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International Journal of Women's Health Nursing And Practices Original Research

Breast Cancer Screening Awareness and Participation Among Women in North India

  1. Eric Kwasi Elliason Faculty of Allied Health Sciences, Desh Bhagat University
  2. Atul Khajuria Faculty of Allied Health Sciences, Desh Bhagat University
  3. Stephen Monday Faculty of Allied Health Sciences, Desh Bhagat University
  4. J. Samuel Kamanda Faculty of Allied Health Sciences, Desh Bhagat University

Abstract

Breast cancer is the most prevalent malignancy among Indian women, accounting for 25% of all female cancers (ICMR, 2020). Significant urban-rural disparities in screening persist across North India due to socioeconomic, cultural, and healthcare access barriers. This study evaluates these disparities to inform targeted interventions. A cross-sectional study was conducted among 1,500 women (750 urban, 750 rural) in Delhi, Uttar Pradesh, Punjab, and Haryana, using stratified random sampling. Data were collected via structured questionnaires (urban) and in-person interviews (rural) to assess awareness of symptoms and screening, participation in mammography and self-exams, and perceived barriers. Statistical analyses included chi-square tests, logistic regression (SPSS v22), and thematic analysis of qualitative responses. Urban women demonstrated significantly higher awareness of symptoms (65% vs. 50%, p<0.001) and mammography (72% vs. 50%, p<0.001). Screening participation was also higher among urban women for mammography (38% vs. 22%) and self-exams (55% vs. 40%, p<0.001). Financial constraints (40%) and lack of information (30%) were the predominant barriers in rural areas, while time limitations (27%) were most cited by urban women. Education (OR=3.5, 95% CI=2.1–5.5) and income (OR=2.8, 95% CI=1.8–4.3) were strong predictors of screening uptake. Findings highlight the urgent need for targeted interventions. Policy recommendations include subsidized rural screening, community-based awareness campaigns, and integration of breast self-exam education into primary care. Addressing socioeconomic and cultural determinants could reduce screening disparities by an estimated 40–50% over 5 years.

Keywords

References (10)

  1. Mathur P, Sathishkumar K, Chaturvedi M, Das P, Sudarshan KL, Santhappan S, et al. Cancer Statistics, 2020: Report From National Cancer Registry Programme, India. JCO Global Oncology. 2020:1063-1075. doi:10.1200/go.20.00122
  2. Singh S, Pal N, Shubham S, Sarma DK, Verma V, Marotta F, et al. Polycystic Ovary Syndrome: Etiology, Current Management, and Future Therapeutics. Journal of Clinical Medicine. 2023;12(4):1454. doi:10.3390/jcm12041454
  3. Harvie M, Howell A, Evans DG. Can Diet and Lifestyle Prevent Breast Cancer: What Is the Evidence? American Society of Clinical Oncology Educational Book. 2015:e66-e73. doi:10.14694/edbook_am.2015.35.e66
  4. Latha T, Dalmeida D. Barriers for early detection of breast cancer among South Indian women. Indian Journal of Community Medicine. 2021;46(4):706. doi:10.4103/ijcm.ijcm_751_20
  5. Creswell, J. W. (2014). Research design: Qualitative, quantitative, and mixed methods approaches (4th ed.). Thousand Oaks, CA: Sage Publications.
  6. World Medical Association. Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA. 2013; 310(20): 2191–2194. Available at: https://jamanetwork. com/journals/jama/fullarticle/1760318
  7. Nelson HD, Tyne K, Naik A, Bougatsos C, Chan BK, Humphrey L. Screening for Breast Cancer: An Update for the U.S. Preventive Services Task Force. Annals of Internal Medicine. 2009;151(10):727-737. doi:10.7326/0003-4819-151-10-200911170-00009
  8. Teede HJ, Misso ML, Deeks AA, Moran LJ, Stuckey BGA, Wong JLA, et al. Assessment and management of polycystic ovary syndrome: summary of an evidence‐based guideline. Medical Journal of Australia. 2011;195(S6). doi:10.5694/mja11.10915
  9. Bharali MD, Rajendran R, Goswami J, Singal K, Rajendran V. Prevalence of Polycystic Ovarian Syndrome in India: A Systematic Review and Meta-Analysis. Cureus. 2022. doi:10.7759/cureus.32351
  10. Bozdag G, Mumusoglu S, Zengin D, Karabulut E, Yildiz BO. The prevalence and phenotypic features of polycystic ovary syndrome: a systematic review and meta-analysis. Human Reproduction. 2016;31(12):2841-2855. doi:10.1093/humrep/dew218