Kizima Murekatete
University of Rwanda, Rwanda
Posters-Accepted Abstracts: J Cancer Sci Ther
Background: All cancers begin in cells. Our bodies are made up of more than a hundred million million (100,000,000,000,000) cells. Cancer starts with changes in one cell or a small group of cells. Usually we have just the right number of each type of cell. This is because cells produce signals to control how much and how often the cells divide. If any of these signals are faulty or missing, cells may start to grow and multiply too much and form a lump called a tumour. Where the cancer starts is called the primary tumour. As far as breast cancer is concerned it is estimated that about 30% of breast cancer cases could be prevented through changes in lifestyle but high breast cancer mortality has been attributed to lack of public awareness, which leads to late diagnoses. As little is known about the level of knowledge and awareness of breast cancer in Rwanda, this study was designed to explore it among women throughout the country. Methods: We conducted a cross-sectional survey covering 122,058 females around five provinces of Rwanda, using in-person interviews based on a self-designed structured questionnaire. Studentâ??s t-test, Pearsonâ??s Ï?2 test, reliability analysis, exploratory factor analysis, univariate and multivariate logistic regression analyses were performed in the statistical analysis. Results: The results showed poor awareness of breast cancer among women aged 25â??70 years in Rwanda. Only 18.6% of women were highly aware in the study, whereas 81.4% were poorly aware. Among all participants, family history of breast cancer was the best accepted risk factor for breast cancer (awareness rate 31.5%), followed by menarche at age before 12 (11.2%), no parity or late childbirth (13.9%), menopause at a late age (13.7%), high-fat diets (19.1%), long time drinking (19.5%) and long-term use of estrogen drugs (20.7%). Conclusions: Our study indicates insufficient awareness of breast cancer among women in Rwanda, and an urgent need for health education programs on this subject because the earlier breast cancer is found, the better the chance of beating it.
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