Prevalence of breast masses and barriers to care: Results from a population-based survey in Rwanda and Sierra Leone Journal Article


Authors: Ntirenganya, F.; Petroze, R. T.; Kamara, T. B.; Groen, R. S.; Kushner, A. L.; Kyamanywa, P.; Calland, J. F.; Kingham, T. P.
Article Title: Prevalence of breast masses and barriers to care: Results from a population-based survey in Rwanda and Sierra Leone
Abstract: Methods: Data were collected from households in RW and SL using Surgeons Overseas Assessment of Surgical Need (SOSAS), a cross-sectional, randomized, cluster-based population survey designed to identify surgical conditions. Data regarding breast masses and barriers to care in women with breast masses were analyzed. Background and Objectives: Breast cancer incidence may be increasing in low- and middle-income countries (LMIC). This study estimates the prevalence of breast masses in Rwanda (RW) and Sierra Leone (SL) and identifies barriers to care for women with breast masses. only. Results: 3,469 households (1,626 RW; 1,843 SL) were surveyed and 6,820 persons (3,175 RW; 3,645 SL) interviewed. Breast mass prevalence was 3.3% (SL) and 4.6% (RW). Overall, 93.8% of masses were in women, with 49.1% (SL) and 86.1% (RW) in women 30 years. 73.7% (SL) and 92.4% (RW) of women reported no disability; this was their primary reason for not seeking medical attention. Overall, 36.8% of women who reported masses consulted traditional healers only. Conclusions: For women in RW and SL, minimal education, poverty, and reliance on traditional healers are barriers to medical care for breast masses. Public health programs to increase awareness and decrease barriers are necessary to lower breast cancer mortality rates in low- and middleincome countries (LMIC). © 2014 Wiley Periodicals, Inc.
Keywords: adult; breast cancer; prevalence; health survey; cancer mortality; health program; education; breast tumor; developing countries; medical care; sierra leone; poverty; lowest income group; barriers to care; rwanda; human; female; article; breast mass; traditional healer
Journal Title: Journal of Surgical Oncology
Volume: 110
Issue: 8
ISSN: 0022-4790
Publisher: Wiley Blackwell  
Date Published: 2014-12-15
Start Page: 903
End Page: 906
Language: English
DOI: 10.1002/jso.23726
PROVIDER: scopus
PUBMED: 25088235
DOI/URL:
Notes: Export Date: 1 December 2014 -- Source: Scopus
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MSK Authors
  1. T Peter Kingham
    297 Kingham