Abstract

The aim of the present study was to evaluate the knowledge, attitude, and practice of breast cancer screening methods among female patients attending five primary healthcare centers in Najran, Saudi Arabia. A cross-sectional survey was conducted on 500 female patients, and a direct interview questionnaire was used to collect data. Our results indicated a low knowledge about breast cancer, breast self-examination, mammogram and clinical breast examination was 54.4%, 56%, 90.4%, and 83.8%, respectively. Nineteen percent of patients demonstrated a high knowledge of breast self-examination. Breast self-examination was performed by 35% of patients, whereas 15% of patients received mammograms and 19.8% clinical breast examinations. The most common barrier for screening methods of breast cancer was that patients were unaware of half of the screening methods. A total of 20.6% of women did not perform breast self-examinations because they were not well trained, and 26.4% of women did not receive clinical breast examinations because there was no female doctor available. The main source of information among the women patients was social media (52.4%), whereas 8.8% received information through their healthcare provider. In summary, the majority of women demonstrated poor knowledge about breast cancer and screening methods. Additional effort should be put forth through women’s healthcare providers to increase the awareness of breast cancer screening. That means we need to continue emphasizing the importance of primary healthcare for early detection of breast cancer in the early stages.

Highlights

  • Breast cancer is the second most common cancer worldwide, and most frequent among females [1]

  • More than 80% of women displayed a low level of mammogram knowledge (452/500 women, 90.4%) and knowledge related to clinical breast examinations (419/ 500 women, 83.8%)

  • A total of 19% of participants had a high level of knowledge for breast self-examinations, 10.2% for general knowledge of breast cancer, 1.6% for mammogram, and 4.8% for clinical breast examinations

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Summary

Introduction

Breast cancer is the second most common cancer worldwide, and most frequent among females [1]. The number of new cases diagnosed in 2012 was approximately 1.67 million (25% of all cancer cases) worldwide [1]. In Saudi Arabia, breast cancer usually presents at advanced stages and more frequently in young pre-menopausal age women compared with Western countries [3]. According to the Ministry of Health in Saudi Arabia, the number of new cases of cancer is 2741 including about 19% of breast cancer in women that is ranked first figures [4]. In the USA, 50% of new breast cancer occurs in women over 65 years of age, whereas in Saudi Arabia, breast cancer usually occurs at the age of 52 years old. Developed countries discover breast cancer mostly in the early stages compared with developing countries where there are large numbers diagnosed at advanced stages [4]

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