Breast self-examination prevalence and determinants in low- and middle-income countries: an umbrella review of systematic reviews and meta-analyses.
메타분석
1/5 보강
PICO 자동 추출 (휴리스틱, conf 2/4)
유사 논문P · Population 대상 환자/모집단
622 participants).
I · Intervention 중재 / 시술
추출되지 않음
C · Comparison 대조 / 비교
추출되지 않음
O · Outcome 결과 / 결론
Additionally, strengthening research and policy initiatives can help address existing gaps in awareness, promote early detection, and improve breast cancer outcomes in low and middle-income countries. [SYSTEMATIC REVIEW REGISTRATION] PROSPERO CRD42023491634.
[BACKGROUND] Low- and middle-income countries (LMICs) face a dual burden of infectious and chronic diseases, including breast cancer.
- 95% CI 3.02-4.87
- OR 3.95
- 연구 설계 meta-analysis
APA
Tilahun BD, Ayele M, et al. (2026). Breast self-examination prevalence and determinants in low- and middle-income countries: an umbrella review of systematic reviews and meta-analyses.. Frontiers in global women's health, 7, 1439187. https://doi.org/10.3389/fgwh.2026.1439187
MLA
Tilahun BD, et al.. "Breast self-examination prevalence and determinants in low- and middle-income countries: an umbrella review of systematic reviews and meta-analyses.." Frontiers in global women's health, vol. 7, 2026, pp. 1439187.
PMID
41994495
Abstract
[BACKGROUND] Low- and middle-income countries (LMICs) face a dual burden of infectious and chronic diseases, including breast cancer. Breast self-examination (BSE) is a vital tool for early detection, improving outcomes, and reducing mortality. Assessing its prevalence and determinants in LMICs is crucial for enhancing early diagnosis and treatment.
[METHODS] A comprehensive search was conducted across PubMed, Web of Science, Scopus, Cochrane, and Google Scholar using PICO criteria to identify systematic reviews and meta-analyses on breast self-examination in Low- and middle-income countries. Methodological quality was assessed using the AMSTAR tool. A random-effects meta-analysis pooled estimates, with heterogeneity ( ) and publication bias (funnel plot) evaluated. Forest plots presented pooled prevalence with 95% confidence intervals (CI).
[RESULTS] This umbrella review included 10 studies (110,622 participants). The pooled BSE prevalence was 32.15% (confidence interval: 22.61-40.75), with high heterogeneity ( = 100%, = <0.001). Significant determinants included BSE knowledge (OR = 3.95; 95% CI: 3.02-4.87), a positive attitude (OR = 2.73; 95% CI: 2.02-3.45), and a family history of breast cancer (OR = 1.81; 95% CI: 1.23-2.38).
[CONCLUSION] The prevalence of breast self-examination (BSE) in low and middle-income countries (LMICs) remains relatively low at 32.15%. Key factors influencing BSE practice include knowledge, attitudes, and family history of breast cancer. To enhance BSE practice, targeted strategies such as public awareness campaigns, training for healthcare providers, and incorporating family history assessments are essential. Additionally, strengthening research and policy initiatives can help address existing gaps in awareness, promote early detection, and improve breast cancer outcomes in low and middle-income countries.
[SYSTEMATIC REVIEW REGISTRATION] PROSPERO CRD42023491634.
[METHODS] A comprehensive search was conducted across PubMed, Web of Science, Scopus, Cochrane, and Google Scholar using PICO criteria to identify systematic reviews and meta-analyses on breast self-examination in Low- and middle-income countries. Methodological quality was assessed using the AMSTAR tool. A random-effects meta-analysis pooled estimates, with heterogeneity ( ) and publication bias (funnel plot) evaluated. Forest plots presented pooled prevalence with 95% confidence intervals (CI).
[RESULTS] This umbrella review included 10 studies (110,622 participants). The pooled BSE prevalence was 32.15% (confidence interval: 22.61-40.75), with high heterogeneity ( = 100%, = <0.001). Significant determinants included BSE knowledge (OR = 3.95; 95% CI: 3.02-4.87), a positive attitude (OR = 2.73; 95% CI: 2.02-3.45), and a family history of breast cancer (OR = 1.81; 95% CI: 1.23-2.38).
[CONCLUSION] The prevalence of breast self-examination (BSE) in low and middle-income countries (LMICs) remains relatively low at 32.15%. Key factors influencing BSE practice include knowledge, attitudes, and family history of breast cancer. To enhance BSE practice, targeted strategies such as public awareness campaigns, training for healthcare providers, and incorporating family history assessments are essential. Additionally, strengthening research and policy initiatives can help address existing gaps in awareness, promote early detection, and improve breast cancer outcomes in low and middle-income countries.
[SYSTEMATIC REVIEW REGISTRATION] PROSPERO CRD42023491634.