Racine L, Andsoy I, Maposa S, Vatanparast H, Fowler-Kerry S. Examination of Breast Cancer Screening Knowledge, Attitudes, and Beliefs among Syrian Refugee Women in a Western Canadian Province.
Can J Nurs Res 2021;
54:177-189. [PMID:
34038264 PMCID:
PMC9109584 DOI:
10.1177/08445621211013200]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Background
Women living in the Arab world present low breast cancer screening rates,
delayed diagnosis, and higher mortality rates.
Purpose
To further explore the Muslim Syrian refugee women’s breast self-examination
(BSE), utilization of clinical breast examination (CBE) and mammography.
Methods
A cross-sectional descriptive exploratory study design was used. The sample
consisted of 75 refugee women. Data were collected using Champion’s Health
Belief Model Scale, the Cancer Stigma Scale, and the Arab Culture-Specific
Barriers to Breast Cancer Questionnaire. Descriptive, Pearson correlation
and logistic regression analyses were used to analyze the data.
Results
A minority of women had BSE (32%), CBE (12%) and mammograms (6.7%) anytime
during their lifetime. Women’s breast cancer screening (BCS) knowledge
ranked at a medium level (M = 10.57, SD = 0.40). Low knowledge score, BSE
information, policy opposition, responsibility, barriers to BSE, and
seriousness were found to be statistically significant in women’s BSE
practice. BSE benefits and religious beliefs significantly predict CBE Age,
education, knowledge, responsibility, susceptibility, social barriers, and
religious beliefs were statistically significant in women’s mammography use
(p < .01).
Conclusions
Participants’ breast cancer screening practices were low. Health beliefs,
Arab culture and stigma about cancer affected women’s BCS practices.
Faith-based interventions may improve knowledge and practices.
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