Level of knowledge regarding breast cancer and breast self-examination among working women in Tamil Nadu

Archana Bakthavatchalam, Perumal Kandasamy Govindarajan, John William Felix


Background: Breast cancer is the second most common cancer among women in worldwide. One potentially important strategy in reducing breast cancer mortality is the use of screening methods such as breast self-examination (BSE), clinical breast examination, and mammography for early detection. This Study was conducted to assess knowledge and awareness regarding breast cancer and BSE among working women.

Methods: A part of the interventional study was carried out among a total sample of 124 working women in Annamalai University. A pretested self-administered questionnaire was used to obtain information about the knowledge of breast cancer and BSE. The collected information was entered in Microsoft excel sheet and analysed using SPSS. One way ANOVA test has been applied to find out whether level of knowledge differs by age, education, occupation and BSE awareness.

Results: Majority (67%) of women had inadequate knowledge on breast cancer and BSE. The education, occupation and breast self-awareness has influence on the knowledge level.

Conclusions: The level of awareness on breast cancer and BSE among educated working women was low. Active steps and necessary interventions should be taken to increase awareness through health education program.


Knowledge, Breast self-examination, Working women, Breast cancer

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Latest global cancer data: Cancer burden rises to 18.1 million new cases and 9.6 million cancer deaths in 2018. IARC. Geneva, Switzerland: Press release; 2018: 13–5.

Saadatmand S, Bretveld R, Siesling S, Tilanus-linthorst MMA. Influence of tumour stage at breast cancer detection on survival in modern times: population based study in 173 797 patients. Ned Tijdschr Geneeskd. 2016;160:9800.

Ramakant A, Agarwal G. Breast Care Breast Cancer Care in India: The Current Scenario and the Challenges for the Future. Breast Care (Basel). 2008;3(1):21–7.

Montazeri A, Vahdaninia M, Harirchi I, Harirchi AM, Sajadian A, Khaleghi F, et al. Breast cancer in Iran: need for greater women awareness of warning signs and effective screening methods. 2008;7:1–7.

Lam WWM, Chan CP, Chan CF, Mak CCC, Chan CF, Chong KWH, et al. Factors affecting the palpability of breast lesion by self-examination. Singapore Med J. 2008;49(3):228-32.

Akpınar YY, Baykan Z, Naçar M, Gün İ, Çetinkaya F. Knowledge, Attitude about Breast Cancer and Practice of Breast Cancer Screening among Female Health Care Professionals: a Study From Turkey. Asian Pac J Cancer Prev. 2011;12(11):3063-8.

Ahmad S1, Qureshi AN, Atta S, Gul M, Rizwan M, Ahmad S, et al. Knowledge , Attitude And Practice For Breast Cancer Risk Factors And Screening Modalities In Staff Nurses Of Ayub Teaching Hospital Abbottabad. J Ayub Med Coll Abbottabad. 2011;23(3):127–9.

Bener A, El Ayoubi HR, Moore MA, Basha B, Joseph S, Chouchane L. Do We Need to Maximise the Breast Cancer Screening Awareness ? Experience with an Endogamous Society with High Fertility. Asian Pac J Cancer Prev. 2009;10:599–604.

Parsa P. Kandiah M. Breast cancer knowledge , perception and breast self-examination practices among Iranian women. Int Med J. 2005;4(2):17-21.

Nafissi N, Saghafinia M, Motamedi MH, Akbari ME. A survey of breast cancer knowledge and attitude in Iranian women. J Cancer Res Ther. 2012;8(1):46–9.

Yerpude PN, Jogdand KS. Knowledge and practice of breast self- examination (BSE) among females in a rural area of South India. Nat J Community Med. 2013;4(2):329–32.

Yavari P, Pourhoseingholi MA. Socioeconomic Factors Association with Knowledge and Practice of Breast Self-Examination among Iranian Women. Asian Pac J Cancer Prev. 2007;8:618–22.

Khokher S, Qureshi W, Mahmood S, Saleem A. Knowledge , Attitude and Preventive Practices of Women for Breast cancer in the Educational Institutions of Lahore, Pakistan. Asian Pac J Cancer Prev. 2011;12:2419–24.

Al-naggar RA, Al-naggar DH, Bobryshev Y V, Chen R, Assabri A. Practice and Barriers Toward Breast Self-Examination Among Young Malaysian Women. Asian Pac J Cancer Prev. 2011;12:1173–8.

Karadag G, Gungormus Z, Surucu R, Savas E, Bicer F. Awareness and Practices Regarding Breast and Cervical Cancer among Turkish Women in Gazientep. Asian Pac J Cancer Prev. 2014;15:1093–8.

Sreedevi A, Quereshi MA, Kurian B, Kamalamma L. Screening for Breast Cancer in a Low Middle Income Country : Predictors in a Screening for Breast Cancer in a Low Middle Income Country: Predictors in a Rural Area of Kerala, India. Asian Pac J Cancer Prev. 2014;15(5):1919-24