A. Michael, O. Olawoye, S. Ademola, Ebere Ugwu, F. Sarimiye, O. Ayandipo, R. Aderibigbe, A. Iyun, O. Oluwatosin
{"title":"Postmastectomy breast reconstruction awareness and attitudes in Nigerian women with breast cancer: A descriptive, cross sectional survey","authors":"A. Michael, O. Olawoye, S. Ademola, Ebere Ugwu, F. Sarimiye, O. Ayandipo, R. Aderibigbe, A. Iyun, O. Oluwatosin","doi":"10.4103/jcls.jcls_28_21","DOIUrl":null,"url":null,"abstract":"Introduction: Sub-Saharan Africa has a high burden of breast cancer and very low rates of breast reconstruction. This study aimed to determine the awareness of and attitude to breast reconstruction among women with breast cancer who had mastectomy. Methods: A cross-sectional study of women with breast cancer who underwent mastectomy was done. Participants were recruited from September 2020 to January 2021 from the surgical oncology and radio-oncology outpatient clinics of the University College Hospital, Ibadan. A multivariate logistic regression was used to determine predictors of awareness and attitudes to breast reconstruction. P ≤ 0.05 was considered statistically significant. Results: Fifty-one women participated in the study. The mean age was 54.76 (+9.94) years. Most, 30 (58.8%) of them had tertiary level of education, were working, 39 (76.5%) and were married, 41 (80%). Funding for the mastectomies was mainly out-of-pocket 34 (66.7%). Most 37 (72.5%) were not aware that the breast could be reconstructed before their surgery and only one (1.96%) of the women had breast reconstruction. The reason most proffered for declining breast reconstruction was not wanting another surgery 13 (33.3%). The age (odds ratio [OR] 0.02, 95% confidence interval [CI] 0.001–0.33), P = 0.006 of the participants and the educational status (OR 12.50, 95% CI 1.86–84.26), P = 0.009 were significant predictors of awareness of breast reconstruction. None of the variables were significant predictors of positive attitudes to breast reconstruction. Conclusion: There is a very low level of awareness of breast reconstruction. Younger age and tertiary education were significant predictors of awareness of breast reconstruction.","PeriodicalId":15490,"journal":{"name":"Journal of Clinical Sciences","volume":"33 6 1","pages":"35 - 44"},"PeriodicalIF":0.2000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jcls.jcls_28_21","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Sub-Saharan Africa has a high burden of breast cancer and very low rates of breast reconstruction. This study aimed to determine the awareness of and attitude to breast reconstruction among women with breast cancer who had mastectomy. Methods: A cross-sectional study of women with breast cancer who underwent mastectomy was done. Participants were recruited from September 2020 to January 2021 from the surgical oncology and radio-oncology outpatient clinics of the University College Hospital, Ibadan. A multivariate logistic regression was used to determine predictors of awareness and attitudes to breast reconstruction. P ≤ 0.05 was considered statistically significant. Results: Fifty-one women participated in the study. The mean age was 54.76 (+9.94) years. Most, 30 (58.8%) of them had tertiary level of education, were working, 39 (76.5%) and were married, 41 (80%). Funding for the mastectomies was mainly out-of-pocket 34 (66.7%). Most 37 (72.5%) were not aware that the breast could be reconstructed before their surgery and only one (1.96%) of the women had breast reconstruction. The reason most proffered for declining breast reconstruction was not wanting another surgery 13 (33.3%). The age (odds ratio [OR] 0.02, 95% confidence interval [CI] 0.001–0.33), P = 0.006 of the participants and the educational status (OR 12.50, 95% CI 1.86–84.26), P = 0.009 were significant predictors of awareness of breast reconstruction. None of the variables were significant predictors of positive attitudes to breast reconstruction. Conclusion: There is a very low level of awareness of breast reconstruction. Younger age and tertiary education were significant predictors of awareness of breast reconstruction.
撒哈拉以南非洲地区乳腺癌发病率高,乳房重建率低。本研究旨在了解乳腺癌切除患者对乳房再造术的认识和态度。方法:对接受乳房切除术的乳腺癌患者进行横断面研究。参与者于2020年9月至2021年1月从伊巴丹大学学院医院的外科肿瘤学和放射肿瘤学门诊招募。采用多元逻辑回归来确定对乳房重建的意识和态度的预测因素。P≤0.05认为有统计学意义。结果:51名女性参与了这项研究。平均年龄54.76岁(+9.94)岁。其中大专以上学历30人(58.8%)有工作,已婚39人(76.5%),已婚41人(80%)。乳房切除术的资金主要是自付34(66.7%)。37例(72.5%)患者术前不知道乳房可以再造术,仅有1例(1.96%)进行了再造术。选择乳房再造术的主要原因是不想再做一次手术(33.3%)。参与者的年龄(优势比[OR] 0.02, 95%可信区间[CI] 0.001-0.33), P = 0.006)和教育程度(优势比[OR] 12.50, 95% CI 1.86-84.26), P = 0.009是乳房重建意识的显著预测因素。没有一个变量是对乳房重建积极态度的显著预测因子。结论:女性对乳房再造术的认识水平很低。年龄较小和高等教育程度是乳房重建意识的重要预测因素。