Breast cancer knowledge, attitude and self-examination practices of physiotherapy students in India: a cross-sectional study


  • Jyoti Parle Department of Physiotherapy, MGM College of Physiotherapy, Navi Mumbai, Maharashtra, India
  • Shivangi Gupta Department of Physiotherapy, MGM College of Physiotherapy, Navi Mumbai, Maharashtra, India



Physiotherapy students, Breast cancer, Self-examination practices, Knowledge, Attitude


Background: Breast cancer is a major cause of cancer in Indian females. Breast self-examination (BSE) being a low-cost, effortless, and efficient procedure can help early detection in developing countries. Physiotherapists play an active role in community rehabilitation and this study aims to assess their knowledge about breast cancer, BSE as well as explore attitude and self-examination practice among physiotherapy students.

Methods: This cross-sectional study was conducted among 380 students in various physiotherapy colleges of Navi Mumbai, using a pre-validated questionnaire. The data collected were analyzed using Statistical Package for the Social Sciences (SPSS) version 24. A chi-square test was applied to find an association between variables. Correlation analysis was used to test the strength of the relationship between numeric variables.  

Results: The study reported students had moderate knowledge about breast cancer (59.5%) and breast self-examination (BSE) (62.6%). Attitude towards self-examination practice was excellent (94.2%), but only (25.8%) of the respondents reported to perform BSE monthly. There was a significant association between the overall knowledge and practice of BSE (p=0.000). Also, a significant association was found between overall knowledge and attitude towards BSE (p=0.000).

Conclusions: Health education strategies and awareness programs are necessary to keep in view the current status of breast cancer, BSE knowledge among health care professionals.


Shatabdi P, Prem S, Uday S, Saripella S. Epidemiological Study on Breast Cancer Associated Risk Factors and Screening Practices among Women in the Holy City of Varanasi, Uttar Pradesh, India. Asian Pac J Cancer Prev. 2015;16(18):8163-71.

Globocan 2018 (IARC) Section of Cancer Information: incidence and mortality rates of breast cancer in 2018. Available at: Accessed on: 28 November 2019.

Simsek S, Tug T. Benign tumors of the breast: Fibroadenoms. Sted. 2002;1:102-5.

Aishwarya K, Anil K, Are health professionals serious about breast self-examination? a study from a medical college and tertiary level hospital of Central India. Int J Res Med Sc. 2017;5(8):3701-7.

Doshi D, Reddy BS, Kulkarni S, Karunakar P. Breast self-examination: knowledge, attitude, and practice among female dental students in Hyderabad City, India. Indian J Palliat Care. 2012;18(1):68-73.

Siegel RL, Miller KD, Jemal A. Cancer statistics, 2019. CA: Cancer J Clin. 2019;69(1):7-34.

Mamoona N, Sheeba M, Muhammad F, Aneesa S, Peter B. Knowledge and awareness about breast cancer and its early symptoms among medical and non-medical students of southern Punjab, Pakistan, Asian Pac J Cancer Prev. 2015;16(3):979-84.

Omoyeni OM, Oluwafeyikemi PE, Irinoye OO, Adenike OO. Assessment of the knowledge and practice of breast self-examination among female cleaners in Obafemi Awolowo University Ile Ife, Nigeria. Int J Car Sci. 2014;7(1):239-51.

Vikas F, Rajeev S, Manoj G, Manish G, Siddharth V, Verma S. Knowledge of risk factors and early detection methods and practices towards breast cancer among nurses in Indira Gandhi Medical College, Shimla, Himachal Pradesh, India. Asian Pacific J Cancer Prev. 2013;14(1):117-20.

Shiyam K, Ayesha I, Nauman M, Nehal M. Knowledge, attitude and preventive practices for breast cancer among health care professionals at Aga Khan Hospital Karachi. J Pak Med Assoc. 2009;59:474-8.

Eman A, Syed G, Ammar S, Al Shammary HA, Vinci P, Syed S, Mirza B, Knowledge, Attitude and behavior of healthcare providers towards breast cancer in Malaysia: a systematic review. Asian Pac J Cancer Prev. 2015;16(13):5233-5.

Al-Azmy SF, Alkhabbaz A, Almutawa HA, Ismaiel AE, Makboul G, El-Shazly MK. Practicing breast self-examination among women attending primary health care in Kuwait. Alexandria J Med. 2013;49(3):281-6.

Ameer K, Abdulie SM, Pal SK. Breast cancer awareness and practice of breast self-examination among female medical students in Haramaya University, Harar, Ethiopia. Int J Interdisciplinary Multidisciplinary Studies (IJIMS). 2014;2(2):10919.

Ifediora CO, Azuike EC. Tackling breast cancer in developing countries: insights from the knowledge, attitudes and practices on breast cancer and its prevention among Nigerian teenagers in secondary schools. J Prev Med Hyg. 2018;59(4):282-300.

Dalal M. Nemenqani, Sahar H. Abdelmaqsoud, Al-Hanouf A, Al-Malki1, Abrar A, et al. Knowledge, attitude and practice of breast self-examination and breast cancer among female medical students in Taif, Saudi Arabia. Open J Prev Med. 2014;4(2):69-77.

Eman A, Syed G, Vinci P, and Syed S. Healthcare providers’ knowledge, attitude and behaviour towards breast cancer diagnosis and treatment in Malaysia – a mini systematic review. Trop J Pharm Res. 2016;15(9):2041-5.

Salazar MK. Breast self‐examination beliefs: a descriptive study. Public Health Nursing. 1994;11(1):49-56.

Sambanje MN, Mafuvadze B. Breast cancer knowledge and awareness among university students in Angola. Pan Afr Med J. 2012;11:70.




How to Cite

Parle, J., & Gupta, S. (2020). Breast cancer knowledge, attitude and self-examination practices of physiotherapy students in India: a cross-sectional study. International Journal Of Community Medicine And Public Health, 7(9), 3585–3593.



Original Research Articles