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INFORMATION NEEDS FOR BREAT SELF-EXAMINATION AND BREAST CANCER EARLY DETECTION AMONG WORKING CLASS WOMEN IN ENUGU METROPOTIS. A PROPOSAL RESEARCH TOPIC FOR Ph.D DISSERTATION SUBMITTED BY OFFOR CHIMEZIE CECILIA DEPARTMENT OF LIBRARY AND INFORMATION SCIENCE FACULTY OF EDUCATION Background to the Study Cancer remains the number one killer disease of mankind which kills more people than even HIV/AIDS and breast cancer is believed to be the most common cancer among women and overall, the second most common cancer globally. Breast cancer constitutes a major public health issue and is indeed, becoming an emerging epidemic in many countries of the world (including Nigeria), as its frequency, according to Amosu, Degun, Thomas and Babalola (2011) has overtaken that of other female cancers, such as ovarian and cervical cancers. While one in every Nigerian woman dies every hour from cervical cancer, no fewer than 40 die every day from breast cancer and the incidence has since 2008, increased by more than 20 percent with about 14 percent mortality rate (Pilot, 2015). This shows how debilitating the disease is, with no permanent cure in sight. In fact, based on estimates from the 2008 global burden on cancer prediction for the next decade, more than 17.5 million women around the world will develop breast cancer and more than 5 million women will die of the disease (Komen, 2013). These statistics are indeed, frightening and should worry all developing 1 countries, including Nigeria, where the disease seems to be prevalent because of lack of information, ignorance, stigmatization, fear of treatment and so on. As the name implies, breast cancer is an abnormal growth or a malignant tumour arising from the cell of the breast tissue which predominantly occurs in women and also, rarely in men (American Cancer Society, 2012). The cancerous tumours in the breast usually grow very slowly so that by the time one is large enough to be felt as a lump, it may have been growing for as long as ten years and if not detected early enough or if left untreated, these malignant tumours can invade the fatty tissue of the breast and then spread to other parts of the body (National Cancer Institute, 2010). Early detection is said to be the key to its survival. According to American Cancer Society (2003), detecting breast cancer early in its disease pathway, increase the opportunity for its effective treatment and reduces its advancement and mortality rates. Notably, early detection has centred largely on the use of modern screening methods, such as mammography and magnetic resonance imaging (MRI) and unfortunately, most of this sophisticated equipment do not seem to be sufficiently available in most developing countries. Again, most of these countries do not seem to have an established national screening programme. All these constitute a challenge, making it even more difficult for majority of women to have access to early detection facilities. Most especially, working class women, who due to the nature of the demanding roles they play both in their homes and places of work, seem to have little to no time to access such limited facilities. Significantly however, Global Action on Ageing (2002) has advocated that women themselves can play such an important role in early detection and as emphasized 2 by both Breakthrough Breast Cancer (2012) and Komen (2015), they can possibly do such through breast self-examination (BSE), which is a foremost step-by-step approach that a woman can use to look at and feel her breasts to know what is normal for her breast tissue and what is not. Crucial to this is the need for women to be well informed in this regards, since the fact remains that an informed mind is well equipped with knowledge for self-survival. Sadly, majority of working class women, who as a result of their very tight role schedule, seem to lack time to access information pertinent to this essential preventative as well as seemingly early detection measure. Hence, it is pertinent to carry out a research to find out the information needs for breast self-examination and breast cancer early detection among working class women in order to ascertain their specific information needs in this regards. Purpose of the Study The primary aim of this study is to determine the information needs for breast selfexamination and breast cancer early detection among working class women in Enugu metropolis. The study specifically intends to: 1. Identify the information needs for breast self-examination among working class women in Enugu metropolis. 2. Find out the information needs for breast cancer early detection among working class women in Enugu metropolis. 3. Ascertain the media through which working class women access information on breast self-examination as well as on early detection. 4. Ascertain the preferred media for the effective propagation of information on breast self-examination as well as early detection. 3 5. Identify the factors which hinder the working class women from accessing information on breast self-examination. 6. Find out the relationship between breast self-examination and breast cancer early detection among working class women in Enugu metropolis. 7. Ascertain the relationship between information needs and breast selfexamination among working class women in Enugu metropolis. METHOD This study will adopt descriptive research design and will be carried out in Enugu Metropolis of Nigeria. Structured questionnaire will be used for data collection. Significance of the Study It is expected that this study will be beneficial to six groups of individuals namely: health workers, the government, non-governmental organizations, information professionals, the working class women and future researchers. REFERENCES American Cancer Society (2003). Cancer Facts and Figures. Retrived from www.cancer.org. American Cancer Society (2012). The annual report “Cancer statistics 2012”. Retrieve from www.cancer.org. Amosu, A.M., Degun, A.M., Thomas, A., & Babalola, A.O. (2011). Assessment of awareness, perception, specific knowledge, and screening behavior regarding breast cancer among rural women in Ikpokia Local Government Area, Ogun State, Nigeria. Retrieved from www. Scholarsresearchlibrary.com. Breakthrough Breast Cancer (2012). Breast cancer breast awareness. Retrieve from 4 http:www.breathrough.org.uk/breast)cancer/breast_awareness/. Global Action on Ageing (2002). Breast cancer ignorance revealed, Retrieved from http://www.globalaging.org/health/world/ignorance.htm. Komen S.G. (2013) Susan G. Komen for the cure convenes global women’s cancer summit; worldwide collaboration aims to tackle breast, cervical cancer, retrieve from http;ww.5.komen.org/komenNewsArticle.aspx?1932735420 Komen S.G. (2015) Susan G. Komen for the cure. Retrieved from ww.5.komen.org>Breast cancer>Breast selfExam. National cancer Institute (2010). What you need to know about breast incidence and mortality. Retrieved from www.cancer.gov. Nigerian Pilot (2015). Finding lasting solution to breast cancer in Nigeria. Retrieved from Nigerian Pilot.com 5