Factors influencing the practice of breast self-examination among female tertiary students in the Tamale Metropolis
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20262686Keywords:
Breast cancer, Breast self-examination, Tamale, Tertiary studentsAbstract
Background: Breast cancer is the most common cancer among women in Ghana, with many cases detected at advanced stages due to limited screening options. Breast self-examination (BSE) is a low-cost and practical method for early detection. This study aimed to assess factors influencing the practice of BSE among female tertiary students in the Tamale Metropolis.
Methods: A cross-sectional study was conducted among 486 female students selected from three tertiary institutions. Data were collected using a structured questionnaire on sociodemographic characteristics, knowledge, and practice of BSE. Descriptive and inferential statistics, including logistic regression, were used for analysis.
Results: Among participants, 95.1% had heard of BSE, and 95.3% considered it important for detecting breast cancer. Overall, 70.8% demonstrated good knowledge, while 63% reported good practice. Monthly practice was reported by 39.3%, and 54.9% performed BSE after menstruation. Lumps were the most commonly checked sign (86.8%), and 86.4% indicated they would consult a health professional if abnormalities were detected. Students with good knowledge were nearly five times more likely to practice effectively (AOR=4.88, 95% CI: 2.84-8.38, p<0.001).
Conclusions: The study revealed high knowledge but moderate practice of BSE among tertiary students. Enhancing structured health education within tertiary institutions could strengthen regular practice and improve early detection of breast cancer.
References
WHO African Region. Assessment of breast cancer control capacities in the WHO African Region in 2022. 2024. Available from: https://www.afro.who.int/publications/assessment-breast-cancer-control-capacities-who-african-region-2022-0. Accessed on 7 September 2025.
Yazew BG, Alemu BW, Walle TA. Factors associated with knowledge and practice of breast self-examination among female governmental school teachers in Gondar Town, Northwest Ethiopia, 2019. Front Oncol. 2024;14.
Parenté A, Gnangnon FHR, Kinsou D, Chkeir M, Adou C, Robin Sacca H, et al. Prognostic factors of breast cancer and survival in Sub-Saharan Africa: a systematic review and meta-analysis. Bulletin du Cancer. John Libbey; 2025.
Masawa G, Mboineki JF. Assessing breast self-examination knowledge, attitude and practice as a secondary prevention of breast cancer among female undergraduates at the University of Dodoma: a protocol of analytical cross-sectional study. Front Epidemiol. 2024;4.
Ferlay J, Ervik M, Laversanne M, Colombet M, Mery L, Piñeros M, et al. Global Cancer Observatory: Cancer Today. Lyon, France; 2024.
Akuoko CP, Chambers S, Yates P. Healthcare providers’ perspectives of the supportive care needs of women with advanced breast cancer in Ghana. BMC Womens Health. 2022;22(1).
Oteng J. Practice and determinants of breast self-examination among women in Chereponi District, Northern Region of Ghana. Afr Multidiscipl J Sci Art Intell. 2025;2(1):42-55.
Khonji LM, Rashwan ZI, Eweida RS, Narayanan G, Darwish EM, Bayoumi MM. Assessment of university students’ knowledge, attitude and practice regarding breast self-examination in Bahrain: a call for action. Open Public Health J. 2024;17(1).
Kandasamy G, Almaghaslah D, Almanasef M, Alamri RDA. Knowledge, attitude, and practice towards breast self-examination among women: a web based community study. Front Public Health. 2024;12.
Terfa YB, Kebede EB, Akuma AO. Breast self-examination practice among women in Jimma, southwest Ethiopia: a community-based cross-sectional study. Breast Cancer Targets Ther. 2020;12:181-8.
Der AD, Tarkang EE. Knowledge, attitude and utilisation of modern contraceptives among female senior high school students in the Kpando Municipality, Ghana. MedRxiv. 2023.
Ishtiak ASM, Ahmed N, Gaffar F, Khan MAS, Yasmeen F. Knowledge, practice and associated factors of breast self-examination among female university students of Bangladesh: Knowledge, practice and associated factors of breast self-examination. Heliyon. 2022;8(11).
Wolde MT, Okova R, Habtu M, Wondafrash M, Bekele A. The practice of breast self-examination and associated factors among female healthcare professionals working in selected hospitals in Kigali, Rwanda: a cross sectional study. BMC Womens Health. 2023;23(1).
Amegbedzi RA, Komesuor J, Amu H, Tarkang EE. Factors influencing the practice of breast self-examination among female tertiary students in Ho, Ghana. Adv Public Health. 2022;2022.
Salifu A, Firdaus IA, Amin Suaabirat M, Jalilatu A, Yasir M, Andani W, et al. Determinants and practices of breast self-examination among students in three tertiary institutions in Northern Ghana. Evid J. 2025;3(1).
Annan-Aidoo GN, Zuuri CN, Pokuah CN, Akrasi D. Self-breast examination: knowledge, attitudes, and practices among female students in a senior high school setting, Ghana. Int J Res Rep Gynaecol. 2025;8(1):129-42.
Cochran WG. Sampling technique. 3rd ed. New York: John Wiley and Sons; 1977.
Nukpezah RN, Alenyorige RL, Abdul-Wahab I, Asaana FM, Adinga G, Nungbaso AM, et al. Knowledge and practice of breast self-examination among undergraduate midwifery students of the university for development studies, Ghana. Adv Res. 2021;26-37.
Johnson OE. Awareness and practice of breast self examination among women in different African countries: a 10-year review of literature. Niger Med J. 2019;60(5):219.
Asmare K, Birhanu Y, Wako Z. Knowledge, attitude, practice towards breast self-examination and associated factors among women in Gondar town, Northwest Ethiopia, 2021: a community-based study. BMC Womens Health. 2022;22(1).
Mihret MS, Gudayu TW, Abebe AS, Tarekegn EG, Abebe SK, Abduselam MA, et al. Knowledge and practice on breast self-examination and associated factors among summer class social science undergraduate female students in the University of Gondar, Northwest Ethiopia. J Cancer Epidemiol. 2021;2021.
Reddy H, Joshi A, Joshi SH, Gupta V, Mehendale AM. Understanding preventive health behavior: a mixed-methods study to explore factors influencing the practice of breast self-examination among Indian Medical Students. Cureus. 2024 Jun 11;16(6):e62151.
Apatić R, Lovrić R. Factors related to the knowledge and practice of breast self-examination: a cross-sectional study. Eur J Breast Health. 2023;19(3):215-21.
Nsaful J, Dedey F, Nartey E, Labi J, Adu-Aryee NA, Clegg-Lamptey JN. The impact of a breast cancer educational intervention in Ghanaian high schools. BMC Cancer. 2022;22(1).
Abd-Elaziz NM, Kamal HH, Abd-Elhady H. Effect of breast self examination programme on women’s awareness for early detection of breast cancer. Minia Sci Nurs J. 2021;(10).
Dadzi R, Adam A. Assessment of knowledge and practice of breast self-examination among reproductive age women in Akatsi South district of Volta region of Ghana. PLoS One. 2019;14(12):e0226925.
Al-Shiekh SSA, Ibrahim MA, Alajerami YS. Breast cancer knowledge and practice of breast self-examination among female university students, Gaza. Sci World J. 2021;2021.
Ahmed SM, Sayeed A, Mallick T. Knowledge and practices on breast cancer among Bangladeshi female university students: a cross-sectional study. Asian Pac J Cancer Care. 2020;5(1):19-25.
Sowtali NS, Halid NHH, Salleh AMS. Knowledge, attitude and practice regarding breast cancer and breast self-examination (BSE) among undergraduate students of International Islamic University Malaysia (IIUM) Nur Hazelin Hanim Halid, BSc. 2024.
Sarker R, Islam MS, Moonajilin S, Rahman M, Gesesew HA, Ward PR. Knowledge of breast cancer and breast self-examination practices and its barriers among university female students in Bangladesh: Findings from a cross-sectional study. PLoS One. 2022;17(6):e0270417.
Hlormenu BA, Bonsu EO, Boadi C, Dormechele W, Adams MO, Bossman BB, et al. Enablers and barriers to the implementation of breast self-examination (BSE) education programmes among adolescent girls in Sub-Saharan Africa (SSA): An integrative systematic review protocol. BMJ Open. 2024;14(11):e078339.
Kassie AM, Abate BB, Kassaw MW, Shiferaw WS. Breast self-examination practice among female university students in Ethiopia: a systematic review and meta-analysis. Cancer Control. 2021;28.
Tiongco RE, Castro EJ, Baco AD, Casiguran S, De Jesus MA, Dimatulac E, et al. Knowledge, practices, and perceived barriers on breast self examination of female college students: experience from a local higher education institution. J Educ Health Promot. 2024;13(1).
Tiongco RE, Castro EJ, Baco AD, Casiguran S, De Jesus MA, Dimatulac E, et al. Knowledge, practices, and perceived barriers on breast self-examination of female college students: Experience from a local higher education institution. J Educ Health Promot. 2024;13:413.