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The need to improve prevention of breast cancer in rural areas

Katya Eguruze


INTRODUCTION: The incidence of breast cancer in European countries is growing steadily, which is due to the demographic trends of the aging population. This is the most common malignancy among women in the world. The high percentage of late diagnoses, high mortality and low five-year survival rate for our country confirmed the need for prophylactic examinations and early diagnosis of breast cancer.

AIM: To analyze the health knowledge and behavior of women in rural areas in regard to the prevention of breast cancer.

MATERIALS AND METHODS: A direct anonymous questionning with a personally developed questionnaire form was conducted. The surveyed were 1,102 women at the age of 20-65, residents of the districts of Varna, Dobrich, Silistra and Shumen. About 1/3 of them live in rural areas. The study covers the period from January 2013 to March 2015 and documentary, sociological and statistical methods were used.

RESULTS AND DISCUSSION: It was discovered that there is an important difference in the awareness among women for annual medical check-ups (χ2=90.62; p<0.001), with women from the cities being more informed (85.50%) compared to those in rural areas (59.50%). Women of the cities initiate visits to the doctor for prophylaxis of the breast more often (54.90%). Depending on the type of the populated area, those surveyed in the cities had mammography studies conducted more frequently (30.20%) compared to respondents from the villages - 19.80% (χ2=12.88; p <0.001). Nearly half (49.60%) of the respondents indicated that they had difficulties in conducting preventive examinations of the breast. The results show that respondents from rural areas (57.40%) do not know of breast self- examination. Urban residents are much more informed about the risk factors associated with breast cancer.

CONCLUSIONS: The remoteness of the rural areas from the cities and there difficulties that dwell therein require a focus on seeking solutions to address the problems. The low level of information affects the active participation

of women from villages in the prevention of breast cancer. Organizing mobile groups of multidisciplinary teams would lead to positive results in this regard.


cancer, breast, women, prophylactic, village

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About The Author

Katya Eguruze
Medical University of Varna

Department of Health care, Faculty of Public Health

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