TY - JOUR
T1 - Prevalence and determinants of breast cancer screening in four sub-Saharan African countries
T2 - a population-based study
AU - Ba, Djibril M.
AU - Ssentongo, Paddy
AU - Agbese, Edeanya
AU - Yang, Yanxu
AU - Cisse, Ramata
AU - Diakite, Brehima
AU - Traore, Cheick Bougadari
AU - Kamate, Bakarou
AU - Kassogue, Yaya
AU - Dolo, Guimogo
AU - Dembele, Etienne
AU - Diallo, Hama
AU - Maiga, Mamoudou
N1 - Publisher Copyright:
© Author(s) (or their employer(s)) 2020.
PY - 2020/10/12
Y1 - 2020/10/12
N2 - Objectives Breast 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. Design A 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. Setting Four countries participating in the DHS from 2010 to 2014 with data on breast cancer screening. Participants Women of reproductive age 15-49 years (N=39 646). Results The 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. Conclusion Despite 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.
AB - Objectives Breast 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. Design A 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. Setting Four countries participating in the DHS from 2010 to 2014 with data on breast cancer screening. Participants Women of reproductive age 15-49 years (N=39 646). Results The 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. Conclusion Despite 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.
KW - breast tumours
KW - epidemiology
KW - preventive medicine
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U2 - 10.1136/bmjopen-2020-039464
DO - 10.1136/bmjopen-2020-039464
M3 - Article
C2 - 33046473
AN - SCOPUS:85092886258
SN - 2044-6055
VL - 10
JO - BMJ open
JF - BMJ open
IS - 10
M1 - 039464
ER -
