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Knowledge of Breast Cancer and the Practice of Breast Self-Examination in Saudi Women: An Online Survey


Affiliations
1 Department of Biology, Faculty of Sciences, King Abdulaziz University, Rabigh – 21911, Saudi Arabia
2 Department of Food and Nutrition, Faculty of Human Sciences and Design, King Abdulaziz University, Jeddah – 21589, Saudi Arabia
3 Department of Pharmacology and Toxicology, Faculty of Pharmacy, King Abdulaziz University, Jeddah – 21589, Saudi Arabia
4 English Language Institute, Faculty of Arts and Humanities, King Abdulaziz University, Jeddah – 21589, Saudi Arabia
5 Department of Biology, Faculty of Sciences, King Abdulaziz University, Jeddah - 21589, Saudi Arabia
6 Preparatory Year Program, Batterjee Medical College, Jeddah – 21442, Saudi Arabia
 

Breast cancer is a cancer that spreads all over the world, including Saudi Arabia. Early detection requires awareness and knowledge of possible warning signs and effective methods of examination. The study aimed to evaluate the breast cancer knowledge (risk factors, causes, prevention and treatment) and to assess the Breast Self-Examination (BSE) among women in Saudi Arabia, so as to explore possible correlation between education and knowledge and practice of breast cancer. A total of 697 Saudi women, their ages between 18 and 65 years, their education levels ranged from primary to graduate levels. A custom designed survey was distributed online to assess the knowledge of breast cancer across many domains, the practice of BSE and women’s psychology towards this disease. The study period was from September to December 2019. Almost half of the participants had an overall moderate knowledge level (48.7 ± 17.2%) toward breast cancer. As the education level of the participants increased, knowledge also increased at P<0.0001. Knowledge score correlated with education (r2 = 0.27, P<0.0001). Knowledge scores across risk factors ranged between (10.1 - 69.3%) while knowledge levels across the other tested domains (causes, spreading, BSE, prevention and treatment) varied between (9.1 - 95.4%). The studied women also showed a moderate level of BSE practice (58.0 ± 29.9%) and significantly associated with education (P<0.05). The breast cancer knowledge of the participants was found to be moderate among women in Saudi Arabia and was higher with the increasing level of tertiary education. Since few women in this study (11.9%) had goodbreast cancer knowledge, there is a need to introduce breast cancer education in focusing on less educated women.

Keywords

Breast Cancer, Breast Self-Examination, Knowledge, Practice, Retrospective Cohort Study
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  • Baloushah S, Salisu WJ, Elsous A, Muhammad Ibrahim M, Jouda F, Elmodallal H, et al. Practice and barriers toward Breast Self-Examination among Palestinian Women in Gaza City, Palestine. Scientific World Journal. 2020; 2020:7484631. PMid: 32292294 PMCid:PMC7149485. https://doi.org/10.1155/2020/7484631
  • Albargi A, Alkhars F, Alkhars A, Alkhars A, Albagshi A, Bukannan A. Assessing the knowledge of breast cancer risk factors, warning signs, self-examination and mammography among women in the Eastern Region of Saudi Arabia. EC Gynaecology. 2020; 9:01–7.
  • Cheng HD, Shan J, Ju W, Guo Y, Zhang L. Automated breast cancer detection and classification using ultrasound images: A survey. Pattern Recognition. 2010; 43(1):299–317. https://doi.org/10.1016/j.patcog .2009.05.012
  • Khan JA, McGuigan FE, Akesson KE, Ahmed Y, Abdu F, Rajab H, et al. Osteoporosis knowledge and awareness among university students in Saudi Arabia. Archives of Osteoporosis. 2019;14(1):8.https://doi.org/10.1007/s11657-019-0560-y
  • Baig MR, Subramaniam V, Ch AA, Khan TM. A population based survey on knowledge and awareness of breast cancer in the suburban females of Sungai Petani, Kedah, Malaysia. International Journal of Collaborative Research on Internal Medicine and Public Health. 2011; 3(9):671–9.
  • Ahmad B, Kokash E, Al Zabadi H, Saed M, Husean M, Kathem W. Knowledge, awareness, and practice of Breast Self-Examination among An-Najah National University female students. Palestinian Medical and Pharmaceutical Journal. 2017; 2(1):45–54.
  • Eldessouki R, Mabrouk S, Eid S. Assessment of knowledge on breast cancer risk factors and the practice of Breast Self-Examination among college educated female administrative employees in Fayoum University. Fayoum University Medical Journal. 2019; 3(1):29–41. https://doi.org/10.21608/fumj.2019.60385
  • Srivastava A. Mammographic screening or breast cancer awareness? Time to ponder. Indian Journal of Surgery. 2017; 79(5):446–9. PMid:29089707 PMCid:PMC5653586.https://doi.org/10.1007/ s12262-017-1672-5
  • Al-Amoudi S, AlHomied MTA-A, AlSayegh NYN, Radi ONI, Zagzoog MMS, Aloufi OFM, et al. Breast cancer knowledge among male highschool students in Saudi Arabia. Journal of Cancer Education. 2016; 31(4):784–8. PMid:26611278.https://doi.org/10.1007 /s13187-015-0951-8
  • Gangane N, Ng N, Sebastian MS. Women's knowledge, attitudes and practices about breast cancer in a rural district of Central India. Asian Pacific Journal of Cancer Prevention. 2015; 16(16):6863– 70. PMid:26514458. https://doi.org/10.7314/APJCP.2015.16.16.6863
  • Tazhibi M, Feizi A. Awareness levels about breast cancer risk factors, early warning signs and screening and therapeutic approaches among Iranian adult women: A large population based study using latent class analysis. BioMed Research International. 2014; 2014:1–9. PMid:25295257 PMCid:PMC4180890. https://doi.org/10.1155/2014/306352
  • Akram M, Iqbal M, Daniyal M, Khan AU. Awareness and current knowledge of breast cancer. Biological Research. 2017; 50(1):33. PMid:28969709 PMCid:PMC5625777.https://doi.org/10.1186/ s40659-017-0140-9
  • Al-Dayel M, Arafa M, Nooh R, Alamri F, Fareed M. Knowledge, attitude and practice about breast cancer among Saudi Women: A cross-sectionalsStudy in Riyadh. Health Sciences. 2019; 8(6):38–48.
  • Yousuf SA, Al Amoudi SM, Nicolas W, Banjar HE, Salem SM. Do Saudi nurses in primary health care centres have breast cancer knowledge to promote breast cancer awareness? Asian Pacific Journal of Cancer Prevention. 2012; 13(9):4459–64.PMid: 23167361.https://doi.org/10.7314/APJCP.2012.13.9.4459
  • Mahfouz AA, Hassanein MH, Nahar S, Farheen A, Gaballah II, Mohamed A, et al. Breast cancer knowledge and related behaviors among women in Abha city, southwestern Saudi Arabia. Journal of Cancer Education. 2013; 28(3):516–20. PMid:23797712. https://doi.org/10.1007/s13187013-0495-8
  • Al-Zalabani AH, Alharbi KD, Fallatah NI, Alqabshawi RI, Al-Zalabani AA, Alghamdi SM. Breast cancer knowledge and screening practice and barriers among women in Madinah, Saudi Arabia. Journal of Cancer Education. 2018; 33(1):201–7. PMid:27271153. https://doi.org/10.1007/s13187-0161057-7
  • Radi SM. Breast cancer awareness among Saudi females in Jeddah. Asian Pacific Journal of Cancer Prevention : APJCP. 2013; 14(7):4307–12.PMid:2399 1994. https://doi.org/10.7314/APJCP.2013.14.7.4307
  • Russell KM, Monahan P, Wagle A, Champion V. Differences in health and cultural beliefs by stage of mammography screening adoption in African American women. Cancer: Interdisciplinary International Journal of the American Cancer Society. 2007; 109(S2):386–95. PMid:17133417. https://doi.org/10.1002/cncr.22359
  • Freitas AG, Weller M. Knowledge about risk factors for breast cancer and having a close relative with cancer affect the frequency of Breast Self-Examination performance. Asian Pacific Journal of Cancer Prevention : APJCP. 2016; 17(4):2075–81. PMid:27221898.PMid:27221898. https://doi.org/10.7314/APJCP.2016.17.4.2075
  • Habib F, Salman S, Safwat M, Shalaby S. Awareness and knowledge of breast cancer among university students in Al Madina Al Munawara region. Middle East Journal of Cancer. 2010; 1(4):159–66.

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  • Knowledge of Breast Cancer and the Practice of Breast Self-Examination in Saudi Women: An Online Survey

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Authors

Aminah Allohaibi
Department of Biology, Faculty of Sciences, King Abdulaziz University, Rabigh – 21911, Saudi Arabia
Fatimah Yousef
Department of Food and Nutrition, Faculty of Human Sciences and Design, King Abdulaziz University, Jeddah – 21589, Saudi Arabia
Ghadeer Joudah
Department of Pharmacology and Toxicology, Faculty of Pharmacy, King Abdulaziz University, Jeddah – 21589, Saudi Arabia
Hussam Rajab
English Language Institute, Faculty of Arts and Humanities, King Abdulaziz University, Jeddah – 21589, Saudi Arabia
Ikhlas Sindi
Department of Biology, Faculty of Sciences, King Abdulaziz University, Jeddah - 21589, Saudi Arabia
Mai Albaik
Preparatory Year Program, Batterjee Medical College, Jeddah – 21442, Saudi Arabia

Abstract


Breast cancer is a cancer that spreads all over the world, including Saudi Arabia. Early detection requires awareness and knowledge of possible warning signs and effective methods of examination. The study aimed to evaluate the breast cancer knowledge (risk factors, causes, prevention and treatment) and to assess the Breast Self-Examination (BSE) among women in Saudi Arabia, so as to explore possible correlation between education and knowledge and practice of breast cancer. A total of 697 Saudi women, their ages between 18 and 65 years, their education levels ranged from primary to graduate levels. A custom designed survey was distributed online to assess the knowledge of breast cancer across many domains, the practice of BSE and women’s psychology towards this disease. The study period was from September to December 2019. Almost half of the participants had an overall moderate knowledge level (48.7 ± 17.2%) toward breast cancer. As the education level of the participants increased, knowledge also increased at P<0.0001. Knowledge score correlated with education (r2 = 0.27, P<0.0001). Knowledge scores across risk factors ranged between (10.1 - 69.3%) while knowledge levels across the other tested domains (causes, spreading, BSE, prevention and treatment) varied between (9.1 - 95.4%). The studied women also showed a moderate level of BSE practice (58.0 ± 29.9%) and significantly associated with education (P<0.05). The breast cancer knowledge of the participants was found to be moderate among women in Saudi Arabia and was higher with the increasing level of tertiary education. Since few women in this study (11.9%) had goodbreast cancer knowledge, there is a need to introduce breast cancer education in focusing on less educated women.

Keywords


Breast Cancer, Breast Self-Examination, Knowledge, Practice, Retrospective Cohort Study

References