Published: 2016-12-27

Breast cancer awareness and breast self-examination among future female university graduates: comparison between medical and non-medical students

Elsadig Yousif Mohamed, Waqas Sami, Abdullah Atallah Alenezi, Abdulrahman Mubarak Almutairi, Ahmad Khalid Alsalboud, Khalid Mohammad Alhusainy, Mohammad Awadh Almutairi, Syed Meraj Ahmed, Khalid Altohami Medani, Mohammed Abdullah Al Mansour, Mansour Khatir Alzahrani, Talal Shakhs Algamdi, Fahad Bin Mohamed Alfhaid, Tahir Ansari


Background: Breast cancer is a common health problem among females in Saudi Arabia. The disease account for 27% of all female malignancies representing 25.1% of all newly diagnosed female cancers. The objectives of the current study were to assess the level of carcinoma breast awareness of female university students, Majmaah University in Saudi Arabia and to compare the level of awareness, breast self-examination and breast cancer screening between medical and non-medical students.

Methods: The current study was a cross-sectional, conducted among female students in Majmaah University in Saudi Arabia. The stratified and the systematic sampling were employed to select the colleges and the students respectively. The sample size was calculated as 325. Data was collected by a pre tested questionnaire and analyzed by SPSS.

Results: The university students who acquired good knowledge were 111 (34.2%). Students who acquired average and poor knowledge were 42.2% and 23.6% respectively. Medical students who had good knowledge were 37.6% compared to 26.9% of non-medical students.  The results showed that 94 (28.9%) of the participants practice breast self-examination and 25 (7.6%) performed a screening test.

Conclusions: The study concluded that Majmaah University students’ awareness of carcinoma breast is low. There is no significant difference in the level of awareness between students of medical colleges and those of non-medical colleges. The level of practicing breast self-examination and performing screening test for carcinoma breast among female university students is low. There is a significant difference in performing carcinoma breast screening test between medical and non-medical students.



Breast cancer, Awareness, Breast self-examination, Screening test

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Ministry of Health, Saudi Arabia. The Saudi Center for Evidence Based Health Care. Breast Cancer: Clinical Practice Guideline of the use of Screening Strategies for the detection of Breast Cancer, 2014.

Varughese J and Richman S. Cancer Care Inequity for Women in Resource-Poor Countries. Rev Obstet Gynecol. 2010;3(3):122-32.

Boyle P, Levin, B. World Cancer Report 2008. International Agency for Research on Cancer; pp. 510 pp. ISBN978-92-832-0423-7 Record Number20103010665. abstracts/20103010665.html;jsessionid=C137ED8326F02D5184CAB48BB46CE190.

Michel P, Coleman MP. Cancer survival in five continents: a worldwide population-based study (CONCORD). The Lancet Oncology. 2008;9(18639491):730-75.

Agarwal G, Pradeep PV, Aggarwal V, Yip CH, Cheung PS. Spectrum of breast cancer in Asian women. World J Surg. 2007;31(5):1031-40.

World Health Organization. Global Status Report on Non-communicable Diseases 2010. From: Accessed on Dec, 2015.

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;48:75-82.

Bener A, Alwash R, Miller CJ, Denic S, Dunn E. Knowledge, attitudes, and practices related to breast cancer screening: a survey of Arabic women. J Cancer Educ. 2001;16(4):215-20.

Female breast cancer. Riyadh: Saudi Cancer Registry 2009 -2011 From: ?module=publications & page= list & id=46& page_num= Accessed on 1.12. 2015.

Al Mulhim FA, Syed A, Bagatadah WA, Al Muhanna FA. Breast cancer screening program: experience from Eastern province, Saudi Arabia. EMHJ. 2015;21(2):111-9.

Habib F, Salman S, Safwat M, Shalaby S. Awareness and knowledge of breast cancer among university students in Al Madina Al Munawara Region. Middle East Journal of Cancer. 2010;1(4).

Al-Eid HS, Garcia AD. Saudi Cancer Registry: Cancer Incidence report 2009. Ministry of Health, Saudi Arabia; 2012.

Radi SM. Breast cancer awareness among Saudi Females in Jeddah. Asian Pac J Cancer Prev. 2013;14(7):4307-12.

Hussein DM. Breast cancer awareness and breast self-examination in Northern Saudi Arabia. Saudi Med Journal. 2013;34:681-8.

Ahmed AS, El-Gharabawy RM, AL-Suhaibany OH. Knowledge, attitude and practice about breast cancer among women in Saudi Arabia. International Archives of Medicine. 2015;8(248).

Al-AzmyM 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 Journal of Medicine. 2013;49:281-6.

Yousuf SA. Breast cancer awareness among Saudi nursing students. JKAU: Med Sci. 2010;17(3):67-78.

Alwan NAS, Al-Diwan JKA, Al-Attar WM, Eliessa RA. Knowledge, attitude & practice towards breast cancer & breast self- examination in Kirkuk University, Iraq. Asian Pacific Journal of Reproduction. 2012;1(4):308-11.

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.

Al-Sharbatti SS, Shaikh RB, Mathew E, Al-Biate MA. Assessment of Breast Cancer Awareness among Female University Students in Ajman in United Arab Emirates. Sultan Qaboos University Med J, November 2014;14 (4): e522−529.

Latif R. Knowledge and attitude of Saudi female students towards breast cancer: A cross-sectional study. Journal of Taibah University Medical Sciences. 2014;9(4):328-34.

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.

Nemenqani DM, Abdelmaqsoud SH, Al-Malki AA. Knowledge, attitude and practice of breast self-examination and breast cancer among female medical students in Taif, Saudi Arabia. Open Journal of Preventive Medicine. 2014;4(2):69-77.

El Bcheraoui C, Basulaiman M, Wilson S, Daoud F, Tuffaha M, AlMazrroaMA. Breast Cancer Screening in Saudi Arabia: Free but Almost No Takers. PLOS ONE. 2015;10(3).

Elshamy KF, Shoma AM. Knowledge and Practice of Breast Cancer Screening Among Egyptian Nurses. African Journal of Haematology and Oncology. 2010;1(4).

Donnelly TT, Al Khater A, Al-Bader SB, Al Kuwari MG, Malik M, Al-Meer N. Factors that influence awareness of breast cancer screening among Arab women in Qatar: results from a cross sectional survey. Asian Pacific Journal of Cancer Prevention. 2014;15(23).

Al-Mulhim FA. Knowledge and attitude towards screening mammography among 400 women in the eastern province of Saudi Arabia. J Family Community Med. 2001;8(3):73-8.