ABSTRACT
Background: Breast cancer is the most common malignancy in women worldwide posing greater health challenge. The poor survival rate from breast cancer in India may be attributed to lack of awareness, low rate of screening uptake and presentation of cases in advanced stage. Objectives: To assess the baseline knowledge and effectiveness of educational intervention in improving the knowledge regarding breast cancer. Materials and Methods: A quasi-experimental community-based health educational intervention study was performed among 100 women and 18 female primary healthcare providers residing in urban field practice area. Face-to-face interviews were performed using a questionnaire adapted from the Breast Cancer Awareness Measure (Breast-CAM) Version 2. Data were analyzed using SPSS version 25. To assess the difference between pre- and postintervention scores, Mc-Nemar's test and paired sample t tests were applied. Association between socio-demographic variables and difference in mean scores was assessed by using ANOVA and independent t test. P value less than 0.05 was taken as statistically significant. Results: The mean pre-intervention score of knowledge items (21 including warning signs, risk factors of breast cancer) among 100 women participants was 7.19 ± 3.45 and postintervention mean score was 18.18 ± 2.42. The mean pre-intervention score among 18 primary healthcare providers was 10.89 ± 4.59 and postintervention score was 19.89 ± 1.28. There was significant improvement in mean scores. The increase in percentage of scores in all 21 items postintervention was significant (Mc-Nemar's test). There was significant association between socio-demographic profile and increase in mean scores. The study identified various barriers for seeking medical care among women. Conclusion: The community-based educational intervention was effective in enhancing the knowledge regarding breast cancer among women.
ABSTRACT
Background: Globally the rapid growth of the aquaculture sector has generated a huge work force posing significant risks to the workers due to the combined effect of the exposure to hazards at the workplace and unhealthy lifestyle. Aim and Objectives: To study the morbidity profile of workers in the aquaculture industry in terms of the occupational health problems and risk factors of non-communicable diseases. Methods: A community-based cross-sectional study was conducted among 135 workers in five aquaculture farms. Ethical Committee clearance was obtained. Data regarding the occupational health problems and major risk factors of non-communicable diseases (NCDs) was collected by using a pre-designed pretested questionnaire after obtaining informed consent from workers. The blood pressure and random blood sugar levels were measured at the time of the interview. Results: Most of the participants were in the age group 18-66 years and 94% were males. Major occupational health problems reported were musculoskeletal (56.3%), neurological (48.1%), stress related (46.7%), injuries (43%), skin infections (23%). Regarding risk factors for NCDs- 16.3% were current smokers, 51.1% were alcoholics, 50.4% had a sedentary lifestyle, <1% consumed fruits and vegetables. Among participants, 65.2% had central obesity, 28.2% were hypertensive, 9.6% were diabetic. The on-site evaluation showed that most of the aquaculture farms lack safety measures. Conclusion: The study identified potential occupational health problems and risk factors for non-communicable diseases among workers in aquaculture farms. The deficiencies in the safety measures at the workplace were also identified through on site evaluation. Hence there is a need to educate the workers regarding healthy lifestyle and safety at work place. There is a need to overcome organizational challenges at the workplace by adopting safety measures for a better working environment and to reduce the significant risk of exposure to hazards.
