Predictors of breast cancer screening among women of reproductive age in Tanzania: Evidence from DHS 2022.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2024
Historique:
received: 03 02 2024
accepted: 17 10 2024
medline: 2 11 2024
pubmed: 2 11 2024
entrez: 1 11 2024
Statut: epublish

Résumé

Breast cancer is a global concern, with 2.3 million new cases and 685,000 deaths recorded in 2020, and projections of reaching 4.4 million cases by 2070. In Tanzania, it's the second leading cause of cancer-related deaths among women, often diagnosed at advanced stages, leading to poor outcomes. Only 5% of women in the country report undergoing breast cancer screening, the aim study is to determine factors associated with breast cancer screening in Tanzania. This was analytical cross-sectional study among women of reproductive age in Tanzania, utilizing data from the Demographic and Health Surveys (DHS) which employed a two-stage probability sampling. A weighted sample of 15,189 women of reproductive age (15-49) was included in the study. Binary logistic regression analysis was used to examine factors associated with breast cancer screening. These results were presented using adjusted odds ratio (AOR) with a 95% confidence interval. After controlling for other factors, the following factors remained significantly associated with breast cancer screening among women of reproductive age; age(AOR = 5.33, 95% CI 3.72, 7.63), being wealthy (AOR = 2.34, 95% CI 1.61, 3.38), residing in rural(AOR = 0.59, 95% CI 0.46, 0.763), being educated(AOR = 2.43, 95% CI 1.60, 3.68), being insured(AOR = 2.40, 95% CI 1.89, 3.06), healthcare facility visits in the past 12 months(AOR = 1.43, 95% CI 1.14, 1.78) and living in Northern zone (AOR = 2.43, 95% CI 1.42, 4.15) compared to western zone. Breast cancer screening is still under-utilized and have shown to be marginalized in women of reproductive age. Upgrading diagnostic services, comprehensive health education and awareness campaigns are instrumental to increase utilization and reduction of burden of breast cancers in Tanzania.

Sections du résumé

BACKGROUND BACKGROUND
Breast cancer is a global concern, with 2.3 million new cases and 685,000 deaths recorded in 2020, and projections of reaching 4.4 million cases by 2070. In Tanzania, it's the second leading cause of cancer-related deaths among women, often diagnosed at advanced stages, leading to poor outcomes. Only 5% of women in the country report undergoing breast cancer screening, the aim study is to determine factors associated with breast cancer screening in Tanzania.
METHODS METHODS
This was analytical cross-sectional study among women of reproductive age in Tanzania, utilizing data from the Demographic and Health Surveys (DHS) which employed a two-stage probability sampling. A weighted sample of 15,189 women of reproductive age (15-49) was included in the study. Binary logistic regression analysis was used to examine factors associated with breast cancer screening. These results were presented using adjusted odds ratio (AOR) with a 95% confidence interval.
RESULTS RESULTS
After controlling for other factors, the following factors remained significantly associated with breast cancer screening among women of reproductive age; age(AOR = 5.33, 95% CI 3.72, 7.63), being wealthy (AOR = 2.34, 95% CI 1.61, 3.38), residing in rural(AOR = 0.59, 95% CI 0.46, 0.763), being educated(AOR = 2.43, 95% CI 1.60, 3.68), being insured(AOR = 2.40, 95% CI 1.89, 3.06), healthcare facility visits in the past 12 months(AOR = 1.43, 95% CI 1.14, 1.78) and living in Northern zone (AOR = 2.43, 95% CI 1.42, 4.15) compared to western zone.
CONCLUSION CONCLUSIONS
Breast cancer screening is still under-utilized and have shown to be marginalized in women of reproductive age. Upgrading diagnostic services, comprehensive health education and awareness campaigns are instrumental to increase utilization and reduction of burden of breast cancers in Tanzania.

Identifiants

pubmed: 39485789
doi: 10.1371/journal.pone.0298996
pii: PONE-D-24-03523
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0298996

Informations de copyright

Copyright: © 2024 Tibenderana et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Auteurs

Jovin R Tibenderana (JR)

Department of Epidemiology and Biostatistics, Kilimanjaro Christian Medical University College, Moshi, Tanzania.

Sanun Ally Kessy (SA)

Department of Epidemiology and Biostatistics, Kilimanjaro Christian Medical University College, Moshi, Tanzania.

Dosanto Felix Mlaponi (DF)

Department of Epidemiology and Biostatistics, Kilimanjaro Christian Medical University College, Moshi, Tanzania.

Ndinagwe Lloyd Mwaitete (NL)

Institute of Public Health, Kilimanjaro Christian Medical University College, Moshi, Tanzania.

John Elyas Mtenga (JE)

Institute of Public Health, Kilimanjaro Christian Medical University College, Moshi, Tanzania.

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