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Awareness and Utilization of Screening Mammography in Birnin Kebbi, Northwest Nigeria

Mohammed Danyaro Rilwanu, Muhammad Abdullahi Jega, Enang Saviour, and Fauziya Usman Kabi

Abstract

Background: Screening mammography plays a crucial role in the early detection of breast cancer; however, its awareness and utilization remain low in many resource-limited settings. Aim and objectives: This study assesses the level of awareness and utilization of screening mammography among women in Birnin Kebbi, Nigeria, and examines the factors influencing these outcomes. Materials and Methods: A retrospective analysis was conducted on data from 92 women aged 40-68 years who underwent mammographic screening at the Federal Teaching Hospital, Birnin Kebbi, between January 2020 and December 2023. Results: The findings revealed that only 31.5% of women referred for mammography utilized the service, while 65% had no prior awareness of the procedure. Key determinants of awareness and utilization included education, marital status, and age. The primary barriers identified were financial constraints, lack of perceived need, and cultural misconceptions. Conclusion: The study highlights the low levels of awareness and poor utilization of screening mammography among women in Birnin Kebbi, underscoring the significant gaps in preventive breast cancer care in rural areas.

Keywords

Breast cancer screening Mammography utilization Awareness Barriers to healthcare

References

Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., et al. (2021). Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 71(3), 209-249. Ginsburg, O., Bray, F., Coleman, M. P., Vanderpuye, V., Eniu, A., Kotha, S. R., et al. (2017). The global burden of women's cancers: A grand challenge in global health. The Lancet, 389(10071), 847-860. Ferlay, J., Laversanne, M., Ervik, M., Lam, F., Colombet, M., Mery, L., et al. (2021). Global Cancer Observatory: Cancer today. Lyon, France: International Agency for Research on Cancer. https://gco.iarc.fr/today Boyd, N. F., Guo, H., Martin, L. J., Sun, L., Stone, J., Fishell, E., et al. (2007). Mammographic density and the risk and detection of breast cancer. The New England Journal of Medicine, 356(3), 227-236. Myers, E. R., Moorman, P., Gierisch, J. M., Havrilesky, L. J., Grimm, L. J., Ghate, S., et al. (2015). Benefits and harms of breast cancer screening: A systematic review. JAMA, 314(15), 1615-1634. Ba, D. M., Ssentongo, P., Kjerulff, K. H., Na, M., & Liu, G. (2020). Breast cancer screening rates in sub-Saharan Africa: A systematic review and meta-analysis. American Journal of Preventive Medicine, 58(3), 304-315. Obajimi, M. O., Adeniji-Sofoluwe, A. T., Ajayi, I. O., Lawal, O. O., Soyebi, K. O., Adedokun, B. O., et al. (2013). Awareness and practice of mammography among women in a developing country. Journal of Medical Radiation Sciences, 60(4), 239- 242. Akinola, R., Wright, K., Osunfidiya, O., & Orogbemi, O. (2011). Mammography and mammographic screening: Are female patients at a teaching hospital in Nigeria aware of these procedures? Diagnostic and Interventional Radiology, 17(2), 125-129. Jedy-Agba, E., Curado, M. P., Ogunbiyi, O., Oga, E., Fabowale, T., Igbinoba, F., et al. (2012). Cancer incidence in Nigeria: A report from population-based cancer registries. Cancer Epidemiology, 36(5), e271-e278. Okonkwo, Q. L., Draisma, G., der Kinderen, A., Brown, M. L., & de Koning, H. J. (2008). Breast cancer screening policies in developing countries: A cost-effectiveness analysis for Nigeria. Journal of the National Cancer Institute, 100(18), 1290-1300. Adebamowo, C. A., & Ajayi, O. O. (2000). Breast cancer in Nigeria. West African Journal of Medicine, 19(3), 179-191. Azubuike, S. O., Okwuokei, S. O., & Onuoha, H. (2018). Level of awareness and screening practices of breast cancer among women in a rural community of Delta State, Nigeria. Journal of Community Medicine & Health Education, 8(2), 594. Olasehinde, O., Olanrewaju, F., Fatusi, O., & Ojifinni, O. (2021). Socio-cultural determinants of breast cancer screening practices among women in rural communities of Nigeria. African Journal of Reproductive Health, 25(2), 77-88. Adisa, A. O., Arowolo, O. A., Akinkuolie, A. A., Olasode, B. J., Titiloye, N. A., & Lawal, O. O. (2011). Metastatic breast cancer in a Nigerian tertiary hospital. African Health Sciences, 11(2), 279-284. Muhammad, S. B., Saidu, S. A., Ma'aji, S. M., Musa, A., Ibrahim, H. G., Gusau, S. B., et al. (2019). Mammographic screening patterns in Sokoto, Northwestern Nigeria. Sahel Medical Journal, 22, 23-27. Elsie, K. M., Nsabagasani, X., Mugisha, J. F., & Nankabirwa, V. (2010). Knowledge and attitudes of women on breast cancer and mammography at Mulago Hospital, Uganda. BMC Public Health, 10, 148. Ng'ang'a, A., Nyabola, L., Okello, D., & Gathirua-Mwangi, W. G. (2020). Barriers to breast cancer screening: A qualitative study among women in Nairobi, Kenya. BMC Women's Health, 20(1), 142. Mark, H., DuBard, M. B., Edward, P., & Schmid, L. (2012). Breast cancer screening among low-income women with and without regular primary care. Journal of Women's Health, 21(6), 613-620.