Assessment of Knowledge, Attitude and Breast Self-Examination Practice among Female Students in Sulaimani Polytechnic University

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Sarko Masood Mohammed


Breast cancer is the most common cancer affecting women all over the world. it is estimated to account for around 25% of all malignant in women, and incidence shows continuously increasing trend in many countries all over the world. The aim of the study is to determine level of knowledge, awareness, and BSE practice for breast among SPU female students. A descriptive study was conducted a pre- tested questionnaire was used to determine knowledge, attitude and practices of female students in SPU regarding breast cancer and BSE. The face to face interview questionnaire was filled by systematic random sampling to 216 female students from 4 different colleges belongs to SPU, after getting verbal consent to participate voluntary in the study. Data were entered into Epi-data version 3.1.1 and exported to analyse in SPSS version 17. Descriptive analysis was performed and frequencies and percentages were reported. The mean age of participants was 20.7, the study result shows that the knowledge mean score of participants was 3.95 (SD ± 1.78).181(83.8%) have information of breast cancer, and 157(72.7%) have information on breast cancer sign,136(63.0%) have information on factor that increase change to get breast cancer,150(69.4%)have information on (BSE),86(39.8%)have information how to do (BSE),101(46.8%)have information on mammography .91(42.1%)practice of (BSE), only 10 ( 4.6 %) female students has  performing  this examination regularly , percentage of students that  did not done mammography was 193 (89.4%) . only 2 (0.9 %) performs mammography screening regularly, 18 (8.3 %) have a family member that get breast cancer. Knowledge of female student about breast cancer was at unsatisfactorylevel. Knowledge of female student about S.B.E was also at unsatisfactory level.  Poor practice was observed, regarding BSE. Knowledge regarding mammography was also poor.


breast cancer, knowledge, attitude, practices, Breast self- examination, mammography, college student.


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[1] B. Anderson, Y. Smith” Guideline implementation for breast healthcare in low-income and middle income countries: overview of the Breast Health Global Initiative Global Summit 2007, Vol.113(8):2221–2243. 2008. [PubMed].
[2] (WHO), World Health Organization, Cancer Fact Sheet No. 297. (2006). Available on
[3] M. Coleman, M. Quaresma, Cancer survival in five continents: worldwide population-based study (CONCORD), Lancet Oncol, Vol. 9, 730–56.2008.
[4] R. Smith, D. Saslow, K. Sawyer, American Cancer Society Guidelines for Breast Cancer Screening, CA Cancer J Clin; Vol.5,53:141,2003.
[5] T. Jacob, N. Penn, Breast self-examination: knowledge, attitudes, and performance among black women. Journal of the national medical association, Vol.81(7):769,2009.
[6] M. Oussama, K. AtordModjtabai, Guidelines for the early detection and screening of breast cancer, World Health Organization Regional Office for the Eastern Mediterranean Region ,EMRO technical publications, Vol.30, 2006.
[7] M. El Mistiri, I. Rashid, Cancer incidence in eastern Libya: The first report from the Benghazi Cancer Registry, Vol.3.,2003.
[8] CDC, Breast Cancer Screening. Center for Disease Control, Atlanta, GA USA, 2012.
[9] T. McCready, D. Littlewoods, Breast self-examination and breast awareness: A literature review. J ClinNurs; Vol.14(5): 570-578.).2005.
[10] C. Jadhav, S. Keerti, Breast tumors and college students: a study of their knowledge, attitude and practice. Indian Journal of Pathology and Oncology. Jul Vol.;4(3):361-4.2017.
[11] O. Abu-Salem, M. Hassan, Breast self-examination among female nurses in Jordan. Shiraz E Med J. Vol. 8(2): 51-57.2007.
[12] V. Mai, T. Sullivan, Breast Cancer Screening Program in Canada: Successes and Challenges. SaludPublica Mex. Vol.51.2009.
[13] A. Bener, H.ElAyoubi, Do we need to maximise the breast cancer screening awareness? Experience with an endogamous society with high fertility. Asian Pac J Cancer Prev. Vol.10(4):599-604.,2009.
[14] A. Bener, H. Ayub, Patterns of cancer incidence among the population of Qatar: a worldwide comparative study. Asian Pac J Cancer Prev. Jan_Mar; Vol.9:1, 19_24.2008.
[15] N. Alwan, W. Al Attar, Knowledge, attitude and practice regarding breast cancer and breast self-examination among a sample of the educated population in Iraq. EMHJ - Eastern Mediterranean Health Journal, Vol.18 (‎4)‎, 337-345, 2012.
[16] N. Alwan, J. Al-Diwan , Knowledge, attitude & practice towards breast cancer & breast self-examination in Kirkuk University, Iraq. Asian Pacific Journal of Reproduction. Vol. 1;1(4):308-11, 2012.
[17] D. Nemenqani, S. Abdelmaqsoud, Knowledge, attitude and practice of breast self-examination and breast cancer among female medical students in Taif, Saudi Arabia. Open Journal of Preventive Medicine. Vol.29;4(02):69.2014.
[18] K. Oladimeji, J. Tsoka-Gwegweni, Knowledge and beliefs of breast self-examination and breast cancer among market women in Ibadan, South West, Nigeria. PloS one journal, Vol.25;10(11):2015.
[19] A. Ayed, F. Eqtait, Breast Self-Examination in Terms of Knowledge, Attitude, and Practice among Nursing Students of Arab American University/Jenin. Journal of Education and Practice. Vol.6(4):37-4, 2015.

[20] S. Azubuike, S. Okwuokei, Knowledge, attitude and practices of women towards breast cancer in Benin City, Nigeria. Annals of medical and health sciences research. Vol. 3(2):155-60.,2013.

[21] M. Reisi, S. Javadzade, Knowledge, attitudes, and practice of breast self-examination among female health workers in Isfahan, Iran.Journal of education and health promotion. Vol.2..2013.

[22] H. Abdel Mowla, E. Abdel Aziz, The Effect of Breast Self-Examination Training Program on the Knowledge, Attitude and Practice among Female Nursing Students at Faculty of Nursing, Alexandria University, Egypt,Journal of Nursing and Health Science, PP 42-49,2018.

[23] D. Moustafa, E. Abd-Allah, Effect of a breast self-examination (BSE) educational intervention among female university students. American Journal of Nursing. Vol. 4(4):159-65,2015.

[24] S. Tu, L. Reisch, Breast self-examination: Self-reported frequency, quality, and associated outcomes. J Cancer Educ; Vol.21:175-81.2006.

[25] O. Odusanya, Breast cancer: knowledge, attitudes, and practices of female schoolteachers in Lagos, Nigeria. The breast journal. May; Vol.7(3):171-5.2001.
[26] S. Kumar, A. Imam, Knowledge, attitude and preventive practices for breast cancer among Health Care Professionals at Aga Khan Hospital Karachi. J Pak Med Assoc; Vol.59(7):474.2009.
[27] S. Jahan, M. Al-Saigul, Breast cancer: Knowledge, attitudes and practices of breast self-examination among women in Qassim region of Saudi Arabia. Saudi Med J; Vol.27: 1737-1741.2006.
[28] P. Carney, D. Miglioretti, Individual and combined effects of age, breast density, and hormone replacement therapy use on the accuracy of screening mammography. Annals of internal medicine, Feb Vol.4;138(3):168-75.2003.
[29] F. Habib, S. Salman, Awareness and knowledge of breast cancer among university students in Al Madina Al Munawara region. MEJC; Vol.1: 159-166.2010.
[30] N. Alwan, W. Al-Attar, .Knowledge, attitude and practice regarding breast cancer and breast self-examination among a sample of the educated population in Iraq. EMHJ .Vol. 18 No. 4 .2012.
[31] O. Charles, Awareness, Knowledge and Practice of Breast-Self Examination amongst Female Health Workers in A _Nigerian Community. Sudan JMS Vol. 3, No.2,2008.
[32] S. Lee, E. Sim, Factors affecting periodic screening behaviors for breast cancer among hospital nurses. Korean J. Women Health Nurse. Vol.16(4): 390-398.2010.