Low Awareness of Breast Cancer and Considerable Barriers to Early Presentation Among Saudi Women at a Primary Care Setting
- 206 Downloads
In Saudi Arabia, breast cancer is diagnosed at advanced stage compared to Western countries. Nevertheless, the perceived barriers to delayed presentation have been poorly examined. Additionally, available breast cancer awareness data are lacking validated measurement tool. The aim of this study is to evaluate the level of breast cancer awareness and perceived barriers to seeking medical care among Saudi women, using internationally validated tool. A cross-sectional study was conducted among adult Saudi women attending a primary care center in Riyadh during February 2014. Data were collected using self-administered questionnaire based on the Breast Cancer Awareness Measure (CAM-breast). Out of 290 women included, 30 % recognized five or more (out of nine) non-lump symptoms of breast cancer, 31 % correctly identified the risky age of breast cancer (set as 50 or 70 years), 28 % reported frequent (at least once a month) breast checking. Considering the three items of the CAM-breast, only 5 % were completely aware while 41 % were completely unaware of breast cancer. The majority (94 %) reported one or more barriers. The most frequently reported barrier was the difficulty of getting a doctor appointment (39 %) followed by worries about the possibility of being diagnosed with breast cancer (31 %) and being too busy to seek medical help (26 %). We are reporting a major gap in breast cancer awareness and several logistic and emotional barriers to seeking medical care among adult Saudi women. The current findings emphasized the critical need for an effective national breast cancer education program to increase public awareness and early diagnosis.
KeywordsAwareness Barriers Breast cancer Primary care Saudi Arabia
Prof. Riaz Qureshi, Dr. Noura AL-Rowais, Dr. Raba’a AL-Momen, Dr. Salwa Tayel, and Dr. Amna Siddiqui.
Compliance with Ethical Standards
The study obtained all required ethical approvals from the Institutional Review Board (IRB) of King Saud University.
- 2.Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin D, Forman D, Bray, F 2013 GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11 [Internet]. Lyon, France: International Agency for Research on Cancer; 2013. URL: http://globocan.iarc.fr (Last accessed May 20, 2016)
- 3.Saudi Cancer Registry (2010) Cancer Incidence Report, Saudi Arabia, 2010. Revised April 2016. URL: http://www.chs.gov.sa/Ar/HealthRecords/CancerRegistry/CancerRegistryReports/2010%20Report.pdf (Last accessed May, 20, 2016).
- 9.Moawed SA, Bin Jumah JA (2013) Knowledge & practice of Saudi women about the prevention of breast cancer. Int J Appl Sci Technol 3:8–13Google Scholar
- 13.Dardas N (2013) Knowledge and awareness about breast cancer among primary care attendees in Al-Khobar City, eastern Saudi Arabia. Int J Med Health Sci 2:95–105Google Scholar
- 15.Habib F, Salman S, Safwat M, Shalaby S (2010) Awareness and knowledge of breast cancer among university students in Al Madina Al Munawara Region. Middle East. J Cancer 1:159–166Google Scholar
- 18.Rudat V, Brune-Erbe I, Noureldin A, Bushnag Z, Almuraikhi N, Altuwaijri S (2012) Epidemiology of breast cancer patients at a tertiary care center in the Eastern Province of Saudi Arabia. Gulf J Oncolog:45–49Google Scholar
- 20.United Nations (2015) World Population Prospects, the 2015 Revision. URL: https://esa.un.org/unpd/wpp/ (Last accessed May, 20, 2016)
- 21.El Bcheraoui C, Basulaiman M, Wilson S, Daoud F, Tuffaha M, AlMazroa MA, Memish ZA, Al Saeedi M, Mokdad AH (2015) Breast cancer screening in Saudi Arabia: free but almost no takers. PLoS One 10 e0119051Google Scholar
- 22.Sharma K, Costas A, Shulman LN, Meara JG (2012) A systematic review of barriers to breast cancer care in developing countries resulting in delayed patient presentation. J Oncol 2012 121873Google Scholar
- 24.Cancer Research UK (2011). Breast Cancer Awareness Measure (Breast CAM) ToolkitGoogle Scholar
- 27.Al-Zalabani AH, Alharbi KD, Fallatah NI, Alqabshawi RI, Al-Zalabani AA, Alghamdi SM (2016) Breast Cancer Knowledge and Screening Practice and Barriers Among Women in Madinah, Saudi Arabia. J Cancer EducGoogle Scholar
- 34.Madkhali NA, Santin O, Noble H, Reid J (2016) Understanding breast health awareness in an Arabic culture: qualitative study protocol. J Adv NursGoogle Scholar