Which suggestions would the nurse include when teaching a patient about prevention of breast cancer?

  1. WHO: The World Health Report 1998, Life in the 21st century; A vision for all. 1998, Geneva , World Health Organization, 88-90.

    Google Scholar 

  2. Sasco AJ: Epidemiology of breast cancer: an environmental disease?. Apmis. 2001, 109 (5): 321-332. 10.1034/j.1600-0463.2001.090501.x.

    CAS  Article  PubMed  Google Scholar 

  3. Bhurgri Y: Karachi cancer registry data - implications for the national cancer control program of pakistan. Asian Pac J Cancer Prev. 2004, 5 (1): 77-82.

    PubMed  Google Scholar 

  4. Aziz Z, Sana S, Saeed S, Akram M: Institution based tumor registry from Punjab: five year data based analysis. J Pak Med Assoc. 2003, 53 (8): 350-353.

    CAS  PubMed  Google Scholar 

  5. Hussain MM, Ansari AK: Late presentation of carcinoma breast in Pakistani women. Pak Armed Forces Med J. 1996, 46 (2): 11-15.

    Google Scholar 

  6. Malik IA: Clinico-pathological features of breast cancer in Pakistan. J Pak Med Assoc. 2002, 52 (3): 100-104.

    CAS  PubMed  Google Scholar 

  7. Siddiqui MS, Kayani N, Sulaiman S, Hussainy AS, Shah SH, Muzaffar S: Breast carcinoma in Pakistani females: a morphological study of 572 breast specimens. J Pak Med Assoc. 2000, 50 (6): 174-177.

    CAS  PubMed  Google Scholar 

  8. Siddiqui T, Sabih M, Salam A, Khan S: A survival analysis of metastatic breast cancer in Pakistani patients. J Pak Med Assoc. 2001, 51 (3): 120-122.

    CAS  PubMed  Google Scholar 

  9. Qureshi JN, Qureshi ZA, Arm P, Memon AS: Evaluation of breast carcinoma in breast lump. J Surg Pakistan. 2001, 6 (3): 7-9.

    Google Scholar 

  10. Ghumro AA, Khaskheli NM, Memon AA: Clinical profile of patients with breast cancer. J Coll Physicians Surg Pak. 2002, 12 (1): 28-31.

    Google Scholar 

  11. Ahmed R, Shaikh H, Hasan SH: Is carcinoma breast a different disease in Pakistani population?. J Pak Med Assoc. 1997, 47 (4): 114-116.

    CAS  PubMed  Google Scholar 

  12. Ali AA, Azim KM, Butt HA, Hassan J, Malik A, Qadir A, Ashraf A, Chaudhary AM: Carcinoma Breast: A dilemma for our society. Ann King Edward Med Coll. 2003, 9 (2): 87 -889.

    Google Scholar 

  13. Anderson BO, Braun S, Lim S, Smith RA, Taplin S, Thomas DB: Early detection of breast cancer in countries with limited resources. Breast J. 2003, 9 Suppl 2: S51-9. 10.1046/j.1524-4741.9.s2.4.x.

    Article  PubMed  Google Scholar 

  14. Health Department: Number of medical, nursing and paramedical personnel employed in Sindh province. 2002, Planning and Monitoring Cell

    Google Scholar 

  15. Tessaro I: The natural helping role of nurses in promoting healthy behaviors in communities. Adv Pract Nurs Q. 1997, 2 (4): 73-78.

    CAS  PubMed  Google Scholar 

  16. Odusanya O. O., Tayo O. O.: Breast cancer knowledge, attitudes and practice among nurses in Lagos, Nigeria. Acta Oncol. 2001, 40 (7): 844-848. 10.1080/02841860152703472.

    Article  PubMed  Google Scholar 

  17. Haji-Mahmoodi M, Montazeri A, Jarvandi S, Ebrahimi M, Haghighat S, Harirchi I: Breast self-examination: knowledge, attitudes, and practices among female health care workers in Tehran, Iran. Breast J. 2002, 8 (4): 222-225. 10.1046/j.1524-4741.2002.08406.x.

    Article  PubMed  Google Scholar 

  18. Madanat H, Merrill RM: Breast cancer risk-factor and screening awareness among women nurses and teachers in Amman, Jordan. Cancer Nurs. 2002, 25 (4): 276-282. 10.1097/00002820-200208000-00003.

    Article  PubMed  Google Scholar 

  19. Parvez T, Anwar MS: Knowledge, Attitude and Preventive Practices for Breast cancer. J Coll Physicians Surg Pak. 2001, 11 (6): 363-366.

    Google Scholar 

  20. Stager JL: The comprehensive Breast Cancer Knowledge Test: validity and reliability. J Adv Nurs. 1993, 18 (7): 1133-1140. 10.1046/j.1365-2648.1993.18071133.x.

    CAS  Article  PubMed  Google Scholar 

  21. Streiner DL, Norman GR: Devising the Items. Health Measurement Scales. 2002, New York , Oxford University Press Inc., 15 -127.

    Google Scholar 

  22. Parvez T, Anwar MS, Sheikh AM: Study of risk factors for carcinoma breast in adult female general population in Lahore. J Coll Physicians Surg Pak. 2001, 11 (5): 291-293.

    Google Scholar 

  23. Gilani GM, Kamal S: Risk factors for breast cancer in Pakistani women aged under 45 years: Karachi University.2001, , 283-288.

    Google Scholar 

  24. Qidwai W, Alim N, Azam SI: Myths & Fallacies About Health & Disease Among Patients Presenting To Family Physicians At The Aga Khan University Hospital Karachi, Pakistan. Pak J Med Sci. 2002, 18 (4): 287-290.

    Google Scholar 

  25. SAS: SAS. 1999, Cary, NC , SAS Institute, 8

    Google Scholar 

  26. Allison PD: Logit Analysis for Ordered Categories. Logistic Regression Using the SAS System: Theory and Application. 1999, Cary, NC , SAS Institute Inc., 133 -1142.

    Google Scholar 

  27. Mahon SM: Cancer risk assessment: conceptual considerations for clinical practice. Oncol Nurs Forum. 1998, 25 (9): 1535-1547.

    CAS  PubMed  Google Scholar 

  28. Upvall MJ, Kanji Z, Jaffer S, Khowaja K, Barolia R, Amarsi Y: Defining the cultural milieu for implementing faculty practice in Pakistan. Int J Nurs Pract. 2002, 8 (6): 315-323. 10.1046/j.1440-172X.2002.00385.x.

    Article  PubMed  Google Scholar 

  29. Elkind AK: The accuracy of nurses' knowledge about survival rates for early cancer in four sites. J Adv Nurs. 1981, 6 (1): 35-40.

    CAS  Article  PubMed  Google Scholar 

  30. Chong PN, Krishnan M, Hong CY, Swah TS: Knowledge and practice of breast cancer screening amongst public health nurses in Singapore. Singapore Med J. 2002, 43 (10): 509-516.

    CAS  PubMed  Google Scholar 

  • The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1472-6955/5/6/prepub


Page 2

Items Correct answer Score Correct response %
   1. Breast cancer is a communicable disease No 1 99.2
   2. The irritation of a tight bra can over time cause breast cancer No 1 59.4
   3. In some women being overweight increases the risk of developing breast cancer Yes 1 27.6
   4. A woman who bears her first child after the age of 30 years is more likely to develop breast cancer* Yes 3 50.2
   5. Use of oral contraceptives increase a woman's risk of breast cancer Yes 1 49.6
   6. A hard blow to the breast may cause breast cancer later in life No 1 24.6
   7. Most breast lumps are cancerous No 1 73.7
   8. A woman, who has a first blood relative with breast cancer, is at higher risk of developing breast cancer* Yes 3 57.8
   9. Breast feeding increases the chance of breast cancer No 1 96.4
   10. Breast cancer can be a result of a curse/evil eye* No 2 94.9
Total   15