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Level of Knowledge Regarding Breast Cancer among Women in the Commune of Parakou in 2021

Advances in Breast Cancer Research 2023年第1期12卷 1-9页

作者： Luc Valère Codjo Brun Yessito Corine Nadège Houehanou-Sonou Nukunté David Lionel Togbenon marie-claire assomption oloufoudi balle pognon Ludwine Ghislaine Fifamè Padonou Falilath Seidou Kabibou Salifou marie Thérèse Akele Akpo Faculty of Medicine University of Parakou (FM/UP) Parakou Benin National School of Public Health and Epidemiology University of Parakou Parakou Benin Faculty of Health Sciences University of Abomey Calavi (FSS) Cotonou Benin

Background: Women well-informed regarding breast cancer are often most conscious about their breast health and would therefore seek medical attention when detecting the initial symptoms. Objective: This study sought to identify factors associated with a good level of knowledge regarding breast cancer among women in the commune of Parakou in 2021. Method: This was a prospective cross-sectional study with descriptive and analytical purposes, carried out from June 5 to August 5, 2022, among women residing in the first district of the commune of Parakou. A pre-designed questionnaire set up with the Kobotoolbox server was used for data collection through a cluster survey sampling technique. Pearson’s chi-square test was implemented to determine associations between variables. Result: A total of 630 women were included in this study. The prevalence of women well-informed about breast cancer was 21.75% (95% CI = [18.70 - 25.13]). Factors associated with good knowledge regarding breast cancer were age group (p-value < 0.001), school level (p-value < 0.001), occupation (p-value < 0.001), and regular attendance at a health facility (p-value Conclusion: Several women remain unaware of breast cancer in the commune of Parakou. A huge effort is still needed to increase the level of coverage of information regarding breast cancer and its prevention methods.

关键词： Knowledge Factors Associated Breast Cancer Women Parakou (Benin)

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Perceptions and Knowledge about Cervical Cancer among Women Living with HIV in Parakou in 2017

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Open Journal of Epidemiology 2022年第1期12卷 31-49页

作者： Luc Béhanzin Luc Valère Codjo Brun Elfried Salanon marie-claire assomption oloufoudi balle pognon Ella Goma-Matsétsé Maurice Agonnoudé David Houéto Thierry Adoukonou Benjamin Hounkpatin marie Thérèse Akélé Akpo School of Public Health and Epidemiology University of Parakou Parakou Benin Department of Pathological Anatomy Faculty of Medicine University of Parakou Parakou Benin STI Clinic (DIST) Cotonou Community Health Centre 1 Cotonou Benin Obstetrics and Gynecology Service of the Hospital and University Center of the Mother and Child of Lagune (CHUMEL) of Cotonou Cotonou Benin Laboratory of Pathological Anatomy of Cité Houéyiho Faculty of Health Sciences of Cotonou University of Abomey Calavi Godomey Benin

Background: Cervical cancer (CC) is the fourth most common cancer in women and those living with HIV have a six times higher risk of cervical cancer compared to those without. The objective of this study was to assess knowledge and perceptions about cervical cancer in women living with HIV/AIDS (WLWHIV) in the municipality of Parakou in Benin. Methods: This was an analytical cross-sectional study conducted among WLWHIV monitored on antiretrovira (ARV) therapy (ART) centers in Parakou. Study participants were selected by systematic random sampling technique. Data collection took place from September 5, 2017 to November 6, 2017. Log-binomial regression was used to identify associated factors. Results: A total of 167 women were recruited into the study. The median age was 35 years [Interquartile range: 41.50 - 30.00]. More than half of the women had no perception of the cause of CC. Only 12.6% of women believed in the preventive capacity of early screening of CC. Among women, 15.6% knew that it can be prevented, but only 9.6% had heard of HPV and 4.8% knew that HPV vaccination is an effective means of preventing CC. The factors associated with the low level of knowledge were the age at first sexual intercourse (≤24 years), the ART follow-up site (private health structure) and the fact of not having visited a maternity hospital in the last 12 months preceding the survey. Conclusion: The perceptions and knowledge about cervical cancer in the population of women living with HIV and monitored on ART in Parakou were inadequate and disproportionate to their vulnerability to this cancer. In order to avoid a double burden on these women, their ART centers must integrate cervical cancer prevention interventions into ART initiation services.

关键词： Perceptions Knowledge Cervical Cancer Benin HIV

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Epidemiological and Histopathological Aspects of Chronic Gastritis at the Departmental University Teaching Hospital of Borgou Alibori (CHUD-BA) from 2011 to 2021

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Open Journal of Pathology 2023年第1期13卷 54-71页

作者： Luc Valère Codjo Brun Khadidjatou Sake Alassan marie-claire assomption oloufoudi balle pognon Nukunté David Lionel Togbenon marie-Noëlle Oréofè Axelle Zomahoun Raoul Gomez Moncho Adrien Hodonou Oumou Boukari Pacôme Ahouanse Wilfried Akpo Falilath Seidou marie Thérèse Akele Akpo Faculty of Medicine University of Parakou Parakou Benin Faculty of Health Sciences University of Abomey Calavi Cotonou Benin

Background: Gastritis is better evaluated nowadays since the advent of upper gastrointestinal endoscopy. Despite the availability of this workup in Benin Republic, there is a scarcity of data on chronic gastritis. Objective: This work aimed to study the epidemiological and histopathological aspects of chronic gastritis in the Departmental University Teaching Hospital of Borgou Alibori (CHUD-B/A) from 2011 to 2021. Method: This was a retrospective cross-sectional study with descriptive and analytical purposes, carried out from February 23, 2022 to May 23, 2022, among patients who had undergone gastric biopsy and/or gastrectomy from January 2011 to January 2022 (10 year), and whose specimens were sent into the histopathology section of the CHUD-B/A. Non-probability sampling was performed with exhaustive recruitment. A survey form has been used to collect data from patients’ medical records. Pearson’s chi-square and Fisher’s exact tests have been used as appropriate to determine correlations between variables. Result: A total of 310 cases of chronic gastritis were diagnosed in the histopathology section of the CHUD-B/A from 2011 to 2021. This represented a chronic gastritis frequency of 91.45% for all gastric lesions diagnosed throughout the study period. Erythematous gastropathy was the most frequent (70.35%). Helicobacter pylori was present in 36.77% and dysplasia was observed in 12.26% of cases. Erythematous gastropathy was a predictive factor for the absence of gastric dysplasia in histopathology check up (p-value = 0.042). In contrast, intestinal metaplasia was predictive of the presence of gastric dysplasia in histopathology check up (p-value < 0.001). Conclusion: Chronic gastritis is very common in our setting. Systematic biopsy performance in front of an evocative clinical situation followed by histopathological examination may be encouraged.

关键词： Epidemiology Histopathology Chronic Gastritis Dysplasia Parakou (Benin)

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Knowledge, Attitudes and Practice Regarding Breast Cancer among Parakou University Female Students in 2021

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Open Journal of Pathology 2023年第1期13卷 28-39页

作者： Luc Valère Codjo Brun Luc Béhanzin Nukunté David Lionel Togbenon marie-claire assomption oloufoudi balle pognon Yessito Corine Nadège Houéhanou-Sonou Sèdjro Raoul Atadé Christelle Doussengue Falilath Séidou Kabibou Salifou marie Thérèse Akélé Akpo Faculty of Medicine University of Parakou Parakou Benin National School of Public Health and Epidemiology University of Parakou Parakou Benin Institute of Nursing and Obstetrical Care (IFSIO) University of Parakou Parakou Benin Faculty of Health Sciences University of Abomey Calavi Cotonou Benin

Background: Breast cancer is a life-threatening pathology affecting women across the world. Evidence suggests deficiency of knowledge and numerous sociodemographic factors contribute to delayed medical attention seeking behavior whether initial symptoms of breast cancer go undetected. Objective: This study aimed to assess knowledge, attitudes and practices regarding breast cancer among Parakou University female students in 2021. Method: This was a cross-sectional study with descriptive and analytical purposes, carried out on the campus of the University of Parakou, from June 14 to July 2, 2021. Data collection was performed through an individual online questionnaire, designed with KoBoCollect version 1.29.3. Data analysis was implemented with EPI INFO VERSION 7.***.3.3 software. Result: A total of 200 students meeting the inclusion criteria participated in this study. Among them, 20.5% had never heard about breast cancer. Non practice of breast cancer screening (breast self-examination) prevalence was 80%. Factors favoring non practice of breast cancer screening were: ethnicity, religion, not adhering to screening ideas, not committing to educating family and friends about screening. Factors promoting breast cancer screening practice were: having ever heard about breast cancer, being able to point to breast cancer symptoms, having adequate knowledge of breast cancer screening methods, having a good knowledge of the late-stage screening drawbacks. Conclusion: Some young women with high school level are still unaware of breast cancer and do not practice screening. Policymakers should consider more effective information outreach.

关键词： Knowledge Attitudes Practice Breast Cancer Parakou (Benin)

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Epidemiology, Diagnosis and Survival of Breast Cancer: Data from the Population-Based Cancer Registry of the City of Parakou from 2017 to 2021

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Open Journal of Pathology 2023年第1期13卷 9-27页

作者： Luc Valère Codjo Brun Rachidi Sidi Imorou Nukunté David Lionel Togbenon marie-claire assomption oloufoudi balle pognon Mawuton Alphonse Renaud Aholou Sèdjro Raoul Atade Oumou Boukari Freddy Houéhanou Rodrigue Gnangnon Salmane Amidou Falilath Séidou Hierrhum Aboubacar Bambara Kabibou Salifou marie Thérèse Akélé Akpo Faculty of Medicine University of Parakou Parakou Benin Saint Jean de Dieu Hospital of Tanguiéta Tanguiéta Benin Institute of Nursing and Obstetrical Care (IFSIO) University of Parakou Parakou Benin Faculty of Health Sciences University of Abomey Calavi Cotonou Benin National Program for the Control of Non-Communicable Diseases Ministry of Health Cotonou Benin Oncology and Clinical Hematology Department of the CHU Bogodogo Joseph Ki-Zerbo University Ouagadougou Burkina Faso

Background: Breast cancer mortality remains high in the majority of developing countries. The Ministry of Health has established two population-based cancer registries in Benin: the first one in Cotonou in 2014 and the second one in Parakou in 2017. However, there is a scarcity of data on breast cancer survival and prognosis in Benin Republic. Objective: This study sought to investigate epidemiological, diagnostic, and survival aspects of breast cancer in Parakou, based on data from its population-based cancer registry from 2017 to 2021. Method: For descriptive and analytical purposes, we used a retrospective cohort design. From January 24, 2022 to August 31, 2022, data were collected in all health facilities covered by the Parakou population-based cancer registry using an individual questionnaire. Survival and prognosis analysis were performed using KAPLAN MEIER method and David COX proportional hazard model respectively. Result: A total of 81 patients have been included in this study. The incidence rate of breast cancer in Parakou was 17.5 per 100,000 person-years with a mortality rate of 2.76 per 100,000 person-years. The median age at diagnosis was 44.50 years with extremes ranging from 19 to 76 years and a predominance of 40 - 50 years age group. The median survival time was estimated at 30 months with an overall 5-year survival of 47%. Young age at diagnosis (p-value = 0.002) and advanced stage at diagnosis (p-value = 0.000) had a negative impact on survival in women. The combination of surgery and chemotherapy improved survival (p-value = 0.018). Conclusion: Breast cancer is still a public health issue in Parakou. It comes out mandatory that resources be made available to make screening, early diagnosis and appropriate treatment of breast cancer affordable.

关键词： Breast Cancer Survival Cancer Registry Parakou (Benin Republic)

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