palestine Polytechnic University, Hebron, Palestine.
Nasser Abu-El-Noor *Faculty of Nursing, Islamic University of Gaza, Gaza, Palestine.
Bettina Bottcher *Faculty of Medicine, Islamic University of Gaza, Gaza, Palestine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly diagnosis is crucial to reduce the morbidity and mortality associated with breast cancer (BC). Awareness of BC symptoms plays a key role in this. This study aimed to evaluate the Palestinian women's awareness of BC symptoms and determine factors associated with good awareness.

methodsThis was a national cross-sectional study conducted from July 2019 to March 2020 in Palestine. Convenience sampling was used to recruit adult women from hospitals, primary healthcare centers, and public spaces located in 11 governorates. A translated-into-Arabic version of the validated BC awareness measure was utilized for data collection. The awareness level was categorized based on the number of symptoms recognized into: poor (0 to 4), fair (5 to 9), and good (10 to 13).

resultsOf 6269 approached, 5434 participants completed the questionnaire (response rate = 86.7%). A total of 5257 questionnaires were included in the analysis: 2551 from the Gaza Strip and 2706 from the West Bank and Jerusalem (WBJ). Participants living in the WBJ were more likely to be older, have higher monthly income, and suffer from more chronic diseases than participants living in the Gaza Strip. The most frequently identified BC symptom was 'lump or thickening in the breast' (n = 4887, 92.9%) followed by 'lump or thickening under the armpit' (n = 4394, 83.6%). The least frequently identified symptoms were 'pulling in of the nipple' (n = 2665, 50.7%) and 'change in the position of the nipple' (n = 2710, 51.6%). A total of 2191 participants (41.7%) demonstrated good awareness of BC symptoms. Participants from the Gaza Strip were more likely than participants from the WBJ to have good awareness (47.0.0% vs. 36.7%). On the multivariable analysis, being ≥ 40 years, completing a post-secondary education, knowing someone with cancer, and visiting hospitals and primary healthcare centers were all associated with an increase in the likelihood of having good awareness. However, living in the WBJ was associated with a decrease in the likelihood of having good awareness.

conclusionLess than half of women included in this study showed good awareness of BC symptoms. More targeted educational interventions are needed to promote Palestinian women's awareness of BC symptoms to facilitate early diagnosis.

Indexed as

ArabsBreast NeoplasmsAdultCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansSurveys and QuestionnairesAwarenessBreast cancerEarly detectionEarly presentationHealth educationPalestineSurvivalSymptom

Identifiers

PMID35449048
PMCPMC9027340

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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.