Breast Cancer awareness Asia
Cover Conceptual shot of women who are concerned about the size of the breast.

Awareness around breast cancer may have improved over time but in Asia there’s still some way to go according to a new study

If you are reading this article, chances are that you know at least one person who has had breast cancer, if not more. While lung cancer used to be the most prevalent cancer, breast cancer has surpassed it to become the most commonly diagnosed cancer worldwide. Although awareness of the disease has increased over the years, a recent study commissioned by Estée Lauder Companies (ELC) in partnership with Nielsen has shown there’s a long way to go, particularly in Asia.

A pioneer in the field, The Estée Lauder Companies Charitable Foundation (ELCCF) and the company’s Breast Cancer Campaign have funded more than $118 million for global research, education and medical services related to breast cancer since the early ‘90s. The cosmetics company’s recent Asia Pacific study marks the brand’s 30th anniversary of its Breast Cancer Campaign.

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Merlion illumination 2022 by Estee Lauder Companies
Above Estée Lauder Companies supported the Breast Cancer Foundation in illuminating Singapore’s Merlion in 2022 to raise awareness of breast cancer

“Back in 1992, breast cancer wasn't spoken about so openly and knowledge of the disease was limited, but Evelyn Lauder [Estée Lauder’s daughter-in-law] wanted to change that,” says Margaret Chooi, managing director, Singapore affiliate, Estée Lauder Companies. Lauder was extremely passionate about the cause and began the company’s breast cancer campaign. She also co-created the pink ribbon—with Alexandra Penney, then editor of SELF magazine—which has now become an international symbol for the fight against disease. “She went on to inspire a global movement in the mission to create a breast cancer-free world,” says Chooi, who gives the example of the company’s annual tradition of illuminating iconic buildings and monuments worldwide in a shocking pink each October to raise awareness about breast cancer.

Increasing knowledge about breast cancer is at the core of ELC’s mission and is the impetus behind projects such as the recent research, which was conducted in September. The study surveyed 6,000 women aged 25 to 49 across 12 markets in Asia Pacific including Australia, Indonesia, Japan, Hong Kong, Malaysia, Philippines and Singapore to better understand attitudes, misconceptions and ideas about breast cancer in the region. One of the main aims of the research was to gain information to help direct future funding efforts and to share information with partner NGOs.

Among the most surprising statistics was that as many as 55 percent of women in Indonesia discovered that they had breast cancer by chance. In Singapore the percentage was also high at 40 percent. “This tells us that there is definitely a lot more room for improvement by encouraging women to do regular self-checks or to go for mammograms,” says Chooi, who also noticed a lack of knowledge regarding prevention. “I think a lot of the women that were surveyed consider themselves to be well informed but yet, when you look at it, less than 30 percent associate [increased] risk of breast cancer with drinking and smoking,” she says.

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Margaret Chooi, managing director, Singapore affiliate, Estée Lauder Companies
Above Margaret Chooi, managing director, Singapore affiliate, Estée Lauder Companies

Moreover, several myths surrounding breast cancer continue to persist across Asia and a great deal of stigma and embarrassment surrounds the disease. “If you look at the misconceptions, what was actually quite apparent to me was that one fifth of women in APAC mistakenly believe that wearing a wire bra increases the risk of breast cancer,” says Chooi. “This misconception is particularly high amongst Filipinos at 42 percent and Indonesians where it was 30 percent.” She adds that the report underscored the fact that breast cancer remains a cultural taboo deterring people from discussing or acknowledging the disease. In general, there is hesitancy among women when it comes to conducting self-examinations. In Japan as many as 67 percent of respondents said they are not confident about conducting their own breast examinations. The survey also revealed that 32 percent of Singaporean women and 44 percent of Malaysian women say that they avoid self-examinations because they are embarrassed.

Perhaps most alarming was the fact that one third of women in APAC say that they don’t visit the doctor for breast examinations, mainly because they don’t see the need. And more than half of the respondents surveyed in Indonesia and Malaysia said they didn’t see a doctor due to the high cost or not knowing where to access free check-ups.

A large number of women surveyed also indicated that mental health support and nutritional advice from dietitians would help them during their cancer journey as well as in the recovery period. Having worked with the Breast Cancer Foundation in Singapore for some time and having had anecdotal conversations with breast cancer survivors, ELC has been aware of the importance of supporting mental health for some time. Earlier this year, in January, the company helped to open a Positive Image Room in the Breast Cancer Centre, a new facility established by the Breast Cancer Foundation (BCF) in Singapore. The room offers patients the chance to borrow wigs and access skincare and makeover services to boost their confidence.

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ELC's Positive Image Room
Above The new Positive Image Room in Singapore's Breast Cancer Centre

The need for extra support among breast cancer patients is something that came through prominently in the report. An overwhelming majority of the women surveyed in Asia (85 percent) indicated that it would be helpful if their partners were more aware about the disease. “A very small percentage of men also do get breast cancer…so education is important for both men and women,” notes Chooi.

During Covid, ELC had to pause various initiatives and many women were hesitant to enter hospitals for scans or checks, but now that the pandemic is in the rear-view mirror, Chooi hopes that there will be a shift in focus. “As everything gradually resumes to its new normal, we hope to bring everyone's attention back to this cause, to refocus on conducting research, presenting significant findings and to also encourage women to continue with the mammograms and their treatment.”

On a personal front Chooi says her own mother suffered from breast cancer and she has several friends who have been diagnosed with the disease. Asked if she has any advice for women, based on all her learnings from the study and ELC’s work over the years, she says it boils down to self-care which means self-checking. “Women in their twenties should start so it becomes a practice and then a habit. It’s always good to start early.”

A Guide to Breast Self-Examination

1. Give yourself a breast self-exam once a month.

2. Perform a breast self-exam seven to 10 days after your menstrual period starts, which is when breasts are the least tender and lumpy.

3. Look for any changes including overall changes in size, feeling a palpable lump, inversion of the nipple, dimpling of the breast, redness or scaliness of the breast skin or nipple, or discharge from the nipple

4. It is not unusual to have lumpy or bumpy breasts. What to look out for is a change from last month’s exam to this month’s exam.

5. If you discover a persistent lump in your breast or any changes, visit a physician immediately. While eight out of 10 lumps are benign, it’s important to do a proper evaluation to confirm that they are not cancerous.

Click here for a more detailed guide to self-examination.


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