Awareness of ovarian cancer risk and protective factors: A national cross-sectional study from Palestine

<h4>Introduction</h4> Having a good awareness of ovarian cancer (OC) risk and protective factors could facilitate early diagnosis. This study aimed to assess Palestinian women’s awareness about OC risk and protective factors and to identify the factors associated with having good awarene...

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Main Authors: Mohamedraed Elshami, Aya Tuffaha, Areej Yaseen, Mohammed Alser, Ibrahim Al-Slaibi, Hadeel Jabr, Sara Ubaiat, Salma Khader, Reem Khraishi, Inas Jaber, Zeina Abu Arafeh, Sondos Al-Madhoun, Aya Alqattaa, Asmaa Abd El Hadi, Ola Barhoush, Maysun Hijazy, Tamara Eleyan, Amany Alser, Amal Abu Hziema, Amany Shatat, Falasteen Almakhtoob, Balqees Mohamad, Walaa Farhat, Yasmeen Abuamra, Hanaa Mousa, Reem Adawi, Alaa Musallam, Nasser Abu-El-Noor, Bettina Bottcher
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8936444/?tool=EBI
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author Mohamedraed Elshami
Aya Tuffaha
Areej Yaseen
Mohammed Alser
Ibrahim Al-Slaibi
Hadeel Jabr
Sara Ubaiat
Salma Khader
Reem Khraishi
Inas Jaber
Zeina Abu Arafeh
Sondos Al-Madhoun
Aya Alqattaa
Asmaa Abd El Hadi
Ola Barhoush
Maysun Hijazy
Tamara Eleyan
Amany Alser
Amal Abu Hziema
Amany Shatat
Falasteen Almakhtoob
Balqees Mohamad
Walaa Farhat
Yasmeen Abuamra
Hanaa Mousa
Reem Adawi
Alaa Musallam
Nasser Abu-El-Noor
Bettina Bottcher
author_facet Mohamedraed Elshami
Aya Tuffaha
Areej Yaseen
Mohammed Alser
Ibrahim Al-Slaibi
Hadeel Jabr
Sara Ubaiat
Salma Khader
Reem Khraishi
Inas Jaber
Zeina Abu Arafeh
Sondos Al-Madhoun
Aya Alqattaa
Asmaa Abd El Hadi
Ola Barhoush
Maysun Hijazy
Tamara Eleyan
Amany Alser
Amal Abu Hziema
Amany Shatat
Falasteen Almakhtoob
Balqees Mohamad
Walaa Farhat
Yasmeen Abuamra
Hanaa Mousa
Reem Adawi
Alaa Musallam
Nasser Abu-El-Noor
Bettina Bottcher
author_sort Mohamedraed Elshami
collection DOAJ
description <h4>Introduction</h4> Having a good awareness of ovarian cancer (OC) risk and protective factors could facilitate early diagnosis. This study aimed to assess Palestinian women’s awareness about OC risk and protective factors and to identify the factors associated with having good awareness. <h4>Methods</h4> A cross-sectional study was conducted from July 2019 to March 2020 in the two main areas of Palestine: the West Bank and Jerusalem (WBJ) and the Gaza Strip. A translated-into-Arabic version of the validated OC awareness measure was utilized. Adult women attending hospitals, primary healthcare centers, and public spaces at 11 governorates were invited to participate. The awareness level was categorized based on the number of factors recognized: poor (0 to 5), fair (6 to 10) and good (11 to 15). <h4>Results</h4> Of the 6095 women approached, 5618 agreed and completed the questionnaire (response rate = 92.1%). The final analysis included 5411 questionnaires. The most identified modifiable OC risk factor was ‘being a smoker’ (n = 4024, 74.4%), whereas the least identified was ‘having in vitro fertilization treatment’ (n = 1652, 30.5%). The most identified non-modifiable OC risk factor was ‘having ovarian cysts’ (n = 3136, 58.0%), whereas the least identified was ‘having endometriosis’ (n = 1880, 34.7%). The most identified OC protective factor was ‘breastfeeding’ (n = 4770, 88.2%), whereas the least identified was ‘using the pill for a long time’ (n = 930, 17.2%). Only 820 women (15.2%) displayed good awareness of OC risk and protective factors. Women from the Gaza Strip were slightly more likely than women from the WBJ to have good awareness (16.4% vs. 14.2%). In contrast, post-secondary education, higher monthly income, being married, and knowing someone with cancer were associated with an increase in the likelihood of displaying good awareness. <h4>Conclusion</h4> The overall awareness of OC risk and protective factors in this study was low. Educational interventions are needed to improve Palestinian women’s awareness.
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spelling doaj.art-8d6e695c9d304465a982e22d7281cd392022-12-21T23:52:12ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01173Awareness of ovarian cancer risk and protective factors: A national cross-sectional study from PalestineMohamedraed ElshamiAya TuffahaAreej YaseenMohammed AlserIbrahim Al-SlaibiHadeel JabrSara UbaiatSalma KhaderReem KhraishiInas JaberZeina Abu ArafehSondos Al-MadhounAya AlqattaaAsmaa Abd El HadiOla BarhoushMaysun HijazyTamara EleyanAmany AlserAmal Abu HziemaAmany ShatatFalasteen AlmakhtoobBalqees MohamadWalaa FarhatYasmeen AbuamraHanaa MousaReem AdawiAlaa MusallamNasser Abu-El-NoorBettina Bottcher<h4>Introduction</h4> Having a good awareness of ovarian cancer (OC) risk and protective factors could facilitate early diagnosis. This study aimed to assess Palestinian women’s awareness about OC risk and protective factors and to identify the factors associated with having good awareness. <h4>Methods</h4> A cross-sectional study was conducted from July 2019 to March 2020 in the two main areas of Palestine: the West Bank and Jerusalem (WBJ) and the Gaza Strip. A translated-into-Arabic version of the validated OC awareness measure was utilized. Adult women attending hospitals, primary healthcare centers, and public spaces at 11 governorates were invited to participate. The awareness level was categorized based on the number of factors recognized: poor (0 to 5), fair (6 to 10) and good (11 to 15). <h4>Results</h4> Of the 6095 women approached, 5618 agreed and completed the questionnaire (response rate = 92.1%). The final analysis included 5411 questionnaires. The most identified modifiable OC risk factor was ‘being a smoker’ (n = 4024, 74.4%), whereas the least identified was ‘having in vitro fertilization treatment’ (n = 1652, 30.5%). The most identified non-modifiable OC risk factor was ‘having ovarian cysts’ (n = 3136, 58.0%), whereas the least identified was ‘having endometriosis’ (n = 1880, 34.7%). The most identified OC protective factor was ‘breastfeeding’ (n = 4770, 88.2%), whereas the least identified was ‘using the pill for a long time’ (n = 930, 17.2%). Only 820 women (15.2%) displayed good awareness of OC risk and protective factors. Women from the Gaza Strip were slightly more likely than women from the WBJ to have good awareness (16.4% vs. 14.2%). In contrast, post-secondary education, higher monthly income, being married, and knowing someone with cancer were associated with an increase in the likelihood of displaying good awareness. <h4>Conclusion</h4> The overall awareness of OC risk and protective factors in this study was low. Educational interventions are needed to improve Palestinian women’s awareness.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8936444/?tool=EBI
spellingShingle Mohamedraed Elshami
Aya Tuffaha
Areej Yaseen
Mohammed Alser
Ibrahim Al-Slaibi
Hadeel Jabr
Sara Ubaiat
Salma Khader
Reem Khraishi
Inas Jaber
Zeina Abu Arafeh
Sondos Al-Madhoun
Aya Alqattaa
Asmaa Abd El Hadi
Ola Barhoush
Maysun Hijazy
Tamara Eleyan
Amany Alser
Amal Abu Hziema
Amany Shatat
Falasteen Almakhtoob
Balqees Mohamad
Walaa Farhat
Yasmeen Abuamra
Hanaa Mousa
Reem Adawi
Alaa Musallam
Nasser Abu-El-Noor
Bettina Bottcher
Awareness of ovarian cancer risk and protective factors: A national cross-sectional study from Palestine
PLoS ONE
title Awareness of ovarian cancer risk and protective factors: A national cross-sectional study from Palestine
title_full Awareness of ovarian cancer risk and protective factors: A national cross-sectional study from Palestine
title_fullStr Awareness of ovarian cancer risk and protective factors: A national cross-sectional study from Palestine
title_full_unstemmed Awareness of ovarian cancer risk and protective factors: A national cross-sectional study from Palestine
title_short Awareness of ovarian cancer risk and protective factors: A national cross-sectional study from Palestine
title_sort awareness of ovarian cancer risk and protective factors a national cross sectional study from palestine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8936444/?tool=EBI
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