Published: 2018-10-25

Knowledge of breast cancer and its risk factors among Al-Quds university students in Palestine

Farid Abdulwahab Ghrayeb, Omar Rimawi, Azzam Nimer


Background: Cancer is a major public health problem globally. The incidence of cancer is escalating rapidly in many low- and middle-income countries like Palestine due to the epidemiological transition. This could be due to lack of awareness, knowledge and beliefs about breast cancer and its management among females. Aims and objectives was to determine knowledge of breast cancer risk factors, symptoms and early detection methods among Al-Quds University female students.

Methods: A descriptive cross-sectional study conducted over a period of 6 months in Al-Quds University. Study population was 332 female university students. Data was collected by using self-administered questionnaire.

Results: The most widely known risk factors by the students were old age 62.7%, followed by obesity 44% and never being pregnant 30.7%. Approximately half of the students (48.8%) identified breast lump as a symptom for breast cancer. However, non lump symptoms were less known and less than half were aware of other warning signs. Only 48.5 % of students identified correctly the appropriate time to perform breast self examination.

Conclusions: The findings of this study showed a low level of knowledge on breast cancer risk factors, early warning signs and BSE among female university students. Therefore, effective educational programs are required to improve the knowledge level of university students regarding breast cancer and related practices.


Breast cancer awareness, Breast-self examination, Health education, Symptoms and risk factors

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Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer. 2015;136(5):E359-86.

Godfrey K, Agatha T, Nankumbi J. Breast Cancer Knowledge and Breast Self-Examination Practices among Female University Students in Kampala, Uganda: A Descriptive Study. Oman Medical J. 2016;31(2):129-34.

Okobia MN, Bunker CH, Okonofua FE. Osime U. Knowledge, attitude and practice of nigerian women towards breast cancer: a cross-sectional study. World J Surg Oncol. 2006:4:11.

Jemal A, Bray F, Center MM. Global cancer statistics. CA Cancer J Clin. 2011;61(2):69-90.

Globocan. Estimated cancer incidence, mortality and prevalence worldwide in 2012. Available at:

Giordano SH, Cohen DS, Buzdar AU, Perkins G, Hortobagyi GN. Breast carcinoma in men: a populationā€based study. Cancer: Interdisciplinary Inter J Am Cancer Society. 2004 Jul 1;101(1):51-7.

Torre L, Bray F, Siegel RL, Ferlay J, Lortet-Tieulent J, Jemal A. Global cancer statistics, 2012. CA Cancer J Clin. 2015;65(2):87-108.

Elmore JG, Armstrong K, Lehman CD, Fletcher SW. Screening for breast cancer. Jo Am Med Association. 2005;293:1245-56.

Minister of Health of the Palestinian National Authority. Registry Pc. Gaza: Minister of Health of the Palestinian National Authority;2014.

Minister of Health of the Palestinian National Authority. Monitoring and follow-up of cancer patients [Internet]. Gaza: Minister of Health of the Palestinian National Authority; 2016. Available from:

Madhu B, Ashok NC, Balasubramanian S. A multinomial logistic regression analysis to study the influence of residence and socioeconomic status on breast cancer incidences in southern Karnataka. Int J Math Stat Invention. 2014;2(5):01-8.

Rosenberg R, Levy-Schwartz R. Breast cancer in women younger than 40 years. Int J Fertil Womens Med. 2003;48:200-5.

Sambanje MN, Mafuvadze B. Breast cancer knowledge and awareness among university students in Angola. Pan Afr Med J. 2012;11:70.

Peragallo N, Fox P, Alba M. Acculturation and breast self-examination among immigrant Latina women in the USA. International Nursing Review. 2000;47(1):38-45.

Fletcher SW, Black W, Harris R, Rimer BK, Shapiro S. Report of the international workshop on screening for breast cancer. JNCI. 1993;85(20):1644-56.

McCready T, Littlewood D, Jenkinson J. Breast self-examination and breast awareness: a literature review. J Clin Nurs. 2005;14(5):570-8.

Sadler GR, Ko CM, Cohn JA, White M, Weldon RN, Wu P. Breast cancer knowledge, attitudes, and screening behaviors among African American women: the Black cos-metologists promoting health program. BMC Public Health. 2007;7:57.

Al-Dubai SA, Qureshi AM, Saif-Ali R, Ganasegeran K, Alwan MR, Hadi JI. Awareness and knowledge of breast cancer and mammography among a group of Malaysian women in Shah Alam. Asian Pac J Cancer Prev. 2011 Jan 1;12(10):2531-8.

Montazeri A, Vahdaninia M, et al. Breast cancer in Iran: Need for greater women awareness of warning signs and effective screening methods. Asia Pacific Family Med. 2008;7(1):6.

Ahuja, Chakrabarti N. To determine the level of Knowledge Regarding breast cancer and to Increase Awareness about breast cancer screening practices among a group of women in a Tertiary care hospital in Mumbai, India. Internet J Pub Heal. 2009;l1(1).

Iheanacho P, Ndu A, Emenike AD. Awareness of breast cancer risk factors and practice of breast self examination among female undergraduates in university of Nigeria Enugu campus. Open Journal of Nursing. 2013;3:147-52.