Fatma Betül KARAMAN, Hatice SEKMEN, Tuncay Müge ALVUR

Kocaeli Üniversitesi Tıp Fakültesi Kız Öğrencilerinde Meme Kanseri Farkındalığı ve Kendi Kendine Meme Muayenesi

Breast Cancer Awareness and Breast Self-Examination among Undergraduate Medical School Female Students: Kocaeli University-Turkey

Abstract Objective: Cancer is the second most common cause of death in Turkey, following cardiovascular diseases. The aim of this study was to investigate the knowledge and practice of breast self-examination (BSE) among undergraduate female medical school students of Kocaeli University. Methods: This study was carried out among 533 female (mean age 21.2 ±1.9 years; range 17-28) students in the 2014-2015 educational year. A semi-structured questionnaire with five parts (socio-demographics, anthropometric measurements, individual and famlial reproductive and obstetric histories, breast self examination knowledge and pratice frequency, knowledge about breast cancer risk factors) awas used. Results: More than half of the students (n=309, 58%) indicated that they had enough information about breast cancer. Main source of information was “Medical School Lectures” (n=330, 61.9%). According to The Breast Cancer Risk Assessment Form, all of the students had “low risk / below 200 score”. Self rated breast cancer risk was “0” according to 43(9.1%) students; 40.4% (191/472) of students perceived their risks 50% and over. Mean knowledge score was 13.53±2.46; 41/533 students had 17/17 points. Breast self examination was performed “at least monthly” by 128 (57.7%) although 414 (77.7%) of the students declared to know BSE. More than a quarter of the participants (n=165, 30.9%) described BSE and 122 (73.9%) of these descriptions were “sufficient”. As for the reasons of “not performing BSE”; 109 of the students reported BSE as “unnecessary”. Conlusion: Female medical school students who have low risk scores for breast cancer are knowledgeable about breast cancer but still a considerable part of them refrain BSE. Keywords: female medicine students, breast cancer, breast self examination, risk assessment Kocaeli Üniversitesi Tıp Fakültesi Kız Öğrencilerinde Meme Kanseri Farkındalığı ve Kendi Kendine Meme Muayenesi Özet Amaç: Türkiye’de kanser, kalp damar hastalıklarının ardından, ikinci sıradaki ölüm sebebidir. Bu çalışmanın amacı Kocaeli Üniversitesi Tıp Fakültesi’ndeki kız öğrencilerin kendi kendine meme muayenesi (KKMM) hakkında bilgi ve davranışlarını araştırmaktır. Gereç ve Yöntem: Bu çalışma 2014-2015 eğitim yılında yaşları 17 ile 28 arasında bulunan 533 kız öğrencinin katılımı ile gerçekleşmiştir. Beş bölümden oluşan yarı yapılandırılmış anket ile sosyodemgrafik bilgiler, beden ölçüleri, bireye ve aileye ait tıbbi öykü, KKMM bilme ve uygulamasına dair bilgiler ile meme kanseri risk faktörleri hakkındaki bilgiler sorgulanmıştır. Bulgular: Öğrencilerin yarısından fazlası (n=309, %58) meme kanseri hakkında yeterli bilgiye sahip olduklarını belitmişlerdir. Bilginin ana kaynağı 330 öğrenci (%61,9) tarafından “Dersler” olarak gösterilmiştir. Meme Kanseri Riski Değerlendirme Ölçeği’ne göre öğrencilerin tamamı “düşük risk” grubunda yer almaktaydı. Kırküç öğrencinin kendilerine atfettikleri meme kanseri riski “0” iken 191 öğrenci bu riski %50 ve üzerinde belirtmiştir. Ortalama bilgi puanı 13,53±2,46 idi ve 41 öğrenci 17 tam puan aldı. KKMM bildiğini söyleyen 414 (%77,7) öğrenci olmasına rağmen 128’i (%57,7) “ayda en az bir defa” KKMM yapıyordu. KKMM tarifini yapan 165 (%30,9) öğrenciden 122’si (%73,9) “yeterli” olarak değerlendirildi. KKMM 109 öğrenci tarafından “gereksiz” bulunduğu için yapılmıyordu. Sonuç: Meme kanseri için düşük riske sahip tıp fakültesi kız öğrencileri yeterli bilgiye sahip olmalarına rağmen hala düzenli KKMM yapma oranları düşüktür. Anahtar kelimler: tıp fakültesi, kız öğrenci, meme kanseri, kendi kendine meme muayenesi, risk değerlendirme

Keywords:

female medicine students, breast cancer, breast self examination,

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1. Yilmaz D, Bebis H, Ortabag O. Determining the awareness of and compliance with breast cancer screening among Turkish residential women. Asian Pac J Cancer Prev APJCP. 2012 Dec;14(5):3281–8.
2. Ozmen V. Breast Cancer Screening: Current Controversies. J Breast Health. 1(7):1–4.
3. American Cancer Society /Breast Cancer [Internet]. [cited 2016 Jan 15]. Available from: http://www.cancer.org/cancer/breastcancer/
4. Karayurt O, Dramali A. Adaptation of Champion’s Health Belief Model Scale for Turkish women and evaluation of the selected variables associated with breast self-examination. Cancer Nurs. 2007 Feb;30(1):69–77.
5. Fasching PA, Ekici AB, Adamietz BR, Wachter DL, Hein A, Bayer CM, et al. Breast Cancer Risk – Genes, Environment and Clinics. Geburtshilfe Frauenheilkd. 2011 Dec;71(12):1056–66.
6. Seitz HK, Pelucchi C, Bagnardi V, La Vecchia C. Epidemiology and pathophysiology of alcohol and breast cancer: Update 2012. Alcohol Alcohol Oxf Oxfs. 2012 Jun;47(3):204–12.
7. Reynolds P. Smoking and breast cancer. J Mammary Gland Biol Neoplasia. 2013 Mar;18(1):15–23.
8. Peltzer K, Pengpid S. Awareness of breast cancer risk among female university students from 24 low, middle income and emerging economy countries. Asian Pac J Cancer Prev APJCP. 2014;15(18):7875–8.
9. Peto J. Cancer epidemiology in the last century and the next decade. Nature. 2001 May 17;411(6835):390–5.
10. Danaei G, Vander Hoorn S, Lopez AD, Murray CJL, Ezzati M, Comparative Risk Assessment collaborating group (Cancers). Causes of cancer in the world: comparative risk assessment of nine behavioural and environmental risk factors. Lancet. 2005 Nov 19;366(9499):1784–93.
11. Gürsoy AA, Yigitbas C, Yilmaz F, Erdöl H, Bulut HK, Mumcu HK, et al. The Effects of Peer Education on University Students’ Knowledge of Breast Self-Examination and Health Beliefs. J Cancer Educ. 2009 Oct 20;24(4):331–3.
12. Harvey JA, Mahoney MC, Newell MS, Bailey L, Barke LD, D’Orsi C, et al. ACR appropriateness criteria palpable breast masses. J Am Coll Radiol JACR. 2013 Oct;10(10):742–9.e1–3.
13. Akhtari-Zavare M, Juni MH, Said SM, Ismail IZ. Beliefs and behavior of Malaysia undergraduate female students in a public university toward breast self-examination practice. Asian Pac J Cancer Prev APJCP. 2013;14(1):57–61.
14. Köse MR, Bora Başara B, Güler C, Yentür GK. T.C. Sağlık Bakanlığı Sağlık İstatistikleri Yıllığı, 2013 [Internet]. Ankara: Sentez Matbaacılık ve Yayıncılık, ANKARA; 2014 [cited 2015 Feb 13]. Available from: http://sbu.saglik.gov.tr/Ekutuphane/kitaplar/sağlık%20istatistik%20yıllığı%202013.pdf
15. Anders CK, Hsu DS, Broadwater G, Acharya CR, Foekens JA, Zhang Y, et al. Young age at diagnosis correlates with worse prognosis and defines a subset of breast cancers with shared patterns of gene expression. J Clin Oncol Off J Am Soc Clin Oncol. 2008 Jul 10;26(20):3324–30. 16. Clinical Practice Guidelines for the Management and Support of Younger Women with Breast Cancer [Internet]. 2003 [cited 2016 Jan 16]. Available from: http://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/cp101.pdf?q=publications/synopses/_files/cp101.pdf
17. Harris J, Morrow M, Norton L. Malingnant tumors of the breast cancer principles. Phidelphia; 1997.
18. Topuz E, Aydıner A, Dinçer M. Breast Cancer. İstanbul: Nobel Print House; 2003. 13-33 90-107 p.
19. Koc Z, Saglam S. Determination of the knowledge and the practice of female patients about breast cancer, preventive measures and breast self examination and effectiveness of education. J Breast Health. 2009;(5):25–33.
20. Eroglu C, Eryilmaz MA, Civcik S, Gurbuz Z. Meme Kanseri Risk Değerlendirmesi: 5000 Olgu. Int J Hematology and Oncology. 2010;(1):27–33.
21. Yılmaz M, Seki Z, Gürler H, Çiftçi S. Evaluation of risk factors of breast cancer in women employees in a university. DEUHYO ED. 2010;(3(2)):65–71.
22. Merey S. Breast cancer screening behaviors of women [Masters’s Thesis]. Health Sciences Institute, İstanbul University, İstanbul, Turkey.; 2002.
23. Han H-R, Lee H, Kim MT, Kim KB. Tailored lay health worker intervention improves breast cancer screening outcomes in non-adherent Korean-American women. Health Educ Res. 2009 Apr;24(2):318–29.
24. Collaborative Group on Hormonal Factors in Breast Cancer. Breast cancer and hormonal contraceptives: collaborative reanalysis of individual data on 53 297 women with breast cancer and 100 239 women without breast cancer from 54 epidemiological studies. Lancet Lond Engl. 1996 Jun 22;347(9017):1713–27.
25. Kahlenborn C, Modugno F, Potter DM, Severs WB. Oral Contraceptive Use as a Risk Factor for Premenopausal Breast Cancer: A Meta-analysis. Mayo Clin Proc. 2006 Oct;81(10):1290–302.
26. Johnson N, Dickson-Swift V. It usually happens in older women’: Young women’s perceptions about breast cancer. Health Educ J. 2008;67(4):243–57.
27. Baughman, Diane C, Hackley, Joann C. Handbook for Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. Lippincott Williams & Wilkins; 1996.
28. Carpenter LC, Black JM, Jacobs EM. Nursing care of clients with breast disorders clinical management for continuity of care. London: W.B. Saunders Company; 1998.
29. Weiss NS. Breast cancer mortality in relation to clinical breast examination and breast self-examination. Breast J. 2003 Jun;9 Suppl 2:S86–9.
30. Sevil U, Atan SU, Kiris H, Tok F, Colak G, Sagit B, et al. Peer education project on breast self-examination in Izmir, Turkey. Asian Pac J Cancer Prev APJCP. 2005 Mar;6(1):29–32.
31. Guney E. İzmir’de bir fabrikada çalışan kadınların sağlık inançları ile sosyo-demografik özelliklerinin meme kanseri erken tanı davranışlarına etkisi [Tez]. [İzmir]: Dokuz Eylül Üniversitesi; 2009.
32. Ürkmez E. Screening of Breast Cancer Risk with Gail Model Among Women of Aged 40-69 in Eskisehir. Eskisehir: University of Eskisehir Osmangazi; 2009.
33. GLOBOCAN [Internet]. [cited 2016 Jan 15]. Available from: http://globocan.iarc.fr/Pages/fact_sheets_cancer.aspx

ISSN: 1309-3878
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 2009
Yayıncı: Düzce Üniversitesi Tıp Fakültesi Aile Hekimliği AD adına Yrd.Doç.Dr.Cemil Işık Sönmez