Worldwide review with meta-analysis of women's awareness about breast cancer.
Patient Educ Couns
; 105(7): 1818-1827, 2022 07.
Article
in En
| MEDLINE
| ID: mdl-34952749
ABSTRACT
OBJECTIVE:
To summarize the awareness levels of breast cancer (BC) worldwide and investigate factors associated with BC awareness to determine differences in awareness between China and other countries.METHODS:
This systematic review followed the PRISMA guidelines and included 92 articles up to July, 2021. We calculated percentages for BC awareness levels and conducted subgroup analysis and cumulative meta-analysis.RESULTS:
A total 84% (95% confidence interval [95%CI] 78-90%) of women knew about BC; however, only 51% (95%CI 37-66%) and 40% (95%CI 24-56%) of women were aware of BC symptoms and BC risk factors, respectively. The most commonly known BC symptom was breast lump (71%, 95%CI 62-80%), and BC family history was the most well-known BC risk factor (61%, 95%CI 54-69%). Subgroup analysis showed lower awareness levels among Chinese and Asian women than women from other countries. Cumulative meta-analysis showed no obvious progress in BC awareness levels over time. We investigated 15 awareness-related factors, the most frequent of which were education level (61.8%), occupation (29.4%), and age (26.5%).CONCLUSION:
BC awareness levels remain low. Improving BC awareness is critical, especially in developing countries. PRACTICE IMPLICATIONS Effective education programs are urgently needed to improve women's BC awareness.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Breast Neoplasms
Type of study:
Diagnostic_studies
/
Guideline
/
Risk_factors_studies
/
Systematic_reviews
Limits:
Female
/
Humans
Country/Region as subject:
Asia
Language:
En
Journal:
Patient Educ Couns
Year:
2022
Document type:
Article
Affiliation country: