Breast cancer knowledge and screening practices among undergraduates in a Nigerian tertiary institution, Southwest Region.

Abstract

Breast cancer is the most diagnosed female malignancy in Nigeria. This study aimed to assess the knowledge and practice of breast cancer screening among female undergraduates in a tertiary institution in Southwest Nigeria. This cross-sectional study recruited 350 female undergraduates of a public university in southwest Nigeria using a multi-stage sampling method involving simple random sampling. A structured self-administered questionnaire was used for data collection. Epi info 7 was used for data analysis, level of significance was set at 5% (p<0.05). The majority, 316(90.3%) had poor knowledge of breast cancer and screening and 340(97.1%) had positive attitude towards screening. Only 185(52.9%) had done breast self-examination and 16(4.6%) had done clinical breast examination. The student's year of study was significantly associated with knowledge of breast cancer (p = 0.002) Marital status (p=0.039) and attitude towards breast cancer screening (p<0.001) were significantly associated with breast self-examination. Students in their third year were 6 (2 - 16) times more likely to have good knowledge of breast cancer (Adjusted Odds Ratio 5.87, Confidence Interval 2.17 - 15.86). Overall knowledge and practice of breast cancer screening were poor, but students' attitude towards screening was positive. Health education on breast cancer and screening is recommended.