Open Journal of Epidemiology, 2018, 8, 201-212
http://www.scirp.org/journal/ojepi
ISSN Online: 2165-7467
ISSN Print: 2165-7459
DOI: 10.4236/ojepi.2018.84016 Oct. 23, 2018 201 Open Journal of Epidemiology
Study of the Determinants of the Use of Breast
Cancer Screening in Women 35 to 65 Years in
the Region of Thies (Senegal)
Jean Augustin Diegane Tine
1,2
, Khadim Niang
1,2
, Adanminakou Samiratou
1,2
,
Adama Faye
1,2
, Anta Tal Dia
1,2
1
Department of Preventive Medicine and Public Health, Cheikh Anta Diop University, Dakar, Senegal
2
Institute of Health and Development (ISED), UCAD, Dakar, Senegal
Abstract
Introduction: In Senegal, breast cancer is the second most common cancer of
women after cervical cancer. It is a cancer accessible to clinical and radiolog-
ical screening. The objective of this study was to study the determinants of
the use of breast cancer screening among women aged 35 to 65 in the Thies
region in 2015. Material and Methods: It was a descriptive and analytical
cross-sectional study. It was conducted with a sample of women selected us-
ing a two-stage cluster survey. The study used a questionnaire to collect data
on the individual characteristics of women, knowledge, attitudes and practice
on breast cancer and quality of care in an individual interview at the homes of
women after consent. The data was entered on the Epi Info 3.5.3 software and
analyzed with the R 3.3.3 software. A description of qualitative variables
across proportions and quantitative variables by mean and standard deviation
was performed. Parametric or non-parametric tests were used to examine the
association between the dependent variable (breast cancer screening) and ex-
planatory variables (predisposing factors, resources, health needs) according
to their applicability conditions and at a risk α equal 5%. Finally, all variables
with p less than 0.25 were used to construct an explanatory model by simple
logistic regression. Results: The study involved 960 women aged 35 to 65
years. The average age was 43.8 years with a standard deviation of 8.3 years.
The rate of breast cancer screening was 25.7%. Educated women (OR ad-
justed = 1.89 [1.25 - 2.85]), women who resided in urban settings (adjusted
OR = 1.79 [1.05 - 3.04]), those who experienced at least one risk factor for
breast cancer (OR adjusted = 2.71 [1.81 - 4.06]) were more likely to use
screening breast cancer. In contrast, women with low socioeconomic status
(adjusted OR = 0.66 [0.45 - 0.97]) were less likely to be screened. Conclusion:
Level of education, knowledge of breast cancer and having received screening
How to cite this paper: Tine, J.A.D.,
Niang, K., Samiratou, A., Faye, A. and Dia,
A.T. (2018) Study of the Determinants of
the Use of Breast Cancer Screening in
Women 35 to 65 Years in the Region of
Thies (Senegal). Open Journal of Epidemi-
ology, 8, 201-212.
https://doi.org/10.4236/ojepi.2018.84016
Received: July 25, 2018
Accepted: October 20, 2018
Published: October 23, 2018
Copyright © 2018 by authors and
Scientific Research Publishing Inc.
This work is licensed under the Creative
Commons Attribution International
License (CC BY 4.0).
http://creativecommons.org/licenses/by/4.0/
Open Access