Knowledge, Attitude, and Practice on Breast Cancer Screening Methods among Women in the North of Iran

Seyed Abolhassan Naghibi, Sara Daryani, Davood Shojaizadeh, Ali Montazeri


Background: Breast cancer is the second most common cancer in women. Because early detection of breast cancer can be associated with better treatment and reduce the risk of death, screening tests for rapid diagnosis is a crucial measure. The aim of this study was to survey the knowledge, attitude, and practice on breast cancer screening methods among women in the North of Iran.

Methods: This study was a cross-sectional and descriptive study conducted on 1410 women aged greater than 20 years in the north of Iran. Data was collected using self-developed questionnaire by the researchers after extensive review of literature. The questionnaire included 40 questions that 6 questions were related to demographic characteristics, 15 questions were about measuring awareness towards breast cancer, mammography, and screening methods such as BSE or CBE by physicians, 10 questions were about assessing attitude towards screening methods, and finally 9 questions for assessing performance of female BSE as well as CBE based on mammography. Collected data were analyzed by SPSS-17 statistical software.

Results: The mean age of the women was 35.71±11.60 years. The mean of awareness scores was 51.0±9.2). The mean of attitude scores was 72.0±12.4. There was no significant relationship between awareness and demographic variables (except for employment, P=0.003). There was a positive relationship between awareness and positive attitude with a correlation coefficient of 0.54. The results related to women’s awareness towards screening methods showed that mean of awareness towards breast cancer is 63.70%, the mean of awareness towards BSE is 65.13%, the mean of awareness towards CBE is 68.0%, and the mean of awareness towards mammography is 69.70%. There is a significant relationship between two variables of attitude and awareness of women towards regular use of screening methods and BSE (P<0.001). However, there was no significant relationship between attitude and variables such as demographic characteristics, family history of disease, and individual’s experience of breast cancer.  

Conclusion: The results of this study showed that knowledge and attitude of women towards breast cancer screening methods was moderate, but their practice was poor for these tests.


Breast Cancer Screening, Knowledge, Attitude, Practice, Women.

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