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Published in: BMC Women's Health 1/2023

Open Access 01-12-2023 | Breast Cancer | Research

Female high school students' knowledge and attitude toward breast cancer

Authors: Zahra Mohebi, Maryam Heidari Sarvestani, Zahra Moradi, Mohammad Mehdi Naghizadeh

Published in: BMC Women's Health | Issue 1/2023

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Abstract

Background

Breast cancer is the most common cancer among women. Even though early detection and diagnosis of this disease can reduce mortality considerably, several studies have shown that more than 92% of women are unaware of the risk factors for breast cancer and of breast cancer screening tests. The simultaneous promotion of screening and provision of education can increase community health and reduce medical costs, and students can play a leading role in informing and educating people in society.

Aim

The present study aims to examine the level of knowledge and attitude of female students in senior high schools in Fasa regarding breast cancer screening.

Methods

In this cross-sectional study, the random sampling method was applied to survey 350 female high school students, only 311 of whom completed the study. Questionnaires were completed in girls' high schools, and the data was analyzed by SPSS Software, Version 25.

Results

The results revealed that more than 87% of students were unaware or had incorrect information regarding breast cancer screening. The link between the type of breast cancer information sources and students' general knowledge was significant. Most students were aware of the risk of breast cancer, but they were uninformed of its symptoms, risk factors, and prevention strategies, and students with a family history of breast cancer had a higher score in terms of mammography knowledge than students with no family history of breast cancer, although this difference was not significant (mean ± standard deviation = 0.94 ± 0.90 vs. 0.67 ± 0.81, p = 0.19).

Conclusion

The level of awareness and attitude of Fasa high school girls regarding breast cancer and screening methods is not acceptable. Therefore, it is recommended that educational programs be implemented to increase the awareness of students in schools, so that the number of screenings increases with the institutionalization of this information. Likewise, by transferring information through students to their families, the level of awareness in the whole society will hopefully increase as well.
Literature
1.
go back to reference Ibitoye OF, Thupayegale-Tshwenegae G. The impact of education on knowledge attitude and practice of breast self-examination among adolescents girls at the fiwasaye girls grammar school Akure, Nigeria. J Cancer Educ. 2021;36(1):39–46.CrossRef Ibitoye OF, Thupayegale-Tshwenegae G. The impact of education on knowledge attitude and practice of breast self-examination among adolescents girls at the fiwasaye girls grammar school Akure, Nigeria. J Cancer Educ. 2021;36(1):39–46.CrossRef
2.
go back to reference Sadoh AE, Osime C, Nwaneri DU, Ogboghodo BC, Eregie CO, Oviawe O. Improving knowledge about breast cancer and breast self examination in female Nigerian adolescents using peer education: a pre-post interventional study. BMC Womens Health. 2021;21(1):1–9.CrossRef Sadoh AE, Osime C, Nwaneri DU, Ogboghodo BC, Eregie CO, Oviawe O. Improving knowledge about breast cancer and breast self examination in female Nigerian adolescents using peer education: a pre-post interventional study. BMC Womens Health. 2021;21(1):1–9.CrossRef
3.
go back to reference Ehsanpour A, Papan A, Kianpour S, Nazari P, Aref A, Ahangpour P. Lessons from monitoring, screening, evaluation and early detection of breast cancer in Iran. J Prev Epidemiol. 2022;7(1):e12.CrossRef Ehsanpour A, Papan A, Kianpour S, Nazari P, Aref A, Ahangpour P. Lessons from monitoring, screening, evaluation and early detection of breast cancer in Iran. J Prev Epidemiol. 2022;7(1):e12.CrossRef
4.
go back to reference Mohammadi E, Aminorroaya A, Fattahi N, Azadnajafabad S, Rezaei N, Farzi Y, et al. Epidemiologic pattern of cancers in Iran; current knowledge and future perspective. J Diabetes Metab Disord. 2021;20(1):825–9.CrossRef Mohammadi E, Aminorroaya A, Fattahi N, Azadnajafabad S, Rezaei N, Farzi Y, et al. Epidemiologic pattern of cancers in Iran; current knowledge and future perspective. J Diabetes Metab Disord. 2021;20(1):825–9.CrossRef
5.
go back to reference Afkar A, Jalilian H, Pourreza A, Mir H, Sigaroudi AE, Heydari S. Cost analysis of breast cancer: a comparison between private and public hospitals in Iran. BMC Health Services Res. 2021;21(1):1–11.CrossRef Afkar A, Jalilian H, Pourreza A, Mir H, Sigaroudi AE, Heydari S. Cost analysis of breast cancer: a comparison between private and public hospitals in Iran. BMC Health Services Res. 2021;21(1):1–11.CrossRef
6.
go back to reference Sopik V. International variation in breast cancer incidence and mortality in young women. Breast Cancer Res Treat. 2021;186(2):497–507.CrossRef Sopik V. International variation in breast cancer incidence and mortality in young women. Breast Cancer Res Treat. 2021;186(2):497–507.CrossRef
7.
go back to reference Farhood B, Geraily G, Alizadeh A. Incidence and mortality of various cancers in Iran and compare to other countries: a review article. Iran J Public Health. 2018;47(3):309. Farhood B, Geraily G, Alizadeh A. Incidence and mortality of various cancers in Iran and compare to other countries: a review article. Iran J Public Health. 2018;47(3):309.
8.
go back to reference Al-Hosni K, Chan MF, Al-Azri M. The effectiveness of interventional cancer education programs for school students aged 8–19 years: a systematic review. J Cancer Educ. 2021;36(2):229–39.CrossRef Al-Hosni K, Chan MF, Al-Azri M. The effectiveness of interventional cancer education programs for school students aged 8–19 years: a systematic review. J Cancer Educ. 2021;36(2):229–39.CrossRef
9.
go back to reference Ghazanfar J, Khalil A, Tahir A, Anwar MI, Mahmood H, Humayun A, editors. Knowledge, attitude and practice of breast cancer screening in medical and non-medical females students of Lahore, Pakistan. In: Proceedings; 2021. Ghazanfar J, Khalil A, Tahir A, Anwar MI, Mahmood H, Humayun A, editors. Knowledge, attitude and practice of breast cancer screening in medical and non-medical females students of Lahore, Pakistan. In: Proceedings; 2021.
10.
go back to reference Berek WI. Novak’s gynaecology. 16th ed. Berlin: Springer; 2020. Berek WI. Novak’s gynaecology. 16th ed. Berlin: Springer; 2020.
11.
go back to reference Fondjo LA, Owusu-Afriyie O, Sakyi SA, Wiafe AA, Amankwaa B, Acheampong E, et al. Comparative assessment of knowledge, attitudes, and practice of breast self-examination among female secondary and tertiary school students in Ghana. Int J Breast Cancer. 2018;2018.7502047. https://doi.org/10.1155/2018/7502047. Fondjo LA, Owusu-Afriyie O, Sakyi SA, Wiafe AA, Amankwaa B, Acheampong E, et al. Comparative assessment of knowledge, attitudes, and practice of breast self-examination among female secondary and tertiary school students in Ghana. Int J Breast Cancer. 2018;2018.7502047. https://​doi.​org/​10.​1155/​2018/​7502047.
12.
go back to reference Paknejad H. Knowledge, attitudes and practice of breast self-examination among over 20-year females in Tehran. Razi J Med Sci. 2019;25(11):34–41. Paknejad H. Knowledge, attitudes and practice of breast self-examination among over 20-year females in Tehran. Razi J Med Sci. 2019;25(11):34–41.
13.
go back to reference Omrani A, Wakefield-Scurr J, Smith J, Brown N. The development and psychometric properties of a survey to assess breast knowledge and attitudes of adolescent girls. Am J Health Educ. 2019;50(6):374–89.CrossRef Omrani A, Wakefield-Scurr J, Smith J, Brown N. The development and psychometric properties of a survey to assess breast knowledge and attitudes of adolescent girls. Am J Health Educ. 2019;50(6):374–89.CrossRef
14.
go back to reference Koc G, Gulen-Savas H, Ergol S, Yildirim-Cetinkaya M, Aydin N. Female university students’ knowledge and practice of breast self-examination in Turkey. Niger J Clin Pract. 2019;22(3):410–5. Koc G, Gulen-Savas H, Ergol S, Yildirim-Cetinkaya M, Aydin N. Female university students’ knowledge and practice of breast self-examination in Turkey. Niger J Clin Pract. 2019;22(3):410–5.
15.
go back to reference Karayurt Ö, Özmen D, Çetinkaya AÇ. Awareness of breast cancer risk factors and practice of breast self examination among high school students in Turkey. BMC Public Health. 2008;8(1):1–8.CrossRef Karayurt Ö, Özmen D, Çetinkaya AÇ. Awareness of breast cancer risk factors and practice of breast self examination among high school students in Turkey. BMC Public Health. 2008;8(1):1–8.CrossRef
16.
go back to reference Heale R, Twycross A. Validity and reliability in quantitative studies. Evid Based Nurs. 2015;18(3):66–7.CrossRef Heale R, Twycross A. Validity and reliability in quantitative studies. Evid Based Nurs. 2015;18(3):66–7.CrossRef
17.
go back to reference Lawshe CH. A quantitative approach to content validity. Person Psychol. 1975;28(4):563–75.CrossRef Lawshe CH. A quantitative approach to content validity. Person Psychol. 1975;28(4):563–75.CrossRef
18.
go back to reference Kovacic D. Using the content validity index to determine content validity of an instrument assessing health care providers’ general knowledge of human trafficking. J Hum Traffic. 2018;4(4):327–35.CrossRef Kovacic D. Using the content validity index to determine content validity of an instrument assessing health care providers’ general knowledge of human trafficking. J Hum Traffic. 2018;4(4):327–35.CrossRef
19.
go back to reference Isara A, Ojedokun C. Knowledge of breast cancer and practice of breast self examination among female senior secondary school students in Abuja, Nigeria. J Prev Med Hyg. 2011;52(4):186–90. Isara A, Ojedokun C. Knowledge of breast cancer and practice of breast self examination among female senior secondary school students in Abuja, Nigeria. J Prev Med Hyg. 2011;52(4):186–90.
20.
go back to reference Ogunkayode JA, Ajuwon A. Knowledge, attitude, and practice of breast self-examination among female secondary school students in Ibadan, Nigeria. Arch Basic Appl Med. 2021;9(1):5–11. Ogunkayode JA, Ajuwon A. Knowledge, attitude, and practice of breast self-examination among female secondary school students in Ibadan, Nigeria. Arch Basic Appl Med. 2021;9(1):5–11.
22.
go back to reference Wang Y-J, Wang F, Yu L-X, Xiang Y-J, Zhou F, Huang S-Y, et al. Worldwide review with meta-analysis of women’s awareness about breast cancer.Patient Education and Counseling. 2021;105:1818–1827. Wang Y-J, Wang F, Yu L-X, Xiang Y-J, Zhou F, Huang S-Y, et al. Worldwide review with meta-analysis of women’s awareness about breast cancer.Patient Education and Counseling. 2021;105:1818–1827.
23.
go back to reference Ranasinghe HM, Ranasinghe N, Rodrigo C, Seneviratne RDA, Rajapakse S. Awareness of breast cancer among adolescent girls in Colombo, Sri Lanka: a school based study. BMC Public Health. 2013;13(1):1–7.CrossRef Ranasinghe HM, Ranasinghe N, Rodrigo C, Seneviratne RDA, Rajapakse S. Awareness of breast cancer among adolescent girls in Colombo, Sri Lanka: a school based study. BMC Public Health. 2013;13(1):1–7.CrossRef
24.
go back to reference Navabi-Rigi S, Khojasteh F, Bandani F. Breast cancer and breast self-examination: acknowledgement and attitude based on health belief model in literature and engineering colleges of Sistan Balochestsn University female students. Iran J Breast Dis. 2012;5(1):65–73. Navabi-Rigi S, Khojasteh F, Bandani F. Breast cancer and breast self-examination: acknowledgement and attitude based on health belief model in literature and engineering colleges of Sistan Balochestsn University female students. Iran J Breast Dis. 2012;5(1):65–73.
Metadata
Title
Female high school students' knowledge and attitude toward breast cancer
Authors
Zahra Mohebi
Maryam Heidari Sarvestani
Zahra Moradi
Mohammad Mehdi Naghizadeh
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2023
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/s12905-023-02155-z

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