Journal of Cancer Education

, Volume 28, Issue 3, pp 516–520 | Cite as

Breast Cancer Knowledge and Related Behaviors among Women in Abha City, Southwestern Saudi Arabia

  • Ahmed A. Mahfouz
  • Mervat H. A. Hassanein
  • Shamsun Nahar
  • Aesha Farheen
  • Inasse I. Gaballah
  • Amani Mohamed
  • Faten M. Rabie
  • Razia Aftab
Article

Abstract

Breast cancer is the most common malignancy among women in Saudi Arabia. A cross-sectional study was conducted on 1,092 women attending urban primary health care centers in Abha City southwestern Saudi Arabia about breast cancer knowledge, attitudes, and related practices. Only 22.0 % heard about mammography, and 41.5 % heard about breast self-examination (BSE). More than half of the women in the study identified changes occurring in case of breast cancer and identified risk factors. Only 8.3 % were examined by clinical breast examination (CBE), 6.2 % were examined by mammography, and 29.7 % performed BSE. The study points to the insufficient knowledge of women and the low practice of BSE, CBE, and mammography. Public awareness should be enhanced by all available means including mass media, schools, social gatherings, and waiting areas in primary health care centers. There is an urgent need for continuing medical education programs for health care workers in the region concerning breast cancer.

Keywords

Cancer breast KAP Saudi Arabia 

References

  1. 1.
    Benson JR, Jatoi I (2012) The global breast cancer burden. Future Oncol 8(6):697–702PubMedCrossRefGoogle Scholar
  2. 2.
    Ibrahim EM, Zeeneldin AA, Sadiq BB, Ezzat AA (2008) The present and the future of breast cancer burden in the Kingdom of Saudi Arabia. Med Oncol 25(4):387–393PubMedCrossRefGoogle Scholar
  3. 3.
    Cummings SR, Tice JA, Bauer S, Browner WS, Cuzick J, Ziv E, Vogel V, Shepherd J, Vachon C, Smith-Bindman R, Kerlikowske K (2009) Prevention of breast cancer in postmenopausal women: approaches to estimating and reducing risk. J Natl Cancer Inst 101(6):384–398PubMedCrossRefGoogle Scholar
  4. 4.
    Lambrechts S, Decloedt J, Neven P (2011) Breast cancer prevention: lifestyle changes and chemoprevention. Acta Clin Belg 66(4):283–292PubMedGoogle Scholar
  5. 5.
    Nelson HD, Tyne K, Naik A, Bougatsos C, Chan BK, Humphrey L (2009) Screening for breast cancer: systematic evidence review update for the US preventive services task force. Ann Intern Med 151(10):727–737PubMedCrossRefGoogle Scholar
  6. 6.
    Preliminary results of 2004 census (2005) Central Department of Statistics. Riyadh (KSA): Ministry of Economy and PlanningGoogle Scholar
  7. 7.
    Lwanga SK, Lemeshow S (1990) Sample size determination in health studies. World Health Organization, GenevaGoogle Scholar
  8. 8.
    Alam AA (2006) Knowledge of breast cancer and its risk and protective factors among women in Riyadh. Ann Saudi Med 26(4):272–277PubMedGoogle Scholar
  9. 9.
    Adler M, Ziglio E (eds) (1996) Gazing Into the Oracle: The Delphi method and its application to social policy and public health. Jessica Kingsley Publishers, LondonGoogle Scholar
  10. 10.
    Alam AA (2006) Knowledge of breast cancer and its risk and protective factors among women in Riyadh. Ann Saudi Med 26:272–277PubMedGoogle Scholar
  11. 11.
    Habib F, Salman S, Safwat M, Shalaby S (2010) Awareness and knowledge of breast cancer among university students in Al Madina Al Munawara Region. Middle East J Cancer 1(4):159–166Google Scholar
  12. 12.
    Amin TT, Al Mulhim AR, Al Meqihwi A (2009) Breast cancer knowledge, risk factors, and screening among adult Saudi women in a primary health care setting. Asian Pac J Cancer Prev 10(1):133–138PubMedGoogle Scholar
  13. 13.
    Okobia MN, Bunker CH, Okonofua FE, Osime U (2006) Knowledge, attitude, and practice of Nigerian women towards breast cancer: a cross-sectional study. World J Surg Oncol 4:11–15PubMedCrossRefGoogle Scholar
  14. 14.
    Schettino MR, Hernandez-Valero MA, Moguel R, Hajek RA, Jones LA (2006) Assessing breast cancer knowledge, beliefs, and misconceptions among Latinas in Houston, Texas. J Cancer Educ 21:S42–S46PubMedCrossRefGoogle Scholar
  15. 15.
    Grunfeld EA, Ramirez AJ, Hunter MS, Richard MA (2002) Women's knowledge and beliefs regarding breast cancer. Br J Cancer 86:1373–1378PubMedCrossRefGoogle Scholar
  16. 16.
    Janda M, Stanek C, Newman B, Obermair A, Trimmel M (2002) Impact of videotaped information on frequency and confidence of breast self-examination. Breast Cancer Res Treat 73:37–43PubMedCrossRefGoogle Scholar
  17. 17.
    Sorensen J, Hertz A, Gudex C (2005) Evaluation of a Danish teaching program in breast self-examination. Cancer Nurs 28(2):141–147PubMedGoogle Scholar
  18. 18.
    Rizwan MM, Saadullah M (2009) Lack of awareness about breast cancer and its screening in developed countries. Indian J Cancer 46:252–253PubMedCrossRefGoogle Scholar
  19. 19.
    Plesnicar A, Kovac V, Kralj B (2004) Breast cancer and breast health awareness as an evolving health promotion concept. Radiol Oncol 38:27–30Google Scholar
  20. 20.
    Ravichandran K, Al-Hamdan NA, Mohamed G (2011) Knowledge, attitude, and behavior among Saudis toward cancer preventive practice. J Family Community Med 18(3):135–142PubMedCrossRefGoogle Scholar
  21. 21.
    Guraya SY (2008) Breast cancer screening: implications and clinical perspectives. J Taibah U Med Sc 3(2):67–82Google Scholar
  22. 22.
    Taylor I, Yen MF, Vitak B, Chen HH, Smith RA, Duffy SW (2003) Mammography service screening and mortality in breast cancer patients: 20-year follow-up before and after introduction of screening. Lancet 361:1405–1410CrossRefGoogle Scholar
  23. 23.
    Smith RA, Cokkinides V, Brooks D, Saslow D, Brawley OW (2010) Cancer screening in the US, 2010: a review of current American Cancer Society guidelines and issues in cancer screening. CA Cancer J Clin 60(2):99–119PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Ahmed A. Mahfouz
    • 1
  • Mervat H. A. Hassanein
    • 1
  • Shamsun Nahar
    • 1
  • Aesha Farheen
    • 1
  • Inasse I. Gaballah
    • 1
  • Amani Mohamed
    • 1
  • Faten M. Rabie
    • 1
  • Razia Aftab
    • 1
  1. 1.Department of Family & Community Medicine, College of MedicineKing Khalid UniversityAbhaSaudi Arabia

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