gher, owing to the underreporting of cases and the difficulties in obtaining accurate statistics from some geographically remote places. Unconfirmed reports suggest that although Malay women have the lowest incidence rates of breast cancer among the three major ethnic groups (incidence is reportedly highest among the Chinese, followed by the Indian), they have the highest mortality rates.
The Malaysian Medical Association asserts that women who were less likely to undergo breast examination are at a higher risk of late detection of breast cancer. This scenario is reportedly more prevalent among women who have low or no formal education, come from rural areas, live in agricultural communities, and are from low-income families (Lim, 2003). Furthermore, unofficial reports also suggest that many of the women who have been diagnosed with breast cancer often fail to seek treatment or discontinue their treatment.At present, there is scant research being carried out to understand these phenomena in Malaysia. Moreover, there is no institutional set up that concentrates upon utilizing such knowledge, even if it is available. Such a set up is crucial in the development and dissemination of culturally, ethically and linguistically appropriate breast cancer educational materials to effectively change those behaviors and beliefs that impede accurate understanding about the disease and the treatment of the disease.
Excerpts from National Cancer Registry (2003)
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