Knowledge of Women from Basrah about Breast Cancer: Its Risk and Preventive Factors Knowledge of Women from Basrah about Breast Cancer: Its Risk and Preventive Factors

Main Article Content

Aliyah D Habeeb
Haider MS Al-Attar
Ali Hani Maqtoof
Omran S Habib


Breast cancer, Breast self-examination, Risk factor KAP study


Background: Breast cancer is very common in Basrah, Iraq and at global level. To assist in the control measures of breast cancer, good knowledge of women about certain aspects of the disease is essential and needs enhancement.

Objective: To explore the extent to which women have knowledge of breast self-examination (BSE), mammography, risk factors, and preventive measures for breast cancer.

Methods: A cross-sectional study involving 300 women in Basrah was conducted. The data collection form was used to interview participants from attendants of breast cancer early detection clinic, primary health care centers, and a private clinic. The data covered demographic characteristics of the women, their knowledge of BSE, mammography, risk factors, and preventive factors. The data were fed into the Statistical Package for Social Science (SPSS-Version 26). The results were expressed as frequency and cross tabulation. The Chi-squared test (or Fisher Exact Test) was used to examine the association between the groups, and a p-value of ≤ 0.05 was considered as statistically significant. 

Results: Of the 300 participating women, 61.7% were married, 41.7% had secondary and higher level of education, and 75.6% were of the age of 30 and above. Family history as a risk factor for breast cancer was reported by 16.7% of the participants. About 90.3% of the participants had knowledge of BSE; however, only 42% knew about mammography. Only 38.3% and 11.3% of the participants had performed self-examination and mammography screening, respectively. In general, this study’s results revealed a moderate level of knowledge and practice.

Conclusion: A tangible gap in knowledge is evident and demands effective an health-education program to support breast cancer control efforts.



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1. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. Cancer J Clin. 2018;68:394–424.
2. McPherson K, Steel CM, Dixon JM. Breast cancer epidemiology, risk factors, and genetics. ABC of Breast Diseases. 2000;321: 624–628.
3. Habib OS, Hamid LA, Ajeel NA, Al-Hawaz MA, Al-Faddagh ZA, Nasr GN et al. Epidemiology of breast cancer among females in Basrah. Asian Pac J Cancer Prev. 2016;17 (Supplement 3):191–195.
4. Iraqi Cancer Board. Iraqi Cancer Registry Report for 2008. Baghdad, Ministry of Health; 2010
5. Husamaldin LG, Dauod AS. Knowledge, awareness and practices about breast and cervical cancer in a group of women in Erbil city-Iraq. MJOTU. 2016;21(2):54–66
6. Al-Alwan NA, Al-Mallah NA, Awn AK, Khalaf T, Tariq S The actual practice of breast self-examination among sample of Iraqi patients with breast cancer. JKMC. 2019;15(2):27–34.
7. Ahmed AAR, Thabit MF. Awareness of breast cancer among university female students in Baghdad. JKMC.2019;15(1):5–14.
8. Brinton LA, Gaudet MM, Gierach GL. Breast cancer. In: Thun MJ, Linet MS, Cerhan JR, Haiman CA, Schottenfeld D, editors. Cancer epidemiology and prevention. 4th ed. New York, NY: Oxford University Press; 2018. p. 861–888
9. Al-Alwan N, Al-Attar W, Eliessa R, Al-Midfaei Z, Nidhal F. Knowledge, attitude and practice regarding breast cancer and breast self-examination among a sample of the educated population in Iraq. East Mediterr Health J. 2012;18:337–345
10. Zavare MA, Jun MH, Abdul Manaf R, Ismail IZ, Said SM. Breast Cancer and practice of breast self-examination among selected female university students in Malaysia. MHSJ 2011,7: 49–56
11. Alsaif AA. Breast self-examination among Saudi female nursing students in Saudi Arabia. Saudi Med J 2004,25 (11): 1574–1578
12. Jaradeen NK. Breast cancer risk-factors and breast self-examination practice among Jordanian women. Bahrain Med Bull. 2010;32: 1–9.
13. Bray F, McCarron P, Parkin DM. The changing global patterns of female breast cancer incidence and mortality. Breast Cancer Res. 2004;6: 229–239.
14. Ravichandran K, Al-Zahrani AS. Association of reproductive factors with the incidence of breast cancer in Gulf Cooperation Council countries. East Mediterr Health J. 2009;15:612–621.
15. Sweileh WM, Zyoud SH, Al-Jabi SW, Sawalha AF. Contribution of Arab countries to breast cancer research: Comparison with non-Arab Middle Eastern countries. BMC Women's Health. 2015;15:25
16. World Health Organization. Strategy for Cancer Prevention and Control in the Eastern Mediterranean Region 2009–2013, World Health Organization. Regional Office for the Eastern Mediterranean, 2010
17. Kulhanova I, Bray F, Fadhil I, Al Zahrani A, El Basmy A, Anwar W, et al. Profile of cancer in the Eastern Mediterranean region: The need for action. Cancer Epidemiol. 2017;47:125–132
18. Donnelly TT, Khater AH, Al-Bader SB, Al Kuwari MG, Al-Meer N, Malik M, et al. Arab women’s breast cancer screening practices: A literature review. Asian Pac J Cancer Prev. 2013;14:4519–4528
19. Milaat WA. Knowledge of secondary school students on breast cancer and BSE in Jeddah, Saudi Arabia. EMHJ.2000;6:338–343.
20. Ahmed B A. Awareness and practice of breast cancer and breast self-examination among university students in Yemen. Asian Pacific J Cancer Prev. 2010;11:101–105
21. Bassey R R, Irurhe K N, Olowoyeye A M, Adeyomoye A A, Onajole TA. Knowledge, attitude and practice of breast self-examination among nursing students in Lagos University Teaching Hospital. AJCR. 2010;3(2):11–15

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