Evaluation of breast cancer awareness among female university students in Duhok public universities, Iraq

Edi  Kachal; Hamid S. Kachel; Madlen  S. Ahmed; Hawazin N. Elias; Wmdta  Walpola; Bimali  Weerakoon

doi:10.15218/zjms.2023.030

Authors

Edi S. Kachal
Hamid S. Kachel Department of General Science, College of Basic Education, University of Zakho, Zakho, Iraq.
Madlen S. Ahmed Department of General Science, College of Basic Education, University of Zakho, Zakho, Iraq.
Hawazin N. Elias Department of General Science, College of Basic Education, University of Zakho, Zakho, Iraq.
Wmdta Walpola Department of Radiography/Radiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Peradeniya, Sri Lanka.
Bimali S. Weerakoon Department of Radiography/Radiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Peradeniya, Sri Lanka.

DOI:

https://doi.org/10.15218/zjms.2023.030

Keywords:

Breast Cancer, Awareness, Female University Students, Duhok

Abstract

Background and objective: Early diagnosis and proper awareness of Breast Cancer conditions may aid in reducing the morbidity and mortality rate among women. The main goal of this study was to determine the awareness and knowledge levels of women undergraduate students at three public universities in Duhok province (Duhok, Zakho, and Polytechnic) on Breast Cancer, as well as evaluate their attitudes toward breast self-examination.

Methods: This study was conducted from October to December 2021, and it consisted of a cross-sectional survey. A questionnaire was used to collect data from 904 female students aged 18-30 years. The mean participant age was 22.5 years with SD of 2.0. The percentiles were determined to classify the general level of knowledge, with values below the 25^th percentile denoting poor knowledge, between the 25^th and 75^th percentile denoting a fair level, and above the 75^th percentile denoting a good level of knowledge.

Results: In the present study, the majority of participants (96.46%) had a fair knowledge level and awareness regarding breast cancer and breast evaluation practice. About 1.78% of female students had poor or good knowledge of breast cancer and practiced breast self-examination. The findings show that participants within the age group of 21-25 showed the highest overall knowledge (7.66±2). While 64% and 31% of the respondents could not able to identify early signs of breast cancer and are not even aware that a breast self-examination is an important tool in the early detection of breast cancer, respectively.

Conclusion: The respondents' knowledge about breast cancer is fair, but their comprehension of risk factors is poor. In order to increase the awareness of risk factors, counseling programs for women in schools and universities are very important. These programs should focus on breast self-examination and women's reproductive health.

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References

Lund MJ, Butler EN, Bumpers HL, Okoli J, Rizzo M, Hatchett N, et al. High prevalence of triple-negative tumors in an urban cancer center. Cancer 2008; 113:608‒15. https://doi.org/10.1002/cncr.23569.

Palma G, Frasci G, Chirico A, Esposito E, Siani C, Saturnino C, et al. Triple negative breast cancer: looking for the missing link between biology and treatments. Oncotarget 2015; 6:26560‒74. https://doi.org/10.18632/oncotarget.5306.

Tazhibi M, Feizi A. Awareness levels about breast cancer risk factors, early warning signs, and screening and therapeutic approaches among Iranian adult women: A large population based study using latent class analysis. Biomed Res Int 2014; 306‒52. https://doi.org/10.1155/2014/306352.

Nabi MG, Ahangar A, Akhtar H, Akbar A, Mustafa SA. Awareness and knowledge of breast cancer risk factors, symptoms and screening among females in a hospital in North India. J Evolution Med Dent Sci 2016; 5(32) 1719+. (Accessed July 21,2022). Available at: https://go.gale.com/ps/i.do?id=GALE%7CA469639523&sid=googleScholar&v=2.1&it=r&linkaccess=abs&issn=22784748&p=HRCA&sw=w&userGroupName=anon%7E8f48c5cb.

MacMahon B. Epidemiology and the causes of breast cancer. Int J Cancer 2006; 118:2373‒8. https://doi.org/10.1002/ijc.21404.

Sherma CD, Hossfeld DK. Breast Cancer. In: Manual of Clinical Oncology. 5th ed. USA: Springer; 2010.

Cuzick J, Sestak I, Forbes J, Dowsett M, Knox J, Cawthorn S, et al. Anastrozole for prevention of breast cancer in high-risk postmenopausal women IBIS-II. An international double-blind randomized placebo-controlled trial. The Lancet 2013; 383(9922):1041– 8. https://doi.org/10.1016/S0140-6736(13)62292-8.

Ginsburg O, Yip CH, Brooks A, Cabanes A, Caleffi M, Dunstan YJA, et al. Breast cancer early detection: A phased approach to Implementation. Cancer 2020; 126(S10):2379‒93. https://doi.org/10.1002/cncr.32887.

Iraqi Cancer Board, Ministry of Health (Iraq). Iraq Cancer Registry 2011. Baghdad, Iraq: Ministry of Health (Iraq). (Accessed May 21,2021). Available at: https://ghdx.healthdata.org/record/iraq-cancer-registry-2011.

Iraq-Global Cancer Observatory 2020; (Accessed Augest 5, 2022). Available at: https://gco.iarc.fr/today/data/factsheets/populations/368-iraq-fact-sheets.pdf.

Karwan MA, Omiad A, Ahmed A, Bestoon H, Zeki M, Luqman Sulaiman et al. Cancer Statistics in Kurdistan Region of Iraq: A Tale of Two Cities. Research Square 2021; https://doi.org/10.21203/rs.3.rs-142129/v1.

Hegazy SA, Majd AA, Maram FA, Maryam AJ, Samaher EA. Female health college students knowledge and attitude towards breast cancer. AMJ 2019; 12(9):263–272. https://doi.org/10.35841/1836-1935.12.9.263-272

Bener A, Honein G, Carter A, Da’ar Z, Miller C, Dunn E. The Determinants of Breast Cancer Screening Behavior: A Focus Group Study of Women in the United Arab Emirates. Oncology Nursing Forum 2022; 29:E91‒8. http://dx.doi.org/10.1188/02.ONF.E91-E98

Abdel Hadi M. Breast Cancer Awareness among Health Professionals. Annals of Saudi Medicine 2020; 20(2):135‒6. doi: 10.5144/0256-4947.2000.135. PMID: 17322711

Alwan NA, Tawfeeq FN, Mallah NA. Demographic and clinical profiles of female patients diagnosed with breast cancer in Iraq. J Contemp Med Sci 2019; 5:14‒9. DOI: https://doi.org/10.22317/jcms.v5i1.544

Annual Statistical Report 2016. Planning Directorate, Ministry of Health/Environment, Republic of Iraq, 2017. (Accessed May 2, 2021)Available at: https://moh.gov.iq/upload/upfile/ar/513.pdf.

Ashokamal BN, Weerakoon BS. Knowledge and Awareness of Breast Cancer Risk Factor and Symptoms among Female Teachers in Selected Government School of the Fmbilipitiya Educational Zone , Sri Lanka. Malaysian J Med Health Sci 2020; 16(4):40‒5.

Gebresillassie BM, Gebreyohannes EA, Belachew SA, Emiru YK. Evaluation of Knowledge, Perception, and Risk Awareness About Breast Cancer and Its Treatment Outcome Among University of Gondar Students, Northwest Ethiopia. Front Oncol 2018; 8:501. doi: 10.3389/fonc.2018.00501

Nada AS, Al Alwan DK, Al Okati D, Pezella F, Tawfeeq F. Comparative study on the clinicopathological profiles of breast cancer among Iraqi and British patients. Open Public Health J 2018; 11:177‒91. DOI: 10.2174/1874944501811010177.

Radi SM. Breast Cancer Awareness among Saudi Females in Jeddah. Asian Pac. J. Cancer Prev 2013; 14:4307‒12. http://dx.doi.org/10.7314/APJCP.2013.14.7.4307

Hadi MA, Hassali MA, Shafie AA, Awaisu A. Evaluation of Breast Cancer Awareness among Female University Students in Malaysia. Pharmacy Practice 2010; 8: 29‒34. doi: 10.4321/s1886-36552010000100003.

Al-Qazaz HK, Yahya NA, Ibrahim DK. Knowledge, awareness, and practice of breast self-examination among females in Mosul city, Iraq. J Can Res Ther 2020; 16:1376‒81. DOI: 10.4103/jcrt.JCRT_736_19.

Jahan S, Al SaigulAM, Abdelgadir MH. Breast cancer. Knowledge, attitudes and practices of breast self examination among women in Qassim region of Saudi Arabia. Saudi Med J 2006; 27:1737‒41. https://pubmed.ncbi.nlm.nih.gov/17106553/

Abduelkarem AR, Saif FK, Saif S, Alshoaiby TA. Evaluation of Breast Cancer Awareness among Female University Students in University of Sharjah, UAE. Advances in Breast Cancer Research 2015; 4:9‒21. http://dx.doi.org/10.4236/abcr.2015.41002

Suleiman AK. Awareness and attitudes regarding breast cancer and breast self-examination among female Jordanian students. J Basic Clin Pharm 2014; 5:74‒8. DOI: 10.4103/0976-0105.139730.

Bawazir A, Bashateh N, Jradi H, Bin Breik A. Breast cancer screening awareness and practices among women attending primary health care centers in the GhailBawazir District of Yemen. Clin Breast Cancer 2019; 19(1):e20–9. https://doi.org/10.1016/j.clbc.2018.09.005

Abdel Fattah M, Zaki A, Bassili A, el Shazly M, Tognoni G. Breast self examination practice and its impact on breast cancer diagnosis in Alexandria, Egypt. East Mediterr Health J 2000; 6:34‒40. https://pubmed.ncbi.nlm.nih.gov/11370338/

Anderson BO, Yip CH, Smith AR, Shyyan R, Sener SF, Eniu A, et al.Guideline Implementation for breast health care in low income and middle income Countries Overview of the Breast Health Global Initiative Global Summit. Cancer 2018; 113:2221‒43. https://doi.org/10.1002/cncr.23844.

Akram M, Iqbal M, Daniyal M, Khan A. Awareness and current knowledge of breast cancer. Biol Res 2017; 50:33. https://doi.org/10.1186/s40659-017-0140-9.

Rastad Z, Kaboudi M, Shiri N. Breast cancer awareness's and attitude among regular health-care users versus irregular in a sample of Kurdish women in the West of Iran. J Edu Health Promot 2021; 10:316. doi: 10.4103/jehp.jehp_1023_20.