Women's cultural perceptions and attitudes towards breast cancer: Northern Ghana

Health Promot Int. 2015 Sep;30(3):647-57. doi: 10.1093/heapro/dat087. Epub 2014 Jan 28.

Abstract

This study investigates problems confronting breast cancer awareness in Ghana by ascertaining how societal perceptions and attitudes influence women's awareness of breast cancer in the Kassena-Nankana district. Data were gathered through focus group interviews and documentary analysis of current practices within the region. The data were then thematically analysed following an inductive analytical framework. The study concludes that women's perceptions of and attitudes towards breast cancer and its treatment are influenced by a myriad of economic and socio-cultural factors, which practitioners need to take into account when planning public health initiatives. There are a number of economic challenges facing breast cancer education and awareness programmes due to a lack of adequate numbers of specialized health personnel and breast cancer screening facilities in the district. Additionally, socio-cultural factors such as the absence of biomedical terminology in the local language, gender inequality and the prevailing influence of traditional health practitioners further compound the situation. Knowledge, awareness and attitudes of women towards breast cancer can also be improved if husbands of married women and respective community compound heads are targeted by public health educationists to get actively involved in education and awareness campaigns. The need to incorporate indigenous languages in public health educational materials for breast cancer in remote communities of deprived districts of Ghana is also recommended.

Keywords: breast cancer awareness; gender inequality; health education; socio-cultural factors.

MeSH terms

  • Adult
  • Breast Neoplasms / ethnology*
  • Cultural Characteristics
  • Female
  • Focus Groups
  • Ghana / epidemiology
  • Health Education / economics
  • Health Education / organization & administration*
  • Health Knowledge, Attitudes, Practice*
  • Health Workforce
  • Humans
  • Middle Aged
  • Perception
  • Sexism