{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T19:36:02Z","timestamp":1790019362083,"version":"4.0.1"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,8,29]],"date-time":"2013-08-29T00:00:00Z","timestamp":1377734400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl Journal of Cancer"],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:p>Community awareness is crucial to early detection of breast cancer in low\u2010 and middle\u2010income countries. In Ghana 60% of the cases are detected at late stages. Breast Care International (BCI) is a Ghanaian non\u2010governmental organization dedicated to raising breast cancer awareness. A cross\u2010sectional survey was designed to assess the impact of BCI program on knowledge, attitudes and practices (KAP) toward breast cancer among women from rural communities of Ghana. A total of 232 women were interviewed in June 2011 in the Ashanti region; of these 131 participants were from a community that received the BCI program in August 2010 (intervention group) and 101 from another community that received the program post\u2010survey (referent group). Data analysis was performed using Epi\u2010Info version 3.5.3. Knowledge about breast cancer among participants who received the program was better than among those who did not. Only 53.5% of participants from the referent group knew that breast cancer usually appears as painless breast lump when compared to 82.3% from the intervention group. Participants who attended the program were significantly more likely to obtain higher knowledge scores (odds ratio (OR) = 2.10, 95% confidence interval (CI) = 1.14\u20133.86) and to state practicing breast self\u2010examination (OR = 12.29, 95% CI = 5.31\u201328.48). The BCI program improved KAP toward breast cancer. Further research is warranted to provide stronger evidence that the program improves breast cancer early detection.<\/jats:p>","DOI":"10.1002\/ijc.28412","type":"journal-article","created":{"date-parts":[[2013,8,3]],"date-time":"2013-08-03T06:42:39Z","timestamp":1375512159000},"page":"913-924","source":"Crossref","is-referenced-by-count":53,"title":["Evaluation of the impact of a breast cancer awareness program in rural Ghana: A cross\u2010sectional survey"],"prefix":"10.1002","volume":"134","author":[{"given":"Marisa","family":"Mena","sequence":"first","affiliation":[{"name":"Epidemiology for Cancer Prevention, Team of HIV, Cancer and Global Health, Inserm U897 and Centre Ren\u00e9 Labusqui\u00e8re Bordeaux Segalen University Bordeaux France"},{"name":"IDIBELL, Institut Catal\u00e0 d'Oncologia\u2010Catalan Institute of Oncology, L'Hospitalet de Llobregat Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatrice","family":"Wiafe\u2010Addai","sequence":"additional","affiliation":[{"name":"Breast Care International and Peace and Love Hospital Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Sauvaget","sequence":"additional","affiliation":[{"name":"International Agency for Research on Cancer Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim A.","family":"Ali","sequence":"additional","affiliation":[{"name":"Breast Health Global Initiative, Fred Hutchinson Cancer Research Center Seattle WA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seth A.","family":"Wiafe","sequence":"additional","affiliation":[{"name":"School of Public Health Loma Linda University Loma Linda CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois","family":"Dabis","sequence":"additional","affiliation":[{"name":"Epidemiology for Cancer Prevention, Team of HIV, Cancer and Global Health, Inserm U897 and Centre Ren\u00e9 Labusqui\u00e8re Bordeaux Segalen University Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin O.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Breast Health Global Initiative, Fred Hutchinson Cancer Research Center Seattle WA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denis","family":"Malvy","sequence":"additional","affiliation":[{"name":"Epidemiology for Cancer Prevention, Team of HIV, Cancer and Global Health, Inserm U897 and Centre Ren\u00e9 Labusqui\u00e8re Bordeaux Segalen University Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annie J.","family":"Sasco","sequence":"additional","affiliation":[{"name":"Epidemiology for Cancer Prevention, Team of HIV, Cancer and Global Health, Inserm U897 and Centre Ren\u00e9 Labusqui\u00e8re Bordeaux Segalen University Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,8,29]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"cancer incidence and mortality worldwide: IARC CancerBase No. 10 [Internet]","author":"Ferlay J","year":"2010"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopha.2007.10.015"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61351-2"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(09)70335-3"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(11)70031-6"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.breast.2011.02.006"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.breast.2011.02.005"},{"key":"e_1_2_6_9_1","first-page":"127","article-title":"Why do breast cancer patients report late or abscond during treatment in Ghana? 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