TY  - JOUR
AU  - Sabgul, Afnan Abdulnasir
AU  - Qattan, Ameerah M N
AU  - Hashmi, Rubayyat
AU  - Al-Hanawi, Mohammed Khaled
PY  - 2021
DA  - 2021/2/25
TI  - Husbands’ Knowledge of Breast Cancer and Their Wives’ Attitudes and Practices Related to Breast Cancer Screening in Saudi Arabia: Cross-sectional Online Survey
JO  - J Med Internet Res
SP  - e25404
VL  - 23
IS  - 2
KW  - attitude
KW  - breast cancer
KW  - husbands
KW  - knowledge
KW  - Saudi Arabia
KW  - screening
AB  - Background: Despite Saudi Arabia’s free and well-established cancer care program, breast cancer incidence and mortality are rising. Husbands’ knowledge, and wives’ attitudes and practices related to breast cancer screening are not well understood in Saudi Arabia. Objective: The aim of this study was to investigate husbands’ knowledge, and wives’ attitudes and practices related to breast cancer screening in Saudi Arabia. Methods: This cross-sectional study collected data from 403 husbands in the holy city of Makkah through an online self-reported questionnaire over a period of 2 months, from May 6 to July 7, 2020. Tabulation, bivariate, and multiple regression analyses were the major tools used for data analysis. Multivariate logistic regressions were used to examine the association between husbands’ knowledge and wives’ behavior regarding breast cancer screening methods. Results: Husbands’ knowledge score (a 1-point increase) was significantly associated with the wives’ utilization of mammograms (adjusted odds ratio [AOR] 1.089, 95% CI 1.024-1.159) and breast self-examination (AOR 1.177, 95% CI 1.105-1.255). Husbands’ knowledge also influenced the wives’ attitudes toward learning about breast self-examination (AOR 1.138, 95% CI 1.084-1.195). There was no significant association between husbands’ knowledge and wives’ utilization of clinical breast examination. However, richer husbands showed a socioeconomic gradient concerning their wives’ utilization of clinical breast examinations (AOR 2.603, 95% CI 1.269-5.341). Conclusions: Overall, husbands’ knowledge of breast cancer influences wives’ attitudes and practices related to breast cancer screening methods in Saudi Arabia. Thus, interventions delivered to husbands might increase breast cancer awareness and survival. 
SN  - 1438-8871
UR  - https://www.jmir.org/2021/2/e25404
UR  - https://doi.org/10.2196/25404
UR  - http://www.ncbi.nlm.nih.gov/pubmed/33629959
DO  - 10.2196/25404
ID  - info:doi/10.2196/25404
ER  -