Original Article

What women know about breast cancer: In the case of Ethiopia


Background & Aim: Breast cancer is the leading cause of death among women worldwide. Good knowledge of breast cancer enhances timely screening, early detection, and treatment; however, women's knowledge about breast cancer is very low. Thus, this study assesses the level of knowledge regarding breast cancer among women of childbearing age living in Jimma town. 
Methods & Materials: A community based cross-sectional study was conducted in Jimma town in 2018. Respondents were identified using multistage sampling methods. Data was collected using a standard questionnaire developed by cancer research UK and used in different languages in many parts of the world. Multiple logistic regression analyses were used to identify a variable with a significant association based on OR, with 95%CI and P-value of less than 0.05.
Results: Out of 724 respondents, 686 gave their complete responses. The majority of 496 (72.3%) of the respondents were young adults with a mean age of 31, and about 307 (44.8%) of them had completed secondary school (9-12).  Only 35% of respondents knew breast cancer; more specifically, 20% had knowledge of risk factors, 45% had knowledge of signs and symptoms, and 39 % had knowledge of screening methods. Maternal age, educational level, marital status, occupation, source of information, and monthly income, and positive family history of breast cancer were significantly associated with women’s breast cancer knowledge.
Conclusion: Just over one-third (35%) of women are knowledgeable about breast cancer. However, women's breast cancer knowledge plays a great role in controlling before reaching an advanced stage.

1. Feng Y, Spezia M, Huang S, Yuan C, Zeng Z, Zhang L, Ji X, Liu W, Huang B, Luo W, Liu B. Breast cancer development and progression: Risk factors, cancer stem cells, signaling pathways, genomics, and molecular pathogenesis. Genes & Diseases. 2018 Jun 1;5(2):77-106.
2. 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. CA Cancer J Clin. 2018;68(6):394‐424. doi:10.3322/caac.21492
3. Brito C, Portela MC, de Vasconcellos MT. Adherence to hormone therapy among women with breast cancer. BMC cancer. 2014 Dec 1;14(1):397.
4. Memirie ST, Habtemariam MK, Asefa M, Deressa BT, Abayneh G, Tsegaye B, Abraha MW, Ababi G, Jemal A, Rebbeck TR, Verguet S. Estimates of cancer incidence in Ethiopia in 2015 using population-based registry data. Journal of global oncology. 2018 Mar;4(4):1-11.
5. world health organization cancer country profile, Incidence C. Ethiopia. 2014.
6. Jedy-Agba E, McCormack V, Adebamowo C, dos-Santos-Silva I. Stage at diagnosis of breast cancer in sub-Saharan Africa: a systematic review and meta-analysis). The Lancet Global Health. 2016 Dec 1;4(12):e923-35.
7. Morhason-Bello IO, Odedina F, Rebbeck TR, Harford J, Dangou J, Denny L, et al. Cancer Control in Africa 1 Challenges and opportunities in cancer control in Africa : a perspective from the African Organisation for Research and Training in Cancer. Lancet Oncol. 2013;14(4):142–51.
8. Rivera-Franco MM, Leon-Rodriguez E. Delays in breast cancer detection and treatment in developing countries. Breast cancer: basic and clinical research. 2018 Jan 8;12:1178223417752677. doi: 10.1177/1178223417752677
9. Okobia MN, Bunker CH, Okonofua FE, Osime U. Knowledge, attitude and practice of Nigerian women towards breast cancer: a cross-sectional study. World journal of surgical oncology. 2006 Dec 1;4(1):11. https://doi.org/10.1186/1477-7819-4-11
10. World health organization. Breast cancer: prevention and control. 2014.
11. Association american breast cancer. Breast Cancer facts, and figures. American Cancer Society, Atlanta, Georgia. 2016.
12. Nahid N, Nia MS, Motamedi, Mohammad Hosein Kalantar Akbari ME. A survey of breast cancer knowledge and attitude in Iranian women. J Cancer Res Ther. 2017;8(1):8-11.
13. Smith RA, Caleffi M, Albert US, Chen TH, Duffy SW, Franceschi D, Nyström L, Global Summit Early Detection and Access to Care Panel. Breast cancer in limited‐resource countries: early detection and access to care. The breast journal. 2006 Jan;12:S16-26.
14. Legesse B, Gedif T. Knowledge on breast cancer and its prevention among women household heads in Northern Ethiopia. Open Journal of Preventive Medicine. 2014 Jan 8; 4(1):32-40.
15. 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 [Internet]. 2013;49(3):281–6.
16. Hailu T, Berhe H, Hailu D, Berhe H. Knowledge of breast cancer and its early detection measures among female students, in Mekelle University, Tigray region, Ethiopia. 2014;3(4):57-64.
17. Roza t K, Ht W, Mb G, Sa T, Nk S. Breast Cancer Knowledge and Breast Self-examination Practice among Female Students in Rift Valley University, Adama campus, Journal of Women Health Care. 2017;6(5). DOI: 10.4172/2167-0420.1000399.
18. Ababa A, Dellie ST, Neguse TM, Demissie M. Knowledge About Breast Cancer Risk-Factors, Breast Screening Method And Practice Of Breast Screening Among Female Healthcare Professionals Working In Governmental Hospitals ,2012;2(1):5-12.
19. Cancer Research UK, University College London, Kings College London and U of oxyford. Breast Module of the Cancer Awareness Measure. 2008.
20. Salih S, Al-madkhali E, Khormi A, Mhzri R. Knowledge, Attitude and Practice Study of Breast Cancer and Breast Self-Examination among Females in Jazan, Saudi Arabia. Int J Sci Basic Appl Res ISSN. 2016;25(2):180-90.
21. Liu L, Wang F, Yu L, Ma Z, Zhang Q, Gao D, et al. Breast cancer awareness among women in Eastern China : a cross-sectional study. Biomed Cent. 2014;14(104):1-8.
22. Suleiman AK. Awareness and attitudes regarding breast cancer and breast self-examination among female Jordanian students. J Basic Clin Pharm. 2014;5(3):74-8.
23. Lemlem SB, Sinishaw W, Hailu M, Abebe M, Aregay A. Assessment of knowledge of breast cancer and screening methods among nurses in university hospitals in Addis Ababa, Ethiopia, 2011. International Scholarly Research Notices. 2013;2013. https://doi.org/10.1155/2013/470981.
24. Amasha HA. Awareness of Breast Cancer Risk Factors and Practice of Breast Self-Examination among Nurses in Jordan. 2013;81(2):177–83.
25. Motilewa OO, Ekanem US, Ihesie CA. Knowledge of breast cancer and practice of self-breast examination among female undergraduates in Uyo, Akwa Ibom State, Nigeria. Int J Community Med Public Heal. 2015;2(4):361-6.
26. Masood I, Saleem A, Hassan A, Sadeeqa S, Akbar J. PUBLIC HEALTH | RESEARCH ARTICLE A quantitative study to assess breast cancer awareness among females in Bahawalpur Pakistan. Cogent Med . 2016;14(1):1-9.
27. Srivastava K, Jethani S, Kalthe B, Khilnani PS, Bhawalkar JS, Vyas S. Awareness of Breast Cancer Risk Factors and Practice of Breast Self-Examination among Nurses of Tertiary Care Hospital. Indian Journal of Forensic and Community Medicine, April-June 2016;3(2):75-8.
28. Abou H. Breast Self-Examination (BSE): Knowledge and Practice among Female Faculty of Physical Education in Assuit, South Egypt. J Med Physiol Biophys. 2016;25:1-8.
29. Alharbi NA, Alshammari MS, Almutairi BM, Makboul G, El-Shazly MK. Knowledge, awareness, and practices concerning breast cancer among Kuwaiti female school teachers. Alexandria Journal of Medicine. 2012;48(1):75-82.
IssueVol 8 No 2 (2021): Spring QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/npt.v8i2.5122
cancer; breast cancer; knowledge

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How to Cite
Terfa Y, Aliyu S, Reta E, Germossa G, Akuma A. What women know about breast cancer: In the case of Ethiopia. NPT. 8(2):113-122.