Document Type : Original Article
Authors
Department of General Surgery, Dow University of Health Sciences, Civil Hospital Karachi, Pakistan
Abstract
BACKGROUND: Breast cancer is a leading cause of deaths worldwide. In Pakistan, one in every
nine women develops breast cancer some time in her life. This high incidence of breast cancer and
the poor socioeconomic conditions of Pakistan make breast self‑examination (BSE) the best tool for
the prevention and early diagnosis of breast cancer. Therefore, the aim of the study was to assess
the knowledge, attitude, and practice of BSE among female college students of Karachi, Pakistan.
METHODS: A cross‑sectional study was conducted on 1000 students from June to December 2016.
Data were collected using a pre-piloted questionnaire, and SPSS (version 20) was used for data
analysis. Chi‑square test was used to determine the significance of the difference in knowledge
and attitude among participants who had performed BSE and those who had not. A P < 0.05 was
considered statistically significant.
RESULTS: The overall response rate was 90.9%. Although 71.4% of the women knew what BSE
was, only 33.1% had performed it. Majority of the participants considered that BSE is important in
the early detection of breast cancer. With 59.7% of the population having an adequate amount of
knowledge, 87.2% had a positive attitude toward BSE. A medical background was found to be a
significant predictor for adequate knowledge and a positive attitude toward BSE.
CONCLUSION: Despite a positive attitude found among the population toward BSE, its knowledge
and practice were inadequate. Educational interventions are required in Pakistan to encourage
young women to perform BSE regularly so that breast abnormalities can be detected early on and
mortalities can be minimized.
Keywords
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