title: Factors that influence awareness of breast cancer screening among Arab women in Qatar: results from a cross sectional survey.
abstract: BACKGROUND
  Breast cancer is the most common cancer among women in the State of Qatar. Due to low participation in breast cancer screening (BCS) activities, women in Qatar are often diagnosed with breast cancer at advanced stages of the disease. Findings indicate that low participation rates in BCS activities are significantly related to women's low level of awareness of breast cancer screening. The objectives of this study were to: (1) determine the factors that influence Qatari women's awareness of breast cancer and its screening activities: and (2) to find ways to effectively promote breast cancer screening activities among Arabic speaking women in Qatar.
  
  
  METHODS
  A multicenter, cross-sectional quantitative survey of 1,063 (87.5% response rate) female Qatari citizens and non-Qatari Arabic-speaking residents, 35 years of age or older, was conducted in Qatar from March 2011 to July 2011. Outcome measures included participant awareness levels of the most recent national recommended guidelines of BCS, participation rates in BCS activities, and factors related to awareness of BCS activities.
  
  
  RESULTS
  While most participants (90.7%) were aware of breast cancer, less than half had awareness of BCS practices (28.9% were aware of breast self-examination and 41.8% of clinical breast exams, while 26.4% knew that mammography was recommended by national screening guidelines. Only 7.6% had knowledge of all three BCS activities). Regarding BCS practice, less than one-third practiced BCS appropriately (13.9% of participants performed breast self-examination (BSE) monthly, 31.3% had a clinical breast exam (CBE) once a year or once every two years, and 26.9% of women 40 years of age or older had a mammogram once every year or two years). Awareness of BCS was significantly related to BCS practice, education level, and receipt of information about breast cancer and/or BCS from a variety of sources, particularly doctors and the media.
  
  
  CONCLUSIONS
  The low levels of participation rates in BCS among Arab women in this study indicate a strong need to increase awareness of the importance of breast cancer screening in Qatari women. Without this awareness, compliance with the most recent breast cancer screening recommendations in Qatar will remain low. An increased effort to implement mass media and public health campaigns regarding the impact of breast cancer on women's health and the benefits of early detection of breast cancer must be coupled with an enhanced participation of health care providers in delivering this message to Qatar population.
authors.affiliation: Faculty of Nursing and Medicine, University of Calgary, Alberta, Canada E-mail : tdonnell@ucalgary.ca.
authors.forename: Tam Truong
authors.initials: TT
authors.lastname: Donnelly
authors.forename: Al-Hareth Al
authors.initials: AH
authors.lastname: Khater
authors.forename: Salha Bujassoum
authors.initials: SB
authors.lastname: Al-Bader
authors.forename: Mohammed Ghaith
authors.initials: MG
authors.lastname: Al Kuwari
authors.forename: Mariam
authors.initials: M
authors.lastname: Malik
authors.forename: Nabila
authors.initials: N
authors.lastname: Al-Meer
authors.forename: Rajvir
authors.initials: R
authors.lastname: Singh
authors.forename: Tak
authors.initials: T
authors.lastname: Fung
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D018912:Arabs; D001943:Breast Neoplasms / Q000175:diagnosis*; D016504:Breast Self-Examination; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006293:Health Promotion; D006801:Humans; D008327:Mammography; D008875:Middle Aged; D010808:Physical Examination; D017410:Practice Guidelines as Topic; D011780:Qatar