Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Oct 31, 2020
Date Accepted: Jan 31, 2021
Husbands’ Knowledge of Breast Cancer and Their Wives’ Attitudes and Practices Related to Breast Cancer Screening in Saudi Arabia: A Cross Sectional Online Survey
ABSTRACT
Background:
Despite Saudi Arabia’s free and well-established cancer care program, breast cancer incidence and mortality is rising. Cancer awareness level might be one of the reason. Husbands’ knowledge and wives’ attitude and practices towards breast cancer screening are not well understood in Saudi Arabia.
Objective:
This study aims to investigate the husbands’ knowledge of breast cancer and wives’ attitude and practices towards breast cancer screening in Saudi Arabia.
Methods:
This cross-sectional study collected data from 403 husbands in Makkah city of Makkah region in Saudi Arabia through an online self-reported questionnaire, over a period of two months. Tabulation, bivariate and multiple regression analyses were the major data analytic tools used in the study. Multivariate logistic regressions were used to examine the association between husbands’ knowledge and wives’ behaviour of breast cancer screening methods.
Results:
The evidence showed that husbands’ knowledge score (a one-point increase) was significantly associated with wives’ utilisation of mammogram (AOR: 1.089, 95% CI: 1.024-1.159) and breast self-examination (AOR: 1.177, 95% CI: 1.105-1.255). Husbands’ knowledge also influence wives’ attitude toward learning about breast self-examination (AOR: 1.138, 95% CI: 1.084-1.195). The study did not find any significant association between husbands’ knowledge and wives utilisation of clinical breast examination. However, richer husbands’ showed socioeconomic gradient concerning wives utilisation of clinical breast examination (AOR: 2.603, 95% CI: 1.269-5.341).
Conclusions:
Husbands’ knowledge of breast cancer influences wives attitude and practices of breast cancer screening methods. Interventions delivered to husbands might increase breast cancer awareness and survival.
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