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Breast Cancer knowledge, perceptions and practices in a rural Community in Coastal Kenya
Shahin Sayed1, Anthony K Ngugi2, Megan R Mahoney3
1Department of Pathology, Faculty of Health Sciences - East Africa, Aga, Khan University Nairobi, 3rd Parklands Avenue, P.O. Box 30270-00100, Nairobi, Kenya. shaheen.sayed@aku.edu.
BMC Public Health
|February 14, 2019
Summary
Limited breast cancer knowledge exists in rural Kenya, despite high perceived seriousness. Male household heads
Area of Science:
- Public Health
- Oncology
- Sociology
Background:
- Limited data exists on breast healthcare knowledge, perceptions, and practices among women in rural Kenya.
- The influence of male heads of households on women's breast health-seeking behaviors is largely unknown.
Purpose of the Study:
- To assess breast cancer knowledge, perceptions, and practices among women, male heads of households, opinion leaders, and healthcare providers in rural Kenya.
- To explore the role of male heads of households in influencing women's breast health-seeking behaviors.
Main Methods:
- A mixed-method cross-sectional study conducted from September 2015 to September 2016.
- Surveys administered to 442 women and 237 male heads of households.
- Six focus group discussions and 22 key informant interviews were conducted.
Main Results:
- Over 80% of respondents had heard of breast cancer, but fewer than 10% knew two or more risk factors.
- More than 85% perceived breast cancer as serious, and over 90% would seek care for a breast lump.
- Qualitative data revealed themes of variable sign recognition, limited female autonomy, preference for traditional healers, mistrust in healthcare, inadequate access, and limited early detection services.
Conclusions:
- Assessing breast cancer knowledge, health-seeking behaviors, and perceived barriers is crucial for developing effective local interventions.
- Understanding these factors is the first step toward improving breast health outcomes in rural Kenyan communities.
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